Techniques of Sylvian Fissure Split
Last Updated: September 28, 2018
The evolution of microsurgical techniques has facilitated preservation of normal brain tissue while providing surgeons with a reasonable access to deep brain lesions. The application of these techniques to intra-cisternal and subarachnoidal dissection has created safe surgical corridors. Specifically, the dissection of the Sylvian fissure allows exposure of the structures around the anterior circle of Willis, parainsular regions, mesiobasal temporal lobe, and interpeduncular cisterns, with minimal invasion into or retraction of the normal brain parenchyma.