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Rodríguez RG, Agyemang K, Cearns MD, Arias SAM, Nunez M, Wuo-Silva R, Ahumada-Vizcaino JC, Filho JMDC, Chaddad-Neto F. Technical Nuances of Using the Peritrigeminal and Infrafacial Entry Zones in Brainstem Cavernoma Surgery: 2-Dimensional Operative Video. Oper Neurosurg (Hagerstown) 2023:01787389-990000000-01011. [PMID: 38156884 DOI: 10.1227/ons.0000000000001049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2023] [Accepted: 10/30/2023] [Indexed: 01/03/2024] Open
Affiliation(s)
- Rony Gómez Rodríguez
- Department of Neurology and Neurosurgery, Universidade Federal de São Paulo, São Paulo, SP, Brazil
| | - Kevin Agyemang
- Department of Neurology and Neurosurgery, Universidade Federal de São Paulo, São Paulo, SP, Brazil
- School of Medicine, University of Glasgow, Glasgow, UK
| | | | | | - Maximiliano Nunez
- Department of Neuroradiology, Hospital Beneficência Portuguesa de São Paulo, São Paulo, SP, Brazil
| | - Raphael Wuo-Silva
- Department of Neurology and Neurosurgery, Universidade Federal de São Paulo, São Paulo, SP, Brazil
| | | | - José Maria de Campos Filho
- Department of Neurology and Neurosurgery, Universidade Federal de São Paulo, São Paulo, SP, Brazil
- Department of Neurosurgery, Hospital Beneficência Portuguesa de São Paulo, São Paulo, SP, Brazil
| | - Feres Chaddad-Neto
- Department of Neurology and Neurosurgery, Universidade Federal de São Paulo, São Paulo, SP, Brazil
- Department of Neurosurgery, Hospital Beneficência Portuguesa de São Paulo, São Paulo, SP, Brazil
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Alenezi H, Lampmann T, Asoglu H, Schievelkamp AH, Banat M, Vatter H, Hamed M. Transcortical Transchoroidal Approach for Resection a Third Ventricular Cavernous Malformation: 2-Dimensional Operative Video. Oper Neurosurg (Hagerstown) 2023; 25:e373. [PMID: 37668994 DOI: 10.1227/ons.0000000000000878] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2023] [Accepted: 06/19/2023] [Indexed: 09/06/2023] Open
Affiliation(s)
- Haitham Alenezi
- Neurosurgical Research, Department of Neurosurgery, University Hospital Bonn, Bonn, Germany
| | - Tim Lampmann
- Neurosurgical Research, Department of Neurosurgery, University Hospital Bonn, Bonn, Germany
| | - Harun Asoglu
- Neurosurgical Research, Department of Neurosurgery, University Hospital Bonn, Bonn, Germany
| | | | - Mohammed Banat
- Neurosurgical Research, Department of Neurosurgery, University Hospital Bonn, Bonn, Germany
| | - Hartmut Vatter
- Neurosurgical Research, Department of Neurosurgery, University Hospital Bonn, Bonn, Germany
| | - Motaz Hamed
- Neurosurgical Research, Department of Neurosurgery, University Hospital Bonn, Bonn, Germany
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Figueredo LF, Shelton WJ, Tagle-Vega U, Sanchez E, de Macedo Filho L, Salazar AF, Murguiondo-Pérez R, Fuentes S, Marenco-Hillembrand L, Suarez-Meade P, Ordoñez-Rubiano E, Gomez Amarillo D, Albuquerque LAF, de Amorim RLO, Vasquez CM, Baldoncini M, Mejia JA, Niño C, Ramon JF, Hakim F, Mendez-Rosito D, Navarro-Bonnet J, Quiñones-Hinojosa A, Almeida JP. The state of art of awake craniotomy in Latin American countries: a scoping review. J Neurooncol 2023; 164:287-298. [PMID: 37698707 DOI: 10.1007/s11060-023-04433-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2023] [Accepted: 08/22/2023] [Indexed: 09/13/2023]
Abstract
