Trans-lamina terminalis suprategmental approach for ventral midbrain lesions: Technical note. (January 2021)

• Record Type: Journal Article
• Authors: Kong, Lu; Xiao, Xiong; Pan, Changcun; Zhang, Liwei
• Is Part Of: Journal of clinical neuroscience. Volume 83(2021)
• Page Start: 25
• Page End: 30
• Publication Date: 2021-01
• Subjects: Lamina terminalis -- Tegmental -- Midbrain -- Surgical resection -- Multimodal protocol; Brain -- Surgery -- Periodicals; Neurosciences -- Periodicals; Nervous system -- Surgery -- Periodicals; Brain -- surgery -- Periodicals; Neurosurgical Procedures -- Periodicals; Neurosciences -- Periodicals; Electronic journals; 616.8
• DOI: 10.1016/j.jocn.2020.11.037
• Languages: English
• ISSNs: 0967-5868

Abstract

Highlights: Surgical resection of ventral midbrain lesions is technical challenging. The trans-lamina terminalis approach has several advantages. Multimodal protocol aid in lesion location and safe resection. Abstract: Surgical resection of lesions located in the ventral midbrain is challenging. Few approaches and safe entry zones (SEZs) have been proposed and used to remove this type of lesion, and each has its limitations. Using two illustrating cases, the authors describe a trans-lamina terminalis suprategmental approach for removing ventral midbrain lesions. This approach provides a straight surgical trajectory with sparse neurovascular structures and can be performed with a standard pterional or subfrontal craniotomy. It may be the ideal approach for ventromedial midbrain lesions extending towards the third ventricle.