{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T04:07:31Z","timestamp":1745467651627,"version":"3.40.4"},"reference-count":8,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T00:00:00Z","timestamp":1745366400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T00:00:00Z","timestamp":1745366400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Acta Neurochir"],"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>When treating parafalx lesions, the bridging veins or the frontal sinuses can sometimes obstruct access. Preserving these structures to avoid surgical complications is preferred.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>We described the concept of the selective interhemispheric oblique approach (SIOA), which combines exoscopic and endoscopic visualization with gravity-assisted brain retraction to ensure safe access to the parafalx lesions.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>The SIOA is a precise and versatile technique for treating parafalx lesions, particularly in anatomically complex areas. With this approach, it\u2019s possible to mitigate risk of venous injury or sinus opening, avoid the retraction of eloquent areas, and obtain excellent surgical outcomes.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00701-025-06529-0","type":"journal-article","created":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T06:18:22Z","timestamp":1745389102000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Combined exoscopic and endoscopic oblique approach to parafalx lesions while preserving normal structures via the interhemispheric fissure: How I do it"],"prefix":"10.1007","volume":"167","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-7384-3744","authenticated-orcid":false,"given":"Toshiaki","family":"Inomo","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0302-5014","authenticated-orcid":false,"given":"Eiji","family":"Ito","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-2784-342X","authenticated-orcid":false,"given":"Mao","family":"Yokota","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0185-3278","authenticated-orcid":false,"given":"Tadashi","family":"Watanabe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,4,23]]},"reference":[{"key":"6529_CR1","doi-asserted-by":"publisher","first-page":"e2021351","DOI":"10.23750\/abm.v92iS4.12801","volume":"92","author":"S Anetsberger","year":"2022","unstructured":"Anetsberger S, Gonzalez- Lopez P, Elsawaf Y, GiottaLucifero A, Luzzi S, Elbabaa S (2022) Interhemispheric approach. Acta Biomed Atenei Parmensis 92:e2021351. https:\/\/doi.org\/10.23750\/abm.v92iS4.12801","journal-title":"Acta Biomed Atenei Parmensis"},{"key":"6529_CR2","doi-asserted-by":"publisher","first-page":"311","DOI":"10.1007\/s00701-024-06202-y","volume":"166","author":"T Inomo","year":"2024","unstructured":"Inomo T, Iwami K, Watanabe T, Osuka K (2024) Suprapterional keyhole approach for anteromedial skull base lesions: how I do it. Acta Neurochir 166:311. https:\/\/doi.org\/10.1007\/s00701-024-06202-y","journal-title":"Acta Neurochir"},{"key":"6529_CR3","doi-asserted-by":"publisher","first-page":"271","DOI":"10.3171\/2023.4.JNS222866","volume":"140","author":"D Karatas","year":"2024","unstructured":"Karatas D, Mart\u00ednez Santos JL, Uygur S, Dagtekin A, Olgunus ZK, Avci E, Baskaya MK (2024) A new classification of parasagittal bridging veins based on their configurations and drainage routes pertinent to interhemispheric approaches: a surgical anatomical study. J Neurosurg 140:271\u2013281. https:\/\/doi.org\/10.3171\/2023.4.JNS222866","journal-title":"J Neurosurg"},{"key":"6529_CR4","doi-asserted-by":"publisher","first-page":"339","DOI":"10.25259\/SNI_320_2021","volume":"12","author":"N Kijima","year":"2021","unstructured":"Kijima N, Kinoshita M, Takagaki M, Kishima H (2021) Utility of a novel exoscope, ORBEYE, in gravity-assisted brain retraction surgery for midline lesions of the brain. Surg Neurol Int 12:339. https:\/\/doi.org\/10.25259\/SNI_320_2021","journal-title":"Surg Neurol Int"},{"key":"6529_CR5","doi-asserted-by":"publisher","first-page":"294","DOI":"10.1016\/j.wneu.2018.06.231","volume":"119","author":"AR Savardekar","year":"2018","unstructured":"Savardekar AR, Patra DP, Narayan V, Thakur JD, Nanda A (2018) Incidence, pathophysiology, and prevention strategies for cerebral venous complications after neurologic surgery: a systematic review of the literature. World Neurosurg 119:294\u2013299. https:\/\/doi.org\/10.1016\/j.wneu.2018.06.231","journal-title":"World Neurosurg"},{"key":"6529_CR6","doi-asserted-by":"publisher","first-page":"1243","DOI":"10.1007\/s00701-017-3129-9","volume":"159","author":"J Yamaguchi","year":"2017","unstructured":"Yamaguchi J, Watanabe T, Nagatani T (2017) Endoscopic approach via the interhemispheric fissure: the role of an endoscope in a surgical case of multiple falcine lesions. Acta Neurochir 159:1243\u20131246. https:\/\/doi.org\/10.1007\/s00701-017-3129-9","journal-title":"Acta Neurochir"},{"key":"6529_CR7","doi-asserted-by":"publisher","first-page":"1406252","DOI":"10.3389\/fnana.2024.1406252","volume":"18","author":"Y Ye","year":"2024","unstructured":"Ye Y, Lan T, Zeng X, Yang J, Wei R, Zhu J, Liu M, Zhu X (2024) Bridging veins: an analysis of surgical anatomy and histology correlated with interhemispheric approaches. Front Neuroanat 18:1406252. https:\/\/doi.org\/10.3389\/fnana.2024.1406252","journal-title":"Front Neuroanat"},{"key":"6529_CR8","doi-asserted-by":"publisher","first-page":"899","DOI":"10.2214\/ajr.138.5.899","volume":"138","author":"R Zimmerman","year":"1982","unstructured":"Zimmerman R, Yurberg E, Russell E, Leeds N (1982) Falx and interhemispheric fissure on axial CT: I. Normal anatomy Am J Roentgenol 138:899\u2013904. https:\/\/doi.org\/10.2214\/ajr.138.5.899","journal-title":"Normal anatomy Am J Roentgenol"}],"container-title":["Acta Neurochirurgica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00701-025-06529-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00701-025-06529-0\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00701-025-06529-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T06:18:24Z","timestamp":1745389104000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00701-025-06529-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,23]]},"references-count":8,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["6529"],"URL":"https:\/\/doi.org\/10.1007\/s00701-025-06529-0","relation":{},"ISSN":["0942-0940"],"issn-type":[{"value":"0942-0940","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,23]]},"assertion":[{"value":"2 January 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 April 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 April 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study, which was conducted in accordance with the guidelines of the Declaration of Helsinki, was approved by the Institutional Review Board of Aichi Medical University Hospital (approval number: 2020\u2013020). Written informed consent was obtained from all patients.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}],"article-number":"117"}}