Today: Neurosurgical Approaches to the Cranial Compartments

Neurosurgical Approaches to the Cranial Compartments

This course is aimed at ST3-ST8 level trainees and subspecialty (skull base and cerebrovascular) fellows. Teaching of the approaches are tailored to the specific needs and experience of the individual trainee. This workshop is co-organised by the east and west of Scotland training programs. The program includes complex surgical procedures which cannot be performed by trainees without prior cadaveric exposure.

It covers the whole armamentarium of intracranial approaches and provides fundamental insight to very complex procedures. The focus is on enabling trainees to safely approach superficial and deep seated vascular and benign intracranial lesions arising from or being in proximity to the cranial vault or skull base. Trainees will gain a heightened appreciation of the critical structures encountered through these approaches.

Suitability

ST3-ST8 and subspecialty (skull base and cerebrovascular) fellows. Teaching of the approaches will be tailored to the specific needs and experience of the individual trainee.

Relevant Grades: ST3, ST4, ST5, ST6, ST7, ST8, SpR, SAS

Course Format

Introductory Lectures followed by hands on Cadaveric workshops. Commonly performed techniques such as pterional, bifrontal, middle fossa and retrosigmoid craniotomies will be covered as well as more complex approaches to the third ventricle, pineal region, antero-lateral brainstem and C1/C2 complex. State of the art Pentero Zeiss microscopes, Integra Mayfield clamps, Codman microinstruments, and Anspach high speed drills will be readily available in all stations (two participants per station – one faculty member per station)

Course Objectives

Familiarize trainees with the surgical anatomy pertinent to common as well as complex neurosurgical procedures, which will be comprehensively taught. Identify anatomical avenues for the safe exposure of both superficial and deeper intracranial structures. Expose trainees to microsurgical principles (appropriate application of the operating microscope, high speed drill, and microdissection).

Learning Outcomes

Upon completion of the course, participants should be able to:

  • Enable trainees to safely approach superficial and deep seated vascular and benign intracranial lesions arising from or being in proximity to the cranial vault or skull base.
  • Trainees will have a heightened appreciation of the critical structures encountered through these approaches.

Today: Neurosurgical Approaches to the Cranial Compartments Course

Neurosurgical Approaches to the Cranial Compartments Course

November 17 — November 19

RCS, Edinburgh, UK
More Information
Neurosurgical Approaches to the Cranial Compartments (Co-organised by the Edinburgh Department of Clinical Neurosciences and the Glasgow Institute of Neurological Sciences)
17, 18 & 19 November 2015
Venue: Stewarts Skills Laboratory, RCSEd

DAY 1 – Tuesday 17th November 2015 Faculty /Lead

08.30-09.00
Pterional craniotomy/orbitozygomatic osteotomy
Mr I Fouyas
09.00-11.00
Dissection
11.15-11.45
Anterior clinoidectomy/approaches to the optic canal
Mr P Statham
11.45-13.15
Dissection
14.30-15.00
Subtemporal approach to the middle fossa
Mr M Kamel
15.00-16.30
Dissection
16.30-16.45
Cavernous sinus/anterior petrosal anatomy
Dr S Lafazanos
16.45-17.15
Discussion of the approaches and quiz
Mr M Lee

DAY 2 – Wednesday 18th November 2015 Faculty/Lead

08.30-09.00
Anterior interhemispheric approach/transphenoidal exposure
Mr L Dunn
09.00-11.00
Dissection
11.15-11.45
Transcallosal approaches to the third ventricle
Mr C Mathieson
11.45-13.15
Dissection
14.30-15.00
Retrosigmoid craniotomy
Mr W Taylor
15.00-16.30
Dissection
16.30-17.00
Discussion of the approaches and quiz
Mr M Lee

DAY 3 – Thursday 19th November 2015 Faculty/Lead

08.30-09.00
Approaches to the fourth ventricle
Mr R O’Kane
09.00-11.00
Dissection
11.15-11.45
Approaches to the pineal region
Mr J St George
11.45-13.15
Dissection
14.30-15.00
Far lateral approach /C1 – C2 exposure
Mr L Alakandy
15.00-16.30
Dissection
16.30-17.00
Discussion of the approaches and quiz
Mr M Lee
Confirmed Faculty
Mr Ioannis Fouyas, Consultant Surgeon, Department of Clinical Neurosciences, Western General
Hospital, Edinburgh
Mr Likhith Alakandy, Consultant Neurosurgeon, Institute of Neurological Sciences, Southern General
Hospital, Glasgow
Mr Laurence Dunn, Consultant Neurosurgeon, Institute of Neurological Sciences, Southern General
Hospital, Glasgow
Mr Mahmoud Kamel, Consultant Neurosurgeon, Aberdeen Royal Infirmary
Dr Spyridon Lafazanos, Consultant Neurosurgeon, General Military Hospital of Athens
Mr Marco Lee, Attending Neurosurgeon, Stanford Medical School, US
Mr Calan Mathieson, Consultant Neurosurgeon, Institute of Neurological Sciences, Southern General
Hospital, Glasgow
Mr Roddy O’Kane, Consultant Neurosurgeon, Institute of Neurological Sciences, Southern General
Hospital, Glasgow
Mr Patrick Statham, Consultant Neurosurgeon, Department of Clinical Neurosciences, Western
General Hospital, Edinburgh
Mr Jerome St George, Consultant Neurosurgeon, Institute of Neurological Sciences, Southern
General Hospital, Glasgow
Professor George Stranjalis, Department of Neurosurgery, Athens Medical School
Mr William Taylor, Consultant Neurosurgeon, Institute of Neurological Sciences, Southern General
Hospital, Glasgow

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