Supraserebellar Suprapineal Yakla��m: Kadaverik Beyin Yar�mk�relerini Ay�rmak ve Orta Hat Yap�lar�n� Korumak ��in Yeni Bir Y�ntem

Mu�oz Gualan, Alberth Patricio; Gungor, Abuzer; Romano Albornoz, Monica; Gurses, Muhammet Enes; Elias, Cimen; Topcam, Arda; Ramanov, Serdar; Ture, Ugur

Cilt : 58 Say� : 4 Y�l : 2024

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Supraserebellar Suprapineal Yakla��m: Kadaverik Beyin Yar�mk�relerini Ay�rmak ve Orta Hat Yap�lar�n� Korumak ��in Yeni Bir Y�ntem [Med Bull Sisli Etfal Hosp]

Med Bull Sisli Etfal Hosp. 2024; 58(4): 417-421 | DOI: 10.14744/SEMB.2024.92679

Supraserebellar Suprapineal Yakla��m: Kadaverik Beyin Yar�mk�relerini Ay�rmak ve Orta Hat Yap�lar�n� Korumak ��in Yeni Bir Y�ntem

Alberth Patricio Mu�oz Gualan¹, Abuzer Gungor², Monica Romano Albornoz³, Muhammet Enes Gurses⁴, Cimen Elias⁵, Arda Topcam⁶, Serdar Ramanov³, Ugur Ture³
¹Yeditepe �niversitesi T�p Fak�ltesi, Beyin ve Sinir Cerrahisi Anabilim Dal�, �stanbul; N�robilim Enstit�s�, Sant Joan d� Alacant, Alicante
²�stinye �niversitesi T�p Fak�ltesi, Beyin ve Sinir Cerrahisi Anabilim Dal�, �stanbul
³Yeditepe �niversitesi T�p Fak�ltesi, Beyin ve Sinir Cerrahisi Anabilim Dal�, �stanbul
⁴Yeditepe �niversitesi T�p Fak�ltesi, Beyin ve Sinir Cerrahisi Anabilim Dal�, �stanbul; Miami �niversitesi, Miller T�p Fak�ltesi, Beyin ve Sinir Cerrahisi Anabilim Dal�, Miami, FL
⁵Yeditepe �niversitesi T�p Fak�ltesi, Beyin ve Sinir Cerrahisi Anabilim Dal�, �stanbul; �stinye �niversitesi T�p Fak�ltesi, Beyin ve Sinir Cerrahisi Anabilim Dal�, �stanbul
⁶Yeditepe �niversitesi T�p Fak�ltesi, Beyin ve Sinir Cerrahisi Anabilim Dal�, �stanbul; Ayd�n Devlet Hastanesi, Beyin ve Sinir Cerrahisi Klini�i, Ayd�n

Ama�: G�n�m�zde etik ve ekonomik nedenlerle kadavraya ula��m zordur. Bu nedenle mevcut spesmenlerin efektif kullan�m� �nem kazanm��t�r. Yaz�m�zda n�roanatomi �al��malar� ve kadavra e�itimi i�in kullan�lmak �zere orta hat beyin yap�lar�na zarar vermeden kadavra beyin yar�mk�relerinin ayr�lmas�n� sa�layan yeni bir tekni�i tan�mlamak ama�land�.
Y�ntemler: On yeti�kin kadavra beyni, 6x ile 40x b�y�tme sa�layan operasyon mikroskobu alt�nda supraserebellar suprapineal yakla��m kullan�larak diseke edildi. Bu yakla��m, beynin iki yar�mk�reye ayr�lmas�na olanak tan�rken, ��nc� ventrik�l�n do�rudan g�r�nt�lenmesini sa�lad� ve orta hat yap�lar�n� korudu.
Bulgular: Supraserebellar suprapineal yakla��m, beyin yar�mk�relerinin orta hat beyin yap�lar�na zarar vermeden do�ru ve uygulanabilir �ekilde diseke edilmesini sa�lad�. ��nc� ventrik�l dahil t�m orta hat yap�lar� korunarak anatomi �al��malar� i�in y�ksek kaliteli �rnekler elde edildi.
Sonu�: Supraserebellar suprapineal yakla��m, beyin yar�mk�re diseksiyonu tekni�inde �nemli bir ilerleme sunmakta olup, orta hat beyin yap�lar�n� koruyarak n�ro�ir�rjikal e�itim ve �al��malar i�in �st�n �rnekler sunmaktad�r. (SETB-2024-10-173)

Anahtar Kelimeler: Kadavra, lif diseksiyonu, mikrocerrrahi, supraserebellar suprapineal yakla��m

The Supracerebellar Suprapineal Approach: A Novel Method to Separate Cadaveric Brain Hemispheres and Preserve the Midline Structures

Alberth Patricio Mu�oz Gualan¹, Abuzer Gungor², Monica Romano Albornoz³, Muhammet Enes Gurses⁴, Cimen Elias⁵, Arda Topcam⁶, Serdar Ramanov³, Ugur Ture³
¹Department of Neurosurgery, Yeditepe University Faculty of Medicine, Istanbul, T�rkiye; Neuroscience Institute, Sant Joan d� Alacant, Alicante, Spain
²Department of Neurosurgery, Istinye University Faculty of Medicine, Istanbul, T�rkiye
³Department of Neurosurgery, Yeditepe University Faculty of Medicine, Istanbul, T�rkiye
⁴Department of Neurosurgery, Yeditepe University Faculty of Medicine, Istanbul, T�rkiye; Department of Neurosurgery, University of Miami, Miller School of Medicine, Miami, FL, United States
⁵Department of Neurosurgery, Yeditepe University Faculty of Medicine, Istanbul, T�rkiye; Department of Neurosurgery, Istinye University Faculty of Medicine, Istanbul, T�rkiye
⁶Department of Neurosurgery, Yeditepe University Faculty of Medicine, Istanbul, T�rkiye; Department of Neurosurgery, Aydin State Hospital, Ayd�n, T�rkiye

Objectives: To describe a novel technique for dissecting cadaver brains without damaging medial brain structures and surfaces, ensuring preservation for neuroanatomical study and training.
Methods: Ten adult cadaveric brains were dissected using the supracerebellar suprapineal approach under an operative micro-scope with 6x to 40x magnification. This approach allowed for the separation of the brain into two hemispheres while providing direct visualization of the third ventricle and preserving midline structures.
Results: The supracerebellar suprapineal approach enabled accurate and feasible dissection of the hemispheres without causing damage to the medial brain structures. All midline structures, including the third ventricle, were preserved, producing high-quality specimens for anatomical study.
Conclusion: The supracerebellar suprapineal approach offers a significant advancement in the technique for hemispheric brain dissection, ensuring the preservation of medial brain structures and providing superior specimens for neurosurgical training and study.

Keywords: Cadaveric brains, fiber dissection, microsurgical anatomy, supracerebellar suprapineal approach

Sorumlu Yazar: Abuzer Gungor
Makale Dili: �ngilizce

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