OBJECTIVE: Searching usefulness of computed tomography with three dimensional reconstruction in planning accurate cranial approaches to treat subcortical lesions. METHOD: Eight patients with neoplasic subcortical convexity-based lesions were surgically treated following spatial coordination obtained with three dimensional computed tomography reconstruction (CT 3D). RESULTS: Accurate approaches were accomplished, allowing a safe and optimized removal of neoplasms in all cases. CONCLUSION: The study manifests the benefits of CT 3D in planning suitable craniotomies, avoiding incongruous approaches.
craniotomy; surgical approaches; brain metastasis; CT 3D; minimal invasive surgery