Small petrosal approach to the middle portion of the mediobasal temporal region: technical case report.
BACKGROUND
The mediobasal temporal region has been divided into three portions: anterior, middle, and posterior. Surgical access, especially to the middle portion, presents a formidable challenge to neurosurgeons, and much controversy still exists regarding the selection of the surgical approach to this region.


METHODS
We used the small petrosal approach to the middle portion of the mediobasal temporal region in a patient with intractable seizures caused by a cavernous angioma in this region. Using this approach, we selectively removed the lesion without postoperative deficits.


CONCLUSIONS
The small petrosal approach was found to be useful and safe as an alternative technique for selective removal of the lesion in the middle portion of the mediobasal temporal region.
Türe
Ugur
U
Department of Neurosurgery, Marmara University School of Medicine, Istanbul, Turkey
Pamir
M Necmettin
MN
D000328:Adult; D001932:Brain Neoplasms / Q000473:pathology / Q000601:surgery*; D005260:Female; D006624:Hippocampus / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008866:Microsurgery / Q000379:methods*; D019635:Neurosurgical Procedures / Q000379:methods*; D010579:Petrous Bone / Q000473:pathology / Q000601:surgery*; D013702:Temporal Lobe / Q000033:anatomy & histology* / Q000473:pathology / Q000601:surgery*