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Neurosurgery

Surgical Approaches to Intraventricular Tumors Lateral Ven

Built from Feldman — Neurosurgical Operative Atlas: Neuro-Oncology

The first 25 slides of Surgical Approaches to Intraventricular Tumors Lateral Ven
The first 25 slides, exactly as they appear. The full deck has 56 content slides.

What’s inside

7 sections · 56 slides

  1. 01

    Overview

    • What this deck will teach you

    1 slide

  2. 02

    The Tumors

    What actually grows inside the lateral ventricles

    • Why lateral ventricular tumors are a special problem
    • How these tumors make themselves known
    • Age plus location narrows the diagnosis
    • Gliomas: the common adult primary tumors
    • Oligodendroglioma extending into the ventricles
    • Ependymomas, subependymomas, and how to tell them apart
    • Giant cell astrocytoma at the foramen of Monro
    • Meningiomas: second most common, favor the atrium
    • Meningioma of the right atrium
    • Choroid plexus tumors: the pediatric-leaning group
    • Choroid plexus papilloma filling the left atrium
    • Central neurocytoma and the incidental cysts
    • Central neurocytoma arising from the septum pellucidum
    • Tumors from elsewhere: metastases and lymphoma
    • Metastatic tumor in the right atrium
    • Primary CNS lymphoma extending into the frontal horn
    • Quick reference: tumor, favored location, and age clue

    17 slides

  3. 03

    The Anatomy

    The C-shaped cavity and its five parts

    • The big picture: a paired C-shaped cavity
    • The frontal horn: the front tip
    • The body: the long middle segment
    • The atrium: the busy crossroads
    • The occipital and temporal horns
    • Landmark table: which structure forms which wall

    6 slides

  4. 04

    Blood Supply and Drainage

    The arteries that feed and veins that empty the ventricle

    • Arterial supply: two choroidal systems that meet
    • Choroidal artery territories by region
    • Venous drainage: everything funnels to the deep veins

    3 slides

  5. 05

    Planning the Operation

    Selecting patients and mapping the brain before surgery

    • Who gets surgery, and who gets a biopsy
    • Mapping the brain before you cut: functional imaging
    • Mapping the blood supply and using real-time tools

    3 slides

  6. 06

    The Operative Approaches

    Choosing and performing a corridor to the tumor

    • General principles: the corridor follows the location
    • Choosing the corridor from tumor location
    • Transcallosal approach: getting in through the midline
    • Transcallosal approach: the dissection and entry
    • Transcallosal approach: staying oriented inside
    • Posterior transcallosal and precuneal variations
    • Transcortical approach: a direct cortical route
    • BrainPath resection of a right atrial meningioma
    • Anterior and posterior transcortical routes
    • DTI tractography around a right atrial meningioma
    • Temporal-horn approaches: sparing language and vision
    • The transsylvian approach to the temporal horn

    12 slides

  7. 07

    After Surgery

    Recovery, imaging, and the guiding principles

    • Postoperative management
    • Three ideas to carry away
    • Viva: A tumor sits in the medial atrium. Which corridor, and what one preoperative finding would change your mind?
    • Conclusion
    • References (1/2)
    • References (2/2)
    • Neurosurgical Operative Atlas: Neuro-Oncology

    7 slides