The art of microneurosurgery and passion for technical excellence

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The technical art of neurosurgery has evolved significantly from the time the discipline was founded. Since then, we have striven to achieve technical excellence. Despite this intense drive, the definition of a technically gifted microneurosurgeon remains elusive. Is it truly an “I know it when I see it” concept? If the most extraordinary desire of our career is undefinable, how can we implement technical metrics to demonstrate our progress toward that goal?

Passionately pursuing self-reflection and absorbing excellence from colleagues are critical for each surgeon’s growth and maturation. Metamorphosis from an average to a great surgeon is possible

Article Information

Correspondence Aaron A. Cohen-Gadol:

INCLUDE WHEN CITING Published online December 21, 2018; DOI: 10.3171/2018.9.JNS182475.

Disclosures The author reports no conflict of interest.

© AANS, except where prohibited by US copyright law.



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    A: Illustration of the posterior hemispheric transfalcine transprecuneus approach (used with permission from Neurosurgical Atlas by Aaron Cohen-Gadol, MD). Also shown are MR images of an atrial meningioma before (B) and after (C) resection performed via this route, which protected the visual pathways that can be potentially at risk with the transparietal transcortical approach.

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    A: Operative corridor for the paramedian supracerebellar transtentorial amygdalohippocampectomy (used with permission from Neurosurgical Atlas by Aaron Cohen-Gadol, MD). Also shown are MR images of an epileptogenic left medial temporal dysembryoplastic neuroepithelial tumor before (B) and after (C) gross-total resection performed using this operative corridor, which preserved the dominant lateral temporal lobe structures.



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