BACKGROUND AND OBJECTIVE Awake craniotomy (AC) is a valuable technique for surgical interventions in eloquent areas, but its adoption in low- and middle-income countries faces challenges like limited infrastructure, trained personnel shortage, and inadequate funding. This scoping review explores AC techniques in Latin American countries, focusing on patient characteristics, tumor location, symptomatology, and outcomes. METHODS A scoping review followed PRISMA guidelines, searching five databases in English, Spanish, and Portuguese. We included 28 studies with 258 patients (mean age: 43, range: 11-92). Patterns in AC use in Latin America were analyzed. RESULTS Most studies were from Brazil and Mexico (53.6%) and public institutions (70%). Low-grade gliomas were the most common lesions (55%), most of them located in the left hemisphere (52.3%) and frontal lobe (52.3%). Gross-total resection was achieved in 34.3% of cases. 62.9% used an Asleep-Awake-Asleep protocol, and 14.8% used Awake-Awake-Awake. The main complication was seizures (14.6%). Mean post-surgery discharge time was 68 h. Challenges included limited training, infrastructure, and instrumentation availability. Strategies discussed involve training in specialized centers, seeking sponsorships, applying for awards, and multidisciplinary collaborations with neuropsychology. CONCLUSION Improved accessibility to resources, infrastructure, and adequate instrumentation is crucial for wider AC availability in Latin America. Despite disparities, AC implementation with proper training and teamwork yields favorable outcomes in resource-limited centers. Efforts should focus on addressing challenges and promoting equitable access to this valuable surgical technique in the region.
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Affiliation(s)
- Luisa F Figueredo
- Department of Psychiatry, NYU Langone Health, New York City, New York, USA.
- Department of Neurosurgery, Mayo Clinic Florida, Jacksonville, Florida, USA.
- Faculty of Medicine, Universidad de Los Andes, Bogota, Colombia.
| | - William J Shelton
- Department of Neurosurgery, Mayo Clinic Florida, Jacksonville, Florida, USA
- Faculty of Medicine, Universidad de Los Andes, Bogota, Colombia
| | - Uriel Tagle-Vega
- Facultad de Ciencias de La Salud, Escuela Profesional de Medicina Humana, Universidad Andina del Cusco, Cusco, Perú
| | - Emiliano Sanchez
- Department of Neurosurgery, Mayo Clinic Florida, Jacksonville, Florida, USA
| | - Leonardo de Macedo Filho
- Department of Neurosurgery, Penn State Health Milton S. Hershey Medical Center, Hershey, Pennsylvania, USA
| | - Andres F Salazar
- Department of Neurosurgery, Fundación Santa Fe de Bogotá, Bogotá, Colombia
- Faculty of Medicine, Universidad de Los Andes, Bogota, Colombia
| | - Renata Murguiondo-Pérez
- Faculty of Health Sciences, Universidad Anáhuac México Norte, Huixquilucan, Edo. Mex, México
| | - Santiago Fuentes
- Department of Neurosurgery, Fundación Santa Fe de Bogotá, Bogotá, Colombia
| | | | - Paola Suarez-Meade
- Department of Neurosurgery, Mayo Clinic Florida, Jacksonville, Florida, USA
| | | | | | | | - Robson Luis Oliveira de Amorim
- Getúlio Vargas Universitary Hospital, Manaus, Amazonas, Brazil
- Department of Neurosurgery, Hospital Adventista de Manaus, Amazonas, Brazil
| | - Carlos M Vasquez
- Unidad de Neurocirugía Funcional Y Oncológica, Instituto Nacional de Ciencias Neurológicas, Lima, Perú
| | - Matias Baldoncini
- Department of Neurosurgery, Hospital de San Fernando, Buenos Aires, Argentina
| | - Juan Armando Mejia
- Department of Neurosurgery, Fundación Santa Fe de Bogotá, Bogotá, Colombia
| | - Claudia Niño
- Department of Neurosurgery, Fundación Santa Fe de Bogotá, Bogotá, Colombia
| | | | - Fernando Hakim
- Department of Neurosurgery, Fundación Santa Fe de Bogotá, Bogotá, Colombia
| | - Diego Mendez-Rosito
- Centro Médico Nacional 20 de Noviembre, Skull Base Program Director, Mexico D. F, Mexico
| | - Jorge Navarro-Bonnet
- Department of Neurosurgery, Angeles Health System/Medica Sur Clinical Foundation, Mexico City, Mexico
