title: Approaches to temporal lobe lesions: a proposal for classification.
abstract: BACKGROUND
  Tumor surgery in the temporal region is challenging due to anatomical complexity and the versatility of surgical approaches. The aim was to categorize temporal lobe tumors based on anatomical, functional, and vascular considerations and to devise a systematic field manual of surgical approaches.
  
  
  METHODS
  Tumors were classified into four main types with assigned approaches: Type I-lateral: transcortical; type II-polar: pterional/transcortical; type III-central: transsylvian/trans-opercular; type IV-mesial: transsylvian/trans-cisternal if more anterior (=Type IV A), and supratentorial/infraoccipital if more posterior (=type IV B). 105 patients have been operated on prospectively using the advocated guidelines. Outcomes were evaluated.
  
  
  CONCLUSIONS
  Systematic application of the proposed classification facilitated a tailored approach, with gross total tumor resection of 88 %. Neurological and surgical morbidity were less than 10 %. The proposed classification may prove a valuable tool for surgical planning.
authors.affiliation: Department of Neurosurgery, Charité University Hospital, Augustenburger Platz 1, 13353, Berlin, Germany.
authors.forename: Katharina
authors.initials: K
authors.lastname: Faust
authors.forename: Peter
authors.initials: P
authors.lastname: Schmiedek
authors.forename: Peter
authors.initials: P
authors.lastname: Vajkoczy
mesh_terms: D001932:Brain Neoplasms / Q000145:classification / Q000473:pathology / Q000601:surgery*; D006801:Humans; D019635:Neurosurgical Procedures; D011183:Postoperative Complications / Q000473:pathology* / Q000517:prevention & control; D013702:Temporal Lobe / Q000473:pathology* / Q000601:surgery; D016896:Treatment Outcome