Evidence map›Paper›PMID 41154174›Full record

ArticleBrain sciences2025

From the Infratentorial to the Supratentorial Compartment with a Minimally Invasive Exoscope-Guided Suboccipital Craniectomy: A Case Report and Technical Notes.

Giada Garufi, Alfredo Conti, Domenicantonio Collufio, Domenico Matalone, Antonio Morabito, Francesco Messineo, Giuseppe Ricciardo, Salvatore Cardali

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In one paragraph

Article in Brain sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Giada GarufiDepartment of Neurosurgery, Azienda Ospedaliera Papardo, University of Messina, 98158 Messina, Italy.
Alfredo ContiDepartment of Neurosurgery, IRCCS Istituto delle Scienze Neurologiche di Bologna, 40139 Bologna, Italy.ORCID 0000-0002-9408-2662
Domenicantonio CollufioDepartment of Neurosurgery, Azienda Ospedaliera Papardo, University of Messina, 98158 Messina, Italy.
Domenico MataloneDepartment of Neurosurgery, Azienda Ospedaliera Papardo, University of Messina, 98158 Messina, Italy.
Antonio MorabitoDepartment of Neurosurgery, Azienda Ospedaliera Papardo, University of Messina, 98158 Messina, Italy.
Francesco MessineoDepartment of Neurosurgery, Azienda Ospedaliera Papardo, University of Messina, 98158 Messina, Italy.
Giuseppe RicciardoDepartment of Neurosurgery, Azienda Ospedaliera Papardo, University of Messina, 98158 Messina, Italy.
Salvatore CardaliDepartment of Neurosurgery, Azienda Ospedaliera Papardo, University of Messina, 98158 Messina, Italy.ORCID 0000-0002-0950-9140

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurgical exoscopes represent a significant advancement in neurosurgical procedures, offering enhanced visualization through 3D high-definition digital imaging and superior ergonomics. While their adoption is increasing, the full scope of applications and advantages evident in posterior fossa prone suboccipital approaches remains limited. CASE DESCRIPTION: We present a detailed technical report of a minimally invasive exoscope-guided suboccipital approach for the resection of a large tentorial meningioma extending into both supra- and infratentorial compartments.

resultsThe exoscope's long working distance and co-axial illumination supported circumferential dissection of the tumor-arachnoid interface with reduced instrument-optics conflict and fewer scope repositioning events. Team visualization via shared display improved coordination during hemostasis and capsule mobilization. The early outcome was favorable; the 18-month MRI (added) showed no residual or recurrence.

conclusionsIn a prone suboccipital approach, the exoscope enabled stable depth cues in a deep, narrow corridor, minimized optics interference, and enhanced team coordination. These case-specific findings clarify how exoscope features can translate to operative efficiency in posterior fossa surgery while underscoring the need for prospective, comparative, and cost-effectiveness studies.

Indexed as

brain tumorexoscopeneuroncologytechnology in neurosurgery

Identifiers

PMID41154174
PMCPMC12564862

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