Exoscope aided trans-sulcal minimally invasive parafascicular resection of a paediatric brainstem pilocytic astrocytoma using a tubular retractor system

Kieron J. Sweeney, Michael Amoo, Ronan Kilbride, George I. Jallo, Mohsen Javadpour

Research output: Contribution to journalArticlepeer-review

Abstract

The surgical management of brainstem glioma is challenging and has significant morbidity. Advances in surgical armamentarium has presented the opportunity to tackle these lesions. We present the case of a paediatric patient with a 2.3cm midbrain pilocytic astrocytoma. With the aid of tractography, neuro-navigation, 3-dimensional exoscope and a tubular retractor, near total resection of the tumour was achieved through a trans-sulcal para-fascicular approach without permanent injury to the corticospinal tract. To our knowledge this is the first report of a brainstem tumour resected using this approach and demonstrates what can be achieved with synergistic utility of evolving technologies in neurosurgery.

Original languageEnglish (US)
JournalBritish journal of neurosurgery
DOIs
StateAccepted/In press - 2021

Keywords

  • BrainPath
  • Orbeye
  • Tubular retractor
  • brainstem
  • exoscope
  • minimally invasive neurosurgery
  • paediatric
  • para-fascicular surgery
  • pilocytic astrocytoma

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Fingerprint

Dive into the research topics of 'Exoscope aided trans-sulcal minimally invasive parafascicular resection of a paediatric brainstem pilocytic astrocytoma using a tubular retractor system'. Together they form a unique fingerprint.

Cite this