Presentation
The white matter of the cerebrum underlies the outer cortex of gray matter, and is composed of densely packed axons that are organized in fascicles or fiber tracts. These tracts have a complex three-dimensional (3D) configuration within the hemispheres, the brainstem and the spinal cord. A detailed knowledge of the architectural anatomy of the white matter tracts is paramount, for strategically planning for surgical management of parenchymal brain lesions, such as gliomas. Neuroanatomical laboratory training is very valuable to study and understand the anatomy of white matter fibers. In particular, cortex-sparing fiber dissection facilitates knowledge of this complex anatomy. None of the recently developed surgical guides such as neuronavigation, intraoperative magnetic resonance imaging or ultrasonography can provide a similar comprehensive understanding of the 3D fiber pathways organization.
In the present course, the participants will learn the technique of cortexsparing fiber dissection in order to acquire the mental imagery of the main white matter tracts. We wanted to give a practical perspective to the course; therefore, in the second and third days, the participants will directly apply the knowledge acquired to practice surgical approaches in the laboratory. We choose two challenging approaches to eloquent areas: an insular approach to a fronto-temporo-insular glioma, and a posterior basal temporal approach to the parahippocampus and cingulum.
The congress will be held in the prestigious School of Medicine at the University of Cantabria.
We look forward to welcoming you in Santander.
Juan Martino
The Scientific Secretariat
Youtube6Th Mapping Course Bellvitge 2023
The present course is intimately linked with the “Bellvitge Mapping Course” that takes place at the Bellvitge University Hospital in Barcelona, and that is organized by Andreu Gabarros. The Santander’s course delves in subcortical anatomical study, and simulation of surgical approaches in the cadaver. On the other hand, Bellvitge´s course is more focused in intraoperative mapping techniques, neurophysiologic intraoperative monitoring, and live broadcast surgeries. Therefore, in order to have a broader perspective of mapping techniques for resection of brain tumors within eloquent areas, we strongly recommend the participants to assist to both courses in a consecutive order..
Bellow you can see a resume of the Bellvitge Mapping
Course program.
Juan Martino and Andreu Gabarros
- First and second days
Laboratory brain fiber dissection and DTI tractography - Third day
Lectures: intraoperative mapping techniques and neurophysiologic intraoperative monitoring - Fourth day
Live surgeries of tumors within eloquent areas
Committees
COURSE DIRECTOR
Professor Juan Martino
Neurosurgery Department.
Hospital Universitario Marqués de
Valdecilla. Santander. Spain
Mail: juan.martino@hotmail.com
CO-DIRECTORS
Professor Rubén Martin-Láez
Neurosurgery Department.
Hospital Universitario Marqués de
Valdecilla. Santander. Spain
Professor Juan A. Montero Simon
Department of Anatomy and Cellular Biology.
Cantabria University.
Santander. Spain
Dr. Carlos Velasquez
Neurosurgery Department.
Hospital Universitario Marqués de
Valdecilla. Santander. Spain
HONORED GUEST
Professor Hugues Duffau
Neurosurgery Department.
Centre Hospitalier Universitaire de
Montpellier. Montpellier. France
SCIENTIFIC COMMITTEE
Dr. Emmanuel Mandonnet
Neurosurgery Department.
Hospital Lariboisiere. Paris. France
Dr. Alejandro Fernández-Coello
Neurosurgery Department.
Hospital Universitari de Bellvitge.
Barcelona. Spain
Dr. Pablo González-López
Neurosurgery Department.
Hospital General de Alicante. Alicante.
Spain
Dr. David Mato
Neurosurgery Department.
Hospital Universitario Marqués de
Valdecilla. Santander. Spain
Dr. Cristian de Quintana Schmidt
Neurosurgery Department.
Hospital de la Santa Creu i Sant Pau.
Barcelona. Spain
Dra. Patricia López
Neurosurgery Department.
Hospital Universitario Marqués de
Valdecilla. Santander. Spain
Monserrat Fernández-Calderón
Department of Anatomy and
Cellular Biology. Cantabria University.
Santander. Spain
Dr. Enrique Marco de Lucas
Neurosurgery Department.
Hospital Universitario Marqués de
Valdecilla. Santander. Spain
Dr. Victor García
Neurosurgery Department.
Hospital Universitario Marqués de Valdecilla.
Santander. Spain
Dra. Cristina Peláez
Neurosurgery Department.
Hospital Universitario Marqués de Valdecilla.
Santander. Spain
Dr. Alvaro Urbaneja
Neurosurgery Department.
Hospital Universitario Marqués de Valdecilla.
Santander. Spain
Scientific Program
Thursday, 22nd of February 2024
09:00
Registration.
09:10
Opening.
Dr. Juan A. Montero Simon, Dr. Juan Martino
09:15
3D LECTURE: Introduction to brain Diffusion tensor imaging (DTI) tractography.
Dr. Christian de Quintana Schmidt
09:45
Hands-on. Introduction to StealthViz software.
Dr. Christian de Quintana Schmidt
10:15
3D LECTURE: DTI tractography. How I do it.
