The parietal and occipital surgical approaches are vital in neurosurgery because they allow access to superficial and deep-seated lesions within the parietal and occipital lobes, the atrium of the lateral ventricle, and the posterior fossa. These approaches are especially effective for addressing vascular lesions, tumors, and epilepsy while minimizing disruption to eloquent cortical regions. The parietal approach typically involves a transcortical or transsulcal trajectory, enabling direct access to periventricular structures, whereas the occipital approach utilizes natural anatomic corridors to access lesions in the posterior third ventricle, splenium of the corpus callosum, and calcarine region [1–3].

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The Parietal and Occipital Approaches

  • Helbert de Oliveira Manduca Palmiero,
  • Eberval Gadelha Figueiredo

摘要

The parietal and occipital surgical approaches are vital in neurosurgery because they allow access to superficial and deep-seated lesions within the parietal and occipital lobes, the atrium of the lateral ventricle, and the posterior fossa. These approaches are especially effective for addressing vascular lesions, tumors, and epilepsy while minimizing disruption to eloquent cortical regions. The parietal approach typically involves a transcortical or transsulcal trajectory, enabling direct access to periventricular structures, whereas the occipital approach utilizes natural anatomic corridors to access lesions in the posterior third ventricle, splenium of the corpus callosum, and calcarine region [1–3].