28th-30th September , 2016. Faculty of Medicine. Building Severo Ochoa.

Campus San Juan. Alicante ( Spain )

SOCIEDAD ESPAÑOLA DENEUROCIRUGÍA SENEC

Organization: Sociedad Española de Neurocirugía (SENEC)Universidad Miguel Hernandez

Hospital General Universitario de Alicante

Coordination:Dr. Javier Abarca Olivas. Hospital General de AlicanteDr. Pedro Moreno Ruiz. Hospital General de Alicante

Special Guest Faculty:Professor Samer Elbabaa . MD, FAAN, FACS (Saint Louis, USA)

VI SENEC HANDS-ON COURSEI Course/ II Cycle

ANATOMY AND SURGICAL STRATEGIES IN INTRACRANIAL & SKULL BASE ENDOSCOPIC SURGERY

OBJECTIVES OF THE COURSE

On this edition participants will have the chance to explore and understand the most common endoscopic approaches to the brain and skull base. Experts on this topic will share their knowledge and will assist the trainees during the dissections.

Three-dimensional understanding of the fiber system covering the lateral and third ventricles and its implication on surgery for intraventricular tumors Review and perform endoscopic approaches to the lateral ventricles, perform endoscopic third ventriculostomy,

septum fenestration and remove intraventricular tumors. Review and perform endoscopic-assisted approaches to sellar/suprasellar and posterior fossa pathologies. Review and perform endoscopic endonasal approaches to the anterior, middle and posterior skull base. Discuss the differences between microsurgical and endoscopic approaches. Learn and discuss complication avoidance and management.

SCIENTIFIC PROGRAM

Welcome and introduction. P. Moreno

3D Ventricular anatomy: craniometric points, endoscopic approaches and correlating white matter fiber tractography. P. González

Introduction of Neuro-Endoscopy: Equipment and surgical Planning. J. Márquez

Endoscopic Third Ventriculostomy: Technique and indications. V. Férnandez

Hands-on laboratory training: Entry points for Intracranial endoscopy. Endoscopic Third Ventriculostomy. Septum Pellucidum fenestration.

Endoscopic management of intraventricular tumors. S. Elbabaa

Neuroendoscopic intraventricular surgery in patients with small ventricles. M. Budke

Endoscopic management of arachnoid cysts. G. Pancucci

Hands-on laboratory training: Endoscopic biopsy/resection of intraventricular tumor models. Supraorbital approach to retroforaminal and posterior wall of the third ventricle lesions. Aqueductal Plasty.

Endoscopic management of Complex Hydrocephalus. S. Elbabaa.

8.00-8:10am.

8:10-8:35am.

8.35-8:55am.

8:55-9:15am.

9:15-10:45am.

11.00-11.20am.

11.20-11.35am.

11.35-11.50am.

11.50-1.10pm.

1.10-1.30pm.

Lunch1.30-3.30pm.

Coffee break10.45-11.00am.

SESSION 1 Wednesday morning, September 28th, 2016INTRAVENTRICULAR ENDOSCOPY

Endoscopic-Assisted Microneurosurgery: Supraorbital key-hole approaches. J. Márquez

Endoscopic-Assisted Microneurosurgery: infratentorial supracerebellar approach to the Pineal region. J. Marquéz

Endoscopic-Assisted Microneuroneurosurgery: retrosigmoid approach. P. González

Hands-on laboratory training: Supraorbital craniotomy. Intratentorial supracerebellar approach. Retrosigmoid approach.

Endoscopically assisted microsurgery. Shifting the concepts. S. Elbabaa

The nasal cavity as a corridor in endoscopic skull base surgery. (3D lecture) A. Kaen/ E. Cárdenas

3D Anatomy of the skull base. Intracranial-endonasal correlation. J. Abarca

Hands-on laboratory training: Nasal anatomy endoscopic recognition. Turbinectomy. Creating the nasoseptal flap. Posterior ethmoidectomy. Anterior sphenoidotomy. Resection of intrasphenoidal septa.

Endoscopic endonasal approach to the sellar and parasellar tumors: technique and indications. (3D lecture) A. Kaen / E. Cárdenas

Endonasal vs transcranial approaches for sellar and parasellar tumors: when and why? M.A Arráez

Hands-on laboratory training: Posterior ethmoidectomy. Complete sphenoidotomy. Recognition of septal variations. Drilling the sellar and parasellar floors. Transtubercullum approach. Opening the dura and entering the sellar cavity.

