Endoscopic Assisted “Eyebrow” Supraorbital Craniotomy for Biopsy of Midbrain Lesion

Endoscopic Assisted “Eyebrow” Supraorbital Craniotomy for Biopsy of Midbrain Lesion

This video demonstrates the utility of the eyebrow craniotomy to perform a biopsy of a midbrain tumor in a patient with favorable anatomy.  The addition of endoscopy allows for clear visualization of the relevant anatomy of the brainstem, vasculature and cranial nerves.  The use of low-profile and single-shaft instruments allows for proper and safe dissection in this region. This approach can be useful to access the anterior superior brainstem, though may be contraindicated in the setting of a high-riding posterior clinoid process or tight Sylvian fissure.


Published

April 6, 2017

Created by

Karl Storz