Trans-temporal trans-choroidal resection of thalamic and thalamopeduncular tumors: how I do it

Surgical resection is the cornerstone of treatment for low-grade tumors, albeit total excision is beneficial. As the thalamus is surrounded by vital neurovascular system, lesions here present a surgical challenge. This article aims to demonstrate the trans-temporal, trans-choroidal fissure approach’s effective surgical therapy on patients with thalamic lesions. With this approach, we were able to remove the tumor completely in three patients and almost completely in six more. Here we discuss a few technical details and potential hazards of the procedure with an operative video. This approach provides excellent access to the deep areas of brain.