| | | | - Joao Paulo Almeida
- Department of Neurosurgery, Mayo Clinic Florida, Jacksonville, Florida, USA
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Chang Mulato JE, Alejandro SA, Paganelli SL, Vela Rojas EJ, Silva da Costa MD, Doria-Netto HL, Campos Filho JM, Chaddad-Neto F. Transcallosal Transchoroidal Approach to the Third Ventricle for Resection of a Thalamic Cavernoma-Anatomic Landmarks Review: 3-Dimensional Operative Video. Oper Neurosurg (Hagerstown) 2022; 23:e120. [PMID: 35838465 DOI: 10.1227/ons.0000000000000244] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2021] [Accepted: 02/07/2022] [Indexed: 01/17/2023] Open
Affiliation(s)
| | | | | | | | | | - Hugo Leonardo Doria-Netto
- Department of Neurology and Neurosurgery, Universidade Federal de São Paulo, São Paulo, Brazil.,Hospital Beneficência Portuguesa de São Paulo, São Paulo, Brazil
| | - Jose María Campos Filho
- Department of Neurology and Neurosurgery, Universidade Federal de São Paulo, São Paulo, Brazil.,Hospital Beneficência Portuguesa de São Paulo, São Paulo, Brazil
| | - Feres Chaddad-Neto
- Department of Neurology and Neurosurgery, Universidade Federal de São Paulo, São Paulo, Brazil.,Hospital Beneficência Portuguesa de São Paulo, São Paulo, Brazil
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Nakae S, Kumon M, Kojima D, Higashiguchi S, Ohba S, Kuriyama N, Sato Y, Inamoto Y, Mukaino M, Hirose Y. Transsylvian and trans-Heschl’s gyrus approach for a left posterior insular lesion and functional analyses of the left Heschl’s gyrus: illustrative case. JOURNAL OF NEUROSURGERY: CASE LESSONS 2022; 3:CASE21622. [PMID: 36130565 PMCID: PMC9379753 DOI: 10.3171/case21622] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/28/2021] [Accepted: 12/06/2021] [Indexed: 11/09/2022]
Abstract
BACKGROUND A common surgical approach for dominant insular lesions is to make a surgical corridor in asymptomatic cortices based on functional mapping. However, the surgical approach is difficult for posterior insular lesions in a dominant hemisphere because the posterior parts of the perisylvian cortices usually have verbal functions. OBSERVATIONS We present the case of a 40-year-old male whose magnetic resonance images revealed the presence of contrast-enhancing lesions in the left posterior insula. Our surgical approach was to split the sylvian fissure as widely as possible, and partially resect Heschl’s gyrus if the cortical mapping was negative for language tests. Because Heschl’s gyrus did not have verbal functions, the gyrus was used as a surgical corridor. It was wide enough for the removal of the lesion; however, because intraoperative pathological diagnosis eliminated the possibility of brain tumors, further resection was discontinued. The tissues were histologically diagnosed as tuberculomas. Antituberculosis drugs were administered, and the residual lesions finally disappeared. According to the neurophysiological tests, the patient showed temporary impairment of auditory detection, but the low scores of these tests improved. LESSONS The transsylvian and trans-Heschl’s gyrus approach can be a novel surgical option for excising dominant posterior insular lesions.
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Affiliation(s)
| | | | | | | | | | - Naohide Kuriyama
- Anesthesiology, Fujita Health University, Toyoake, Aichi, Japan; and
| | - Yuriko Sato
- Rehabilitation Complex, Fujita Health University, Toyoake, Aichi, Japan
| | - Yoko Inamoto
- Rehabilitation Complex, Fujita Health University, Toyoake, Aichi, Japan
| | - Masahiko Mukaino
- Rehabilitation Complex, Fujita Health University, Toyoake, Aichi, Japan
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