Advertisement

The transcallosal transchoroidal approach to the diencephalic-mesencephalic junction: how I do it

  • Giulia Cossu
  • Pablo González-López
  • Roy T. DanielEmail author
How I Do it - Neurosurgical Anatomy
  • 8 Downloads
Part of the following topical collections:
  1. Neurosurgical anatomy

Abstract

Background

Different approaches have to be considered for lesions of the diencephalic-mesencephalic junction based on the localization, extension of the lesion, and relationship to the ventricular system.

Method

We present the case of a young lady who presented with a cavernoma of the junction of midbrain and diencephalon after an episode of hemorrhage. The microsurgical anatomy of the trans-callosal trans-choroidal approach for this lesion is described along with its advantages and limitations.

Conclusion

The trans-choroidal approach allows adequate access to lesions of the diencephalic-mesencephalic junction that project into the third ventricle.

Keywords

Cavernous malformation Choroid fissure Transchoroidal approach Mesencephalon Diencephalic-mesencephalic junction 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Patient consent statement

The patient consented to the submission of this paper and video for publication.

Supplementary material

Video

This video illustrates the transcallosal transchoroidal approach performed for the resection of a cavernous malformation of the diencephalic-mesencephalic junction in a young lady with hydrocephalus and Parinaud syndrome. The resection was complete and the patient experienced a favorable neurological and radiological outcome at 6 years of follow-up. (MP4 50,167 kb)

References

  1. 1.
    D'Angelo VA, Galarza M, Catapano D, Monte V, Bisceglia M, Carosi I (2005) Lateral ventricle tumors: surgical strategies according to tumor origin and development--a series of 72 cases. Neurosurgery 56:36–45 discussion 36-45CrossRefGoogle Scholar
  2. 2.
    Delandsheer JM, Guyot JF, Jomin M, Scherpereel B, Laine E (1978) Inter thalamo-trigonal approach to the third ventricle (author's transl). Neuro-Chirurgie 24:419–422Google Scholar
  3. 3.
    Rhoton ALJ (2003) The lateral and third ventricle. In: Apuzzo MLJ (ed) Rhoton's cranial anatomy and surgical approaches. Lippincott Williams and Wilkins, pp 238–251Google Scholar
  4. 4.
    Ulm AJ, Russo A, Albanese E, Tanriover N, Martins C, Mericle RM, Pincus D, Rhoton AL (2009) Limitations of the transcallosal transchoroidal approach to the third ventricle. J Neurosurg 111:600–609CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Austria, part of Springer Nature 2019

Authors and Affiliations

  • Giulia Cossu
    • 1
    • 2
  • Pablo González-López
    • 3
  • Roy T. Daniel
    • 1
    • 2
    Email author
  1. 1.Department of NeurosurgeryUniversity Hospital of LausanneLausanneSwitzerland
  2. 2.Faculty of Medicine and BiologyUniversity of LausanneLausanneSwitzerland
  3. 3.Department of NeurosurgeryHospital General Universitario AlicanteAlicanteSpain

Personalised recommendations