caa a22 4500 606216987 CHVBK 20210128101105.0 cr unu---uuuuu 210128e20151101xx s 000 0 eng 10.1007/s00701-015-2595-1 doi (NATIONALLICENCE)springer-10.1007/s00701-015-2595-1 Minimally invasive subfrontal route for the resection of medial temporal region intrinsic tumors [Elektronische Daten] [Giannantonio Spena, Pier Panciani, Federico Nicolosi, Marco Fontanella] Background: The mesial temporal region (MTR) comprises important components of the limbic system, as well as vital neurovascular structures. Because of its important functional role, as much healthy brain tissue as possible must be preserved while targeting resection of MTR lesions. Methods: A frontal minicraniotomy is used to access the MTR through a subfrontal approach. By opening the most medial part of the Sylvian fissure, the uncus-amygdala complex is exposed, and through this, the head of the hippocampus can be reached and removed as well. Conclusions: This approach is extremely suitable for MTR lesions, as it provides the advantage of sparing the most important functional structures of the temporal lobe, the temporal stem, and the limen insulae, as well as the optic radiations and the fronto-occipital connections. Springer-Verlag Wien, 2015 Medial temporal region nationallicence Limbic system nationallicence Gliomas nationallicence Uncus nationallicence Amygdala nationallicence Minimally invasive nationallicence Spena Giannantonio Clinic of Neurosurgery, Spedali Civili and University of Brescia, Piazzale Spedali Civili 1, 25122, Brescia, Italy aut Panciani Pier Clinic of Neurosurgery, Spedali Civili and University of Brescia, Piazzale Spedali Civili 1, 25122, Brescia, Italy aut Nicolosi Federico Clinic of Neurosurgery, Spedali Civili and University of Brescia, Piazzale Spedali Civili 1, 25122, Brescia, Italy aut Fontanella Marco Clinic of Neurosurgery, Spedali Civili and University of Brescia, Piazzale Spedali Civili 1, 25122, Brescia, Italy aut Acta Neurochirurgica Springer Vienna 157/11(2015-11-01), 1971-1974 0001-6268 157:11<1971 2015 157 701 https://doi.org/10.1007/s00701-015-2595-1 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00701-015-2595-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Spena Giannantonio Clinic of Neurosurgery, Spedali Civili and University of Brescia, Piazzale Spedali Civili 1, 25122, Brescia, Italy aut NATIONALLICENCE 700 1- Panciani Pier Clinic of Neurosurgery, Spedali Civili and University of Brescia, Piazzale Spedali Civili 1, 25122, Brescia, Italy aut NATIONALLICENCE 700 1- Nicolosi Federico Clinic of Neurosurgery, Spedali Civili and University of Brescia, Piazzale Spedali Civili 1, 25122, Brescia, Italy aut NATIONALLICENCE 700 1- Fontanella Marco Clinic of Neurosurgery, Spedali Civili and University of Brescia, Piazzale Spedali Civili 1, 25122, Brescia, Italy aut NATIONALLICENCE 773 0- Acta Neurochirurgica Springer Vienna 157/11(2015-11-01), 1971-1974 0001-6268 157:11<1971 2015 157 701