Work

Transplanum polare approach to the anterior mesiotemporal region

Year: 2025

Type: article

Abstract: BACKGROUND: The transplanum polare approach is a surgical technique targeting mesiotemporal structures, such as the amygdala and hippocampus. It offers a safer alternative to transcortical and transsylvian routes, reducing risks to white matter tracts, optic radiations, and vascular structures. METHOD: This method involves a pterional craniotomy with tailored sylvian fissure dissection to access the planum polare. Dynamic retraction, image guidance, and subpial dissection ensure precise resection while preserving critical neural and vascular anatomy. CONCLUSION: By minimizing disruption and technical complexity, the transplanum polare approach enhances safety and efficacy, reducing complications and improving outcomes for patients with mesiotemporal lesions.

Source: Acta Neurochirurgica

DOI: 10.1007/s00701-025-06530-7

Authors: Daniele Starnoni, Lorenzo Giammattei, Roy T. Daniel, Pablo González-López

Institutions: Centre Hospitalier Universitaire Vaudois, University of Lausanne, University of Alicante, Hospital General Universitario de Alicante Doctor Balmis

Language: English

Topic: Neurosurgical Procedures and Complications

Subfield: Neurology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,990