3D Endoscopic Anatomy of the anterior skull base. The Ethmoidal bone. (3D lecture) A. Kaen / E. Cárdenas.

Endoscopic endonasal routes to the anterior skull base and orbit: trasnplanum, transcribiform approaches and superomedial orbitotomy. (3D lecture) A. Kaen / E. Cárdenas

Hands-on laboratory training: Complete ethmoidectomy. Recognition of ethmoidal arteries and medial orbital walls. Recognition of frontal recess. Transplanum , Transcribiform approaches. Superomedial orbitotomy.

3.30-3.50pm.

3.50-4.10pm.

4.10-4.30pm.

4.45-7.00pm.

7.00-7.30pm.

8.00-8.20am.

8.20-8.50am.

8.50-10.30am.

10.45-11.15am

11.15-11.45am.

11.45-1.30pm.

3.30-4.00pm.

4.00-4.30pm.

4.30-5.30pm.

Coffee break4.30-4.45pm.

Coffee break10.30-10.45pm.

Lunch1.30-3.30pm.

SESSION 2 Wednesday afternoon, September 28th, 2016ENDOSCOPIC-ASSISTED MICRONEUROSURGERY

SESSION 3 Thursday morning, September 29th, 2016ENDONASAL ENDOSCOPIC APPROACHES TO THE SKULL BASE ( PART 1):

SELLAR AND PARASELLAR APPROACHES

SESSION 4 Thursday afternoon, September 29th, 2016ENDONASAL ENDOSCOPIC APPROACHES TO THE SKULL BASE ( PART 2):

ANTERIOR MIDLINE AND CORONAL EXTENSION

3D Anatomy of the clival bone and its surgical classification. Superior and middle clivus approaches. (3D lecture). A. Kaen / E. Cárdenas.

Expanded endonasal approaches to the petrous and lacerum carotid segments. Understanding the petrous apex from the endonasal view. J.A. Simal

Hands-on laboratory training: Posterior clinoidectomy. Middle clivectomy. Recognition of the Lacerum and petrous segment of the ICA. Recognition of the petrous apex from the endonasal view.

3D anatomy of the inferior clivus, and craniocervical junction. (3D lecture) A. Kaen / E. Cárdenas.

Endoscopic approaches to the inferior clivus and craniocervical junction. Far medial and Extreme far medial approaches. J.A. Simal

Hands-on laboratory training: Rhinopharingeal and parapharingeal anatomy Exposition of C1-C2 anatomy. Odontoidectomy.

8.30-9.00am.

9.00-9.30am.

9.30-10.45am.

11.00-11.30am.

11.30-12.00am.

12.00-1.30pm.

SPEAKERS Dr. Javier Abarca

Hospital General Universitario de Alicante (Alicante, Spain) Dr. Miguel Angel Arráez

Hospital Universitario Carlos Haya (Málaga, Spain) Dr. Marcelo Budke

Hospital Niño Jesús (Madrid, Spain) Dr. Eugenio Cárdenas

Hospital Virgen del Rocío (Sevilla, Spain) Dr. Samer Elbabaa

Saint Louis University Medical School (USA) Dr. Victor Fernández

Hospital General Universitario de Alicante (Alicante, Spain)

Dr. Pablo González-López Hospital General Universitario de Alicante (Alicante, Spain)

Dr. Ariel Kaen Hospital Virgen del Rocío (Sevilla, Spain)

Dr. Javier Márquez Hospital Virgen del Rocío (Sevilla, Spain)

Giovanni Pancucci

Hospital General Universitario de Alicante (Alicante, Spain) Dr. Juan Antonio Simal Hospital La Fe (Valencia, Spain)

Clausure1.30pm.

SESSION 5 Friday morning, September 30th, 2016ENDONASAL ENDOSCOPIC APPROACHES TO THE SKULL BASE ( PART 2):

POSTERIOR MIDLINE EXTENSIÓN. CLIVAL AND CRANIOCERVICAL APPROACHES

5.45-6.15pm.

6.15-7.30pm.

Coffee break5.30-5.45pm.

Coffee break10.45-11.00am.

Transmaxillary approach to the Pterygopalatine fossa. The vidian nerve as a landmark for the expanded approaches in the coronal plane. (3D lecture) A. Kaen / E. Cárdenas

Hands-on laboratory training: Posterior maxillectomy. Pterygopalatine fossa transposition. Identification of the vidian nerve. Transpterygoid drilling of the vidian canal to the lacerum Carotidartery. Location of Medial cavernous sinus, V2 , middle fossa,

infratemporal fossa and Meckel’s cave.