Minimally invasive technique reduces secondary XXXX following a frontal interhemispheric approach to midline @entity5 with accentuated brain shift phenomena.

@entity1 @entity75 @entity5 @entity86 @entity3 @entity734
BACKGROUND: The aim of this study was to assess the influence of @entity3 ( @entity3 ) on secondary @entity75 ( @entity75 ) following a frontal inter-hemispheric approach to midline @entity5 with accentuated preoperative brain shift phenomena. METHODS: We reviewed the results obtained in our department during the last 10 years in 24 treated @entity1 with such @entity5 . Some of these @entity1 underwent traditional surgical approaches using brain retractors (BR) and more recently alternative @entity3 including the creation of a narrow surgical corridor without brain retractors and the reinforcement and reinsertion from bridging veins. The @entity1 's @entity86 (consciousness recovery, @entity734 , ICU- @entity1 's stay and outcome) as well as the volume of the postoperative skull/brain space as a measurable indicator of @entity75 and the ventricular index were assessed in all cases. All data were compared using the Chi square test, the 2-tailed Pearson correlation and t-test. RESULTS: 24 @entity1 (11 operated with BR and 13 with @entity3 ) were analyzed. The comparison between both techniques revealed a significant reduction of the postoperatively assessed skull/brain space (P<0.001), time for consciousness recovery (P<0.05), @entity734 (P<0.001) and intensive care unit stay (P<0.005) for @entity1 treated with @entity3 . A significant correlation was observed between radiological and clinical data ( @entity734 , consciousness recovery and ICU stay) from P<0.01, P<0.05 and P<0.01 respectively. CONCLUSIONS: In our study @entity3 allow the @entity1 to recover consciousness in a shorter period of time, reducing the needs for prolonged mechanical ventilation and ICU stay. In these @entity1 , such clinical advantages are related with a radiologically assessed postoperative reduced @entity75 .
