Subfrontal Infrachiasmatic Approach [Neurosurgery Wiki]

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====== Subfrontal Infrachiasmatic Approach ======

In a [[video]], Aldave et al., from the Division of Pediatric Neurosurgery, [[Texas Children's Hospital]], Department of Neurosurgery, [[Baylor College of Medicine]], presented a case of a 6-yr-old girl with a large [[sella]]r-[[suprasellar]] [[craniopharyngioma]]. 

The fact that the [[sphenoid]] was not pneumatized and the [[chiasm]] was elevated 1.2 cm from the [[planum sphenoidale]] were some of the reasons to choose a [[subfrontal]] [[infrachiasmatic approach]] as they discuss and show in the video. This [[approach]] has not been very well established in the [[literature]] but they demonstrated it can become a good alternative for a particular type of sellar-[[suprasellar tumor]]s. Appropriate video authorization [[consent]] was obtained from the parent of the patient
((Aldave G, Zinn P, Whitehead WE. Subfrontal Infrachiasmatic Approach to a
Craniopharyngioma Resection: 2-Dimensional Operative Video. Oper Neurosurg
(Hagerstown). 2019 Feb 5. doi: 10.1093/ons/opy403. [Epub ahead of print] PubMed
PMID: 30726971.
)).

{{subfrontal_infrachiasmatic_approach.jpeg}}

Watch now at [[https://academic.oup.com/ons/article-lookup/doi/10.1093/ons/opy403
|https://academic.oup.com/ons/article-lookup/doi/10.1093/ons/opy403
]]