08/12/2026
In this operative video, Dr. Cohen demonstrates the telovelar approach for resection of a large hypervascular vermian hemangioblastoma.
The interface between the hemangioblastoma and surrounding tissue is developed with coagulation and sharp dissection. As the dissection advances deeper, bleeding risk increases, so any capsular entry is controlled with further coagulation. The tumor is operated on from deep to superficial to protect the floor of the fourth ventricle while identifying larger anterior vessels. Only vessels clearly entering the tumor are coagulated, preserving cerebellar vessels and maintaining hemostasis near the fourth ventricular floor.
Learn more here: https://zurl.co/Ng9qV