Transfalx approach for removal of the brain tumors

Abstract

Introduction. Minimally invasive techniques in brain tumor surgery are the priority tasks for preserving the function of the structures of the central nervous system adjacent to tumors. The approaches through the natural arachnoid spaces avoiding additional trauma to the intact brain with dissection of the falx, can be an alternative to conventional direct approaches to the interhemispheric fissure tumors.Results. This paper presents the results of surgical treatment of 18 patients with tumors of the interhemispheric fissure of various histological structures, which underwent removal of the lesions through the contralateral transfalx approach. Radicality was achieved in 100 %. there was no increase in neurological deficit in the postoperative period, and the regression of neurological symptoms was noted in 67 % of cases.Conclusion. The contralateral transfalx approach can be recommended as an alternative option for the treatment of a number of patients with tumors of the interhemispheric fissure, as minimally invasive, less traumatic and effective.