{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,11]],"date-time":"2025-07-11T11:10:06Z","timestamp":1752232206794,"version":"3.41.2"},"reference-count":12,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nThe anterior choroidal artery and lateral posterior choroidal artery are vital structures preserved during the microsurgical treatment of glioblastomas in the temporal lobe. Nevertheless, few studies have examined the appropriate head position for identifying the choroidal arteries in resecting such glioblastomas. In general, a 45\u00b0\u201390\u00b0 rotation to the opposite side of the lesion is commonly used; however, we have utilized a low-degree rotation (LDR) and chin-up (CU) head position.<\/jats:p>\n<\/jats:sec>\n\nMethods: <\/jats:title>\nThe LDR is 30\u201340\u00b0 rotation to the opposite side of the lesion. The CU is the angle at which the line connecting the nasion and inion is tilted approximately 30\u00b0 from the vertical. We retrospectively assessed six consecutive patients with glioblastomas extending into the medial part of the temporal lobe that was resected using the LDR and CU.<\/jats:p>\n<\/jats:sec>\n\nResults: <\/jats:title>\nNone of our six patients had an infarction in the area of the choroidal artery or any surgery-related adverse symptoms. The choroidal arteries and hippocampus were not at the deepest point of the resection cavity in the LDR and CU; therefore, these structures were identified during the early phase of surgery.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nWe suggest that the LDR and CU are suitable for resecting glioblastomas extending into the medial part of the temporal lobe.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_307_2025","type":"journal-article","created":{"date-parts":[[2025,7,11]],"date-time":"2025-07-11T10:34:19Z","timestamp":1752230059000},"page":"285","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Low-degree rotation and chin-up head position for resection of glioblastomas extending into the medial part of the temporal lobe"],"prefix":"10.25259","volume":"16","author":[{"given":"Hirotaka","family":"Inoue","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Kumamoto University Hospital, Kumamoto, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jun-Ichiro","family":"Kuroda","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kumamoto University Hospital, Kumamoto, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tadashi","family":"Hamasaki","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Graduate School of Medicine, University of the Ryukyus, Ginowan, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akitake","family":"Mukasa","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kumamoto University Hospital, Kumamoto, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2025,7,11]]},"reference":[{"key":"10.25259\/SNI_307_2025\/ref-1","first-page":"55","article-title":"Atlas of human brain connections","author":"Catani","year":"2012"},{"key":"10.25259\/SNI_307_2025\/ref-2","doi-asserted-by":"crossref","first-page":"165","DOI":"10.3171\/jns.1980.52.2.0165","article-title":"Microsurgical anatomy of the choroidal arteries: Lateral and third ventricles","volume":"52","author":"Fujii","year":"1980","journal-title":"J Neurosurg"},{"key":"10.25259\/SNI_307_2025\/ref-3","doi-asserted-by":"crossref","first-page":"265","DOI":"10.2176\/jns-nmc.2022-0283","article-title":"A consideration of optimal head position in transsylvian selective amygdalohippocampectomy","volume":"63","author":"Hamasaki","year":"2023","journal-title":"Neurol Med Chir (Tokyo)"},{"key":"10.25259\/SNI_307_2025\/ref-4","doi-asserted-by":"crossref","first-page":"2165","DOI":"10.1007\/s00701-022-05294-8","article-title":"Variations in the branching patterns of the anterior choroidal artery: An angiographic study with special reference to temporal lobe epilepsy surgery","volume":"164","author":"Hamasaki","year":"2022","journal-title":"Acta Neurochir (Wien)"},{"key":"10.25259\/SNI_307_2025\/ref-5","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1016\/j.wneu.2017.02.022","article-title":"Intraoperative visualization of subependymal arteries at the atrium supplying the descending motor pathway","volume":"101","author":"Hanihara","year":"2017","journal-title":"World Neurosurg"},{"key":"10.25259\/SNI_307_2025\/ref-6","doi-asserted-by":"crossref","first-page":"844","DOI":"10.1038\/s41586-023-06267-2","article-title":"Remote neuronal activity drives glioma progression through SEMA4F","volume":"619","author":"Huang-Hobbs","year":"2023","journal-title":"Nature"},{"key":"10.25259\/SNI_307_2025\/ref-7","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1016\/j.surneu.2004.06.013","article-title":"Microanatomy of the subependymal arteries of the lateral ventricle","volume":"63","author":"Marinkovi\u0107","year":"2005","journal-title":"Surg Neurol"},{"key":"10.25259\/SNI_307_2025\/ref-8","doi-asserted-by":"crossref","first-page":"822","DOI":"10.3171\/2017.10.JNS172055","article-title":"The transcortical equatorial approach for gliomas of the mesial temporal lobe: Techniques and functional outcomes","volume":"130","author":"Morshed","year":"2019","journal-title":"J Neurosurg"},{"key":"10.25259\/SNI_307_2025\/ref-9","doi-asserted-by":"crossref","first-page":"158","DOI":"10.3171\/2013.2.JNS121221","article-title":"Infarction of the lateral posterior choroidal artery territory after manipulation of the choroid plexus at the atrium: Causal association with subependymal artery injury","volume":"119","author":"Saito","year":"2013","journal-title":"J Neurosurg"},{"key":"10.25259\/SNI_307_2025\/ref-10","first-page":"158","article-title":"The glioma book","author":"Sughrue","year":"2016"},{"key":"10.25259\/SNI_307_2025\/ref-11","first-page":"3","article-title":"Neurovascular imaging: MRI & microangiography","author":"Takahashi","year":"2010"},{"key":"10.25259\/SNI_307_2025\/ref-12","doi-asserted-by":"crossref","first-page":"1534","DOI":"10.3171\/2020.8.JNS202230","article-title":"Microsurgical anatomy of the lateral posterior choroidal artery: Implications for intraventricular surgery involving the choroid plexus","volume":"135","author":"Xu","year":"2021","journal-title":"J Neurosurg"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/low-degree-rotation-and-chin-up-head-position-for-resection-of-glioblastomas-extending-into-the-medial-part-of-the-temporal-lobe\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/low-degree-rotation-and-chin-up-head-position-for-resection-of-glioblastomas-extending-into-the-medial-part-of-the-temporal-lobe\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,11]],"date-time":"2025-07-11T10:34:21Z","timestamp":1752230061000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/low-degree-rotation-and-chin-up-head-position-for-resection-of-glioblastomas-extending-into-the-medial-part-of-the-temporal-lobe\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,11]]},"references-count":12,"alternative-id":["10.25259\/SNI_307_2025"],"URL":"https:\/\/doi.org\/10.25259\/sni_307_2025","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"value":"2152-7806","type":"electronic"},{"value":"2229-5097","type":"print"}],"subject":[],"published":{"date-parts":[[2025,7,11]]},"article-number":"285"}}