Exoscopic resection of a parasagittal atypical meningioma

Alejandro Carrasquilla, Artur Zgurov, Mira Salih, Chi Le, Stavros Matsoukas, Rui Feng, Alexander J. Schupper, Constantinos Hadjipanayis

Research output: Contribution to journalArticlepeer-review


This video demonstrates use of the Synaptive 3D exoscope to enhance complex meningioma resection. The patient was a 58-year-old female who presented with new-onset seizures. Workup revealed a parasagittal meningioma over the bilateral cortices. She was started on 750 mg of Keppra twice daily and tapered dexamethasone and discharged. MR venography demonstrated segmental occlusion of the superior sagittal sinus. She then underwent a diagnostic angio-gram and tumor Onyx embolization of the bilateral middle meningeal artery feeders. She then underwent a craniotomy for meningioma resection using 3D exoscope guidance. She awoke with a stable examination in the intensive care unit and worked with physical therapy on postoperative day 1.

Original languageEnglish
JournalNeurosurgical Focus: Video
Issue number1
StatePublished - Jan 2024


  • 3D exoscope
  • WHO grade II
  • bilateral parasagittal atypical meningioma
  • brain tumor
  • craniotomy
  • neuronavigation
  • superior sagittal sinus
  • surgical efficiency and ergonomics


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