Traditional Open and Neuro-Endoscopic Approaches to Intraventricular Pathology

Joshua Prickett, Cristian Gragnaniello, Juan Altafulla, Zachary N. Litvack

Research output: Chapter in Book/Report/Conference proceedingChapter


Lesions located within the ventricular system of the brain have long represented some of the most technically challenging targets for the surgeon. With the introduction of the operating microscope, the dedicated ventricular endoscope, and now subcortical access ports, there have been significant refinements in instrumentation and technique to minimize the morbidity of surgical approach. Regardless of which instruments and technique is chosen, a basic understanding of the established options for approaching the ventricular system is key to planning and executing a safe and effective operation. We review the well-documented approaches (both microsurgical and endoscopic) to the supratentorial ventricular system, providing the reader with a framework for choosing an approach based on surgical target and intervening eloquent tissue. This same framework, with some modification to account for primarily trans-sulcal approaches, can be used to plan a port-based surgery.

Original languageEnglish (US)
Title of host publicationSubcortical Neurosurgery
Subtitle of host publicationOpen and Parafascicular Channel-Based Approaches for Subcortical and Intraventricular Lesions
PublisherSpringer International Publishing
Number of pages14
ISBN (Electronic)9783030951535
ISBN (Print)9783030951528
StatePublished - Jan 1 2022


  • Endoscopy
  • Intraventricular
  • Microsurgery
  • Neurosurgery
  • Surgical approach

ASJC Scopus subject areas

  • General Medicine


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