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Chapter 18 - Combined Multi-portal “Pull-Through” Keyhole Craniotomy

from Section II - Open Combined Approaches

Published online by Cambridge University Press:  05 October 2021

By
Robert G. Briggs ,
Andrew K. Conner ,
Ali H. Palejwala ,
Panayiotis Pelargos ,
Griffin Ernst ,
Kyle P. O’Connor ,
Chad A. Glenn  and
Michael E. Sughrue
Edited by
Vijay Agarwal
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Summary

The definition of combined approaches is broad. This can include multiple portals to the same or different region in the skull base. The “pull-through technique is a versatile, dual-keyhole approach developed to attach tumors that extend between the temporal and occipital poles. This approach is complex, as it entails a knowledge of the intricate anatomy and eloquent cortical and subcortical structures in this region. This combined approach is tailed to minimize peripheral brain damage while providing a direct route to the pathology. This chapter discusses the indications, the anatomy, the patient selection, and the surgical nuances of this approach.

Keywords

neurosurgerykeyholeoccipital lobetemporal lobegliomawhite matter
Type
Chapter
Information
Integrated Management of Complex Intracranial Lesions
Open, Endoscopic, and Keyhole Techniques
 , pp. 187 - 195
Publisher: Cambridge University Press
Print publication year: 2021

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