The Neurosurgical Atlas

The Neurosurgical Atlas The Neurosurgical Atlas is the most popular and comprehensive resource for microsurgical techniques in the world.
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The Neurosurgical Atlas is the most comprehensive regularly updated atlas on the web, keeping neurosurgeons abreast of cutting edge technical nuances. We aim to teach techniques to improve patients' safety and surgical outcome. Our vast collection of surgical videos and illustrations provide a clear and concise road map while elucidating surgical nuances for proper completion of even the most diff

icult procedures. The site also features resources for patients at http://www.neurosurgicalatlas.com/video-conference-center

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

The Neurosurgical Atlas is built for deeper study across every stage of neurosurgical training and practice.Through oper...
08/12/2026

The Neurosurgical Atlas is built for deeper study across every stage of neurosurgical training and practice.

Through operative videos, anatomical illustrations, case-based chapters, approach education, and advanced learning resources, the Neurosurgical Atlas gives students, residents, fellows, and practicing surgeons a structured way to study complex neurosurgery beyond the operating room.

From foundational anatomy to refined operative strategy, it serves as a comprehensive resource for those committed to advancing their understanding of neurosurgical disease, anatomy, and technique.

Subscribe to The Neurosurgical Atlas at www.NeurosurgicalAtlas.com

08/10/2026

In this operative video, Dr. Cohen demonstrates resection of a craniopharyngioma through an orbitozygomatic approach.

The tumor is removed piecemeal through a sub-frontal trajectory, where the working corridor through the lamina terminalis is narrow and technically demanding. Progressive internal debulking creates space within the resection cavity, allowing the mass to be mobilized despite limited exposure.

This operative view emphasizes the importance of controlled tumor reduction when managing craniopharyngioma extension toward the posterior third ventricle and surrounding optic structures.

To view more operative videos, visit NeurosurgicalAtlas.com

Complex neurosurgical planning depends on understanding the operative path before the first incision is made.ATLAS Surge...
08/07/2026

Complex neurosurgical planning depends on understanding the operative path before the first incision is made.

ATLAS Surgeon allows surgeons to move beyond static imaging review by visualizing anatomy, evaluating approach options, and rehearsing key technical steps in a virtual environment. This creates a more deliberate planning process for cases where anatomy, exposure, and trajectory must be studied in detail.

For modern neurosurgery, preparation is not only about knowing the pathology. It is about understanding how the anatomy will shape the operation.

Explore the ATLAS Surgeon platform at sim.atlasmeditech.com

08/06/2026

The next evolution in neurosurgical education is not only access to operative knowledge, but the ability to apply that knowledge to patient-specific anatomy.

For complex cases, preparation requires more than reviewing a diagnosis or studying a standard approach. It requires understanding the individual relationship between the lesion, vascular anatomy, cranial nerves, surgical corridor, and surrounding critical structures.

The Neurosurgical Atlas, ATLAS Simulation, and ATLAS Surgeon are all designed to support that progression: from studying expert operative cases to planning and rehearsing procedures in a patient-specific environment.

Explore the future of neurosurgical training at NeurosurgicalAtlas.com

08/05/2026

In this operative video, Dr. Cohen demonstrates the transfalcine approach for resection of a giant parafalcine/falcotentorial meningioma.

The inferior left-sided tumor capsule is gently dissected as the corpus callosum is approached. After a large tumor piece is removed, attention shifts to the portion attached to the falcotentorial junction, where angiography helps localize the straight sinus. The tumor is carefully separated from the vein of Galen, but a small residual portion is intentionally left behind to avoid venous injury. The remaining tumor is shaved down and heavily coagulated to reduce the risk of recurrence.

Learn more at: https://zurl.co/WlhiN

07/31/2026

In this operative video, Dr. Cohen demonstrates the retrosigmoid approach for resection of a large acoustic neuroma.

The arachnoid bands are separated from the tumor capsule using fine bipolar forceps, while sharp dissection helps define the plane between the lesion and the brainstem. Internal debulking with the ultrasonic aspirator reduces tumor volume and allows the capsule to become more mobile.

As the dissection progresses, the pial membrane is carefully preserved and separated from the tumor surface. This step is essential for maintaining the brainstem interface during acoustic neuroma resection.

View more operative videos at www.NeurosurgicalAtlas.com

07/29/2026

For select acoustic neuromas, treatment does not always begin in the operating room.

Radiosurgery can play an important role in the management of smaller vestibular schwannomas, offering a focused treatment approach for tumors where durable control may be possible without open microsurgical resection. The decision depends on tumor size, growth behavior, symptoms, patient age, hearing status, and the relationship of the lesion to the brainstem and cranial nerves.

For skull base surgeons, the central question is not simply whether a tumor can be treated, but which treatment best balances tumor control, neurological preservation, and long-term patient outcomes.

Continue exploring acoustic neuroma treatment strategy and skull base decision-making through The Neurosurgical Atlas.

ATLAS Simulation helps translate preoperative imaging into a real operative plan.With ATLAS Simulation, surgeons can eva...
07/27/2026

ATLAS Simulation helps translate preoperative imaging into a real operative plan.

With ATLAS Simulation, surgeons can evaluate the intended craniotomy, test the surgical corridor, and visualize the spatial relationship between the target and surrounding structures in a patient-specific virtual environment.

For complex cases, this allows the operative strategy to be studied and refined before the procedure begins.

Plan complex surgery with ATLAS Simulation at sim.atlasmeditech.com

07/24/2026

Acoustic neuromas are typically benign tumors, but their location can make treatment highly complex.

As these lesions enlarge, they may occupy the cerebellopontine angle and come into close relationship with the brainstem, facial nerve, cochlear nerve, trigeminal nerve, and surrounding vascular structures. This anatomy makes surgical management a balance between tumor control and preservation of neurological function.

Successful acoustic neuroma surgery requires more than access to the lesion. It depends on microsurgical precision, detailed knowledge of skull base anatomy, and disciplined decision-making around the nerves that govern facial movement, hearing, sensation, and long-term quality of life.

Visit The Neurosurgical Atlas to review more skull base anatomy and operative case education.

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