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 day, the participants will directly apply the knowledge acquired to practice surgical approaches in the laboratory. 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

 Youtube

4Th Mapping Course Bellvitge 2019

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

  • 26th of November 2019
    Laboratory brain fiber dissection
  • 27th of November 2019
    DTI tractography
  • 28th of November 2019
    Lectures: intraoperative mapping techniques and neurophysiologic intraoperative monitoring
  • 29th of November 2019
    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 Juan A. García-Porrero
Department of Anatomy and
Cellular Biology. Cantabria University.
Santander. Spain

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

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

Dr. Carlos Santos
Neurosurgery Department.
Hospital Universitario Marqués de
Valdecilla. Santander. Spain

Dr. Carlos Velasquez
Neurosurgery Department.
Hospital Universitario Marqués de
Valdecilla. Santander. Spain

Dra. Patricia López
Neurosurgery Department.
Hospital Universitario Marqués de
Valdecilla. Santander. Spain

Dra. Carla Mora
Neurosurgery Department.
Hospital Universitario Marqués de
Valdecilla. Santander. Spain.

Monserrat Fernández-Calderón
Department of Anatomy and
Cellular Biology. Cantabria University.
Santander. Spain

Dr. Jesús Esteban
Neurosurgery Department.
Hospital Universitario Marqués de
Valdecilla. Santander. Spain

Scientific Program

Thursday, 3rd of October 2019


09:00

Registration.

09:10

Opening.
Dr. Juan A. García-Porrero, Dr. Juan Martino

09:15

Introduction to brain DTI tractography.
Dr. Christian de Quintana Schmidt

09:45

3D LECTURE: Hands-on. Introduction to Stealthviz software.
Dr. Christian de Quintana Schmidt

10:15

3D LECTURE: Hands-on. DTI tractography reconstruction of the main white matter connections.
Dr. Christian de Quintana Schmidt

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. 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, Dr. Carlos Santos, Dr. Guillermo García-Catalán, Dr. Jesus Esteban, Dra. Patricia López, Monserrat Fernández-Calderón

Friday, 4th of October 2019


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: limbic and paralimbic tumors. Anatomy and related surgical approaches.
Dr. Pablo González-López

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, Dr. Carlos Santos, Dr. Guillermo García-Catalán, Dr. Jesus Esteban, Dra. Patricia López, Monserrat Fernández-Calderón

13:00

Lunch

14:00

Intraoperative electrical stimulation mapping of associative fiber pathways.
Professor Hugues Duffau

14:30

How to simulate a surgical approach to gliomas in the laboratory.
Dr. Emmanuel Mandonnet

15:00

3D LECTURE: presentation of the parietal lobe surgical case.
Dr. Juan Martino

15:15

Hands-on: Approach to the parietal lobe. Professor Hugues Duffau will perform a step by step frontal approach to the superior and inferior parietal lobe.
Simultaneously, each participant will perform the approach in the specimens. The participant will use a real MRI of a glioma infiltrating the parietal lobe to guide the resection. In this approach, the deep functional connections are the superior longitudinal fasciculus, arcuate fasciculus, thalamo-cortical connections, and pyramidal pathway.
Professor Hugues Duffau, Dr. Emmanuel Mandonnet, Dr. Juan Martino, Dr. Alejandro Fernández-Coello, Dr. Pablo González-López, Dr. David Mato, Dr. Carlos Velásquez, Dr. Carlos Santos, Dr. Guillermo García-Catalán, Dr. Jesús Esteban, Dra. Patricia López, Monserrat Fernández-Calderón

18:00

3D LECTURE: discussion of real surgical cases.
Dr. Juan Martino

21:00

Course dinner.

Saturday, 5th of October 2019


09:00

Insula glioma surgery: the transopercular approach.
Professor Hugues Duffau

09:30

3D LECTURE: presentation of the insular surgical case.
Dr. Juan Martino

09:45

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, Dr. Carlos Santos, Dr. Guillermo García-Catalán, Dr. Jesús Esteban, Dra. Patricia López, 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.

17:00

Closing remarks.

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