Cingulate Gyrus Approaches

These approaches include unilateral interhemispheric or combined: bilateral interhemispheric, unilateral plus superior frontal gyrectomy, or unilateral plus frontal polectomy 1).

Surgical treatment of posterior gyrus cinguli tumors can be safely approached via the interhemispheric route as it permits several beneficial operative maneuvers in selected cases 2).

Von Lehe and Schramm choosed an interhemispheric approach for tumor resection in 11 (29%) and a transcortical approach in 27 (71%) cases; intraoperative electrophysiological monitoring was applied in 23 (61%) and neuronavigation in 15 (39%) cases 3).

1)
Talacchi A, Corsini F, Gerosa M. Surgical approaches to tumors of the anterior gyrus cinguli. Neurosurgery. 2010 Jun;66(6 Suppl Operative):245-51. doi: 10.1227/01.NEU.0000369652.59204.99. PubMed PMID: 20489513.
2)
Talacchi A, Hasanbelliu A, Fasano T, Gerosa M. Interhemispheric approach to tumors of the posterior gyrus cinguli. Clin Neurol Neurosurg. 2013 May;115(5):597-602. doi: 10.1016/j.clineuro.2012.07.020. Epub 2012 Aug 4. PubMed PMID: 22871382.
3)
von Lehe M, Schramm J. Gliomas of the cingulate gyrus: surgical management and functional outcome. Neurosurg Focus. 2009 Aug;27(2):E9. doi: 10.3171/2009.6.FOCUS09104. PubMed PMID: 19645564.