Clinical Pearls Careful clinical diagnosis is key to appropriately selecting patients who will benefit from surgical treatments for trigeminal neuralgia. During microvascular decompression, the entire cisternal segment of cranial nerve V must be inspected from the brainstem to the entrance…
Clinical Pearls As a general principle, a skull base approach should provide optimal exposure of the lesion in question without retraction or other injury to normal neurologic structures. Planning an operation for individual skull base tumors involves identifying the anatomic…
Clinical Pearls Cerebral revascularization is a critical tool used to treat complex cerebral aneurysms. Careful preoperative planning and selection of the donor, recipient, and graft vessels are key to a successful outcome. Appropriate selection of low-flow or high-flow bypass is…
Clinical Pearls Surgical positioning aims to optimize access to surgical pathologies, avoid secondary injuries, and decrease operator fatigue. Commonly used patient positions for cranial and spine cases are discussed. Neuronavigation helps to improve surgical accuracy and decrease injury to critical…
Pearls Callosal and periventricular AVMs are quite rare. Their deep location and association with critical neurovascular structures indicate patients should seek help from experienced centers. Indications for treatment are similar to those for all other iAVM locations. Radiosurgery, although less…
© 2018 Elsevier Inc. All rights reserved. Please note that the copyright for the original figures submitted by the contributors is owned by Contributors. Chordomas and chondrosarcomas are malignant tumors whose gross total resection significantly increases the overall survival. They…
© 2018 Elsevier Inc. All rights reserved. Please note that the copyright for the original figures submitted by the contributors is owned by Contributors. Chordomas and chondrosarcomas of the skull base are pathologically and genetically distinct neoplasms that are often…