Dr. Christian de Quintana Schmidtt
11:15
Hands-on. DTI tractography reconstruction of the main white matter connections.
Dr. Christian de Quintana Schmidt
12:15
DTI tractography as an important tool to study the subcortical anatomy and presurgical planning of glioma surgery.
Dr. Enrique Marco de Lucas
13:00
Lunch
14:00
3D LECTURE: How to prepare the brains for fiber dissection.
Dr. David Mato
14:15
3D LECTURE: sulco-gyral anatomy. The cerebral lobes.
Dr. Juan Martino and Pablo González-López
15:00
3D LECTURE: anatomy of the dorsal associative tracts of the brain: superior longitudinal fasciculus, arcuate fasciculus, middle longitudinal fasciculus.
Dr. Juan Martino
15:30
Functional roles of the dorsal associative tracts of the brain.
Dr. Alejandro Fernández-Coello
15:45
Hands-on: Fiber dissection of the dorsal associative tracts. Each participant will have one hemisphere to dissect. The participants will learn how to remove the arachnoid membranes and the cortex without damaging the underling white matter. The participants will dissect the dorsal associative tracts: the subcomponents of the superior longitudinal fasciculus, arcuate fasciculus and middle longitudinal fasciculus.
Professor Hugues Duffau, Dr. Juan Martino, Dr. Alejandro Fernández-Coello, Dr. Emmanuel Mandonnet, Dr. Pablo González-López, Dr. David Mato, Dr. Carlos Velásquez, and Monserrat Fernández-Calderón
Friday, 23rd of February 2024
09:00
3D LECTURE: anatomy of the ventral associative tracts and the fascicles related to the insula: inferior longitudinal fasciculus, inferior fronto-occipital fasciculus and uncinate fasciculus.
Dr. Juan Martino
09:30
Functional roles of the ventral associative tracts and the fascicles related to the insula.
Dr. Alejandro Fernández-Coello
09:45
3D LECTURE: anatomy of the brain isthmus and the temporal stem: a crucial anatomical concept that is often forgotten.
Dr. Carlos Velásquez
10:15
Hands-on: Fiber dissection of the ventral associative tracts and the fascicles related to the insula. Each participant will have one hemisphere to dissect. The participants will dissect the ventral associative tracts and the tracts related to the insula region: inferior longitudinal fasciculus, inferior fronto-occipital fasciculus and uncinate fasciculus.
Professor Hugues Duffau, Dr. Juan Martino, Dr. Alejandro Fernández-Coello, Dr. Emmanuel Mandonnet, Dr. Pablo González-López, Dr. David Mato, Dr. Carlos Velásquez, and Monserrat Fernández-Calderón
13:00
Lunch
14:00
Intraoperative electrical stimulation mapping of associative fiber pathways.
Professor Hugues Duffau
14:30
3D LECTURE: limbic and paralimbic tumors. Anatomy and related surgical approaches.
Dr. Juan Martino
15:00
3D LECTURE: presentation of the parahippocampal surgical case.
Dr. Juan Martino
15:15
Hands-on: Approach to the posterior parahippocampus and cingulum. Professor Hugues Duffau will perform a step by step posterior basal and temporal approach to the posterior parahippocampus and cingulum. Simultaneously, each participant will perform the approach in the specimens. The participant will use a real MRI of a glioma infiltrating the basal temporal lobe to guide the resection. In this approach, the deep functional connections are the arcuate fasciculus, inferior longitudinal fasciculus, inferior fronto-occipital fasciculus and optic radiations.
Professor Hugues Duffau, Dr. Emmanuel Mandonnet, Dr. Juan Martino, Dr. Alejandro Fernández-Coello, Dr. Pablo González-López, Dr. David Mato, Dr. Carlos Velásquez, and Monserrat Fernández-Calderón
Saturday, 24th of February 2024
09:00
Surgical anatomy of the insula.
Dr. Emmanuel Mandonnet
09:30
Insula glioma surgery: the transopercular approach.
Professor Hugues Duffau
10:00
3D LECTURE: presentation of the insular surgical case.
Dr. Juan Martino
10:15
Hands-on: Transopercular approach to the insula. Professor Hugues Duffau will perform a step by step transopercular approach to the insula in the specimen. Simultaneously, each participant will perform the approach in the specimens.
The participants will use a real magnetic resonance image (MRI) of a frontotemporo- insular glioma to guide the resection. We will have a unique opportunity to ask Professor Duffau many questions about the challenges of this approach: how to preserve the deep functional connections (inferior fronto-occipital fasciculus, uncinate fasciculus, pyramidal pathway, etc.), and vascular structures (lenticulostriate arteries).
Professor Hugues Duffau, Dr. Emmanuel Mandonnet, Dr. Juan Martino, Dr. Alejandro Fernández-Coello, Dr. Pablo González-López, Dr. David Mato, Dr. Carlos Velásquez, and Monserrat Fernández-Calderón
13:00
Lunch
14:00
Hands-on: Transopercular approach to the insula. Professor Hugues Duffau and participants will complete the transopercular approach to the insula.
Sponsors
Con el aval científico de:
