Neuroanatomy operative approaches (part I)

Who is it for?

The course is aimed primarily at ST3 to ST5 trainees in neurosurgery. It is of great benefit to anyone performing cranial procedures and serves as a good update session in neuroanatomy. Part I of the course takes place in September and part II in February each year.

Where did you do it?

The course is run by the Department of Neurosurgery at the General Infirmary in Leeds. It is usually held in the Worsley Building of the University of Leeds.

Why did you do it?

I did this course to improve my surgical technique and my knowledge of neuroanatomy. The procedures on cadaveric specimens allow a near real surgical experience and help you to identify structures in every approach. In addition, I learnt various surgical techniques and skills from the very experienced faculty members, all of whom are consultant neurosurgeons.

How is it structured?

The teaching includes lectures with interactive sessions and cadaveric specimen dissections. There are two trainees to each specimen. Each operating table has an operating microscope and other instruments that would be needed in a typical neurosurgical theatre.

How much effort did it entail?

Going through any good neurosurgical operative text or participating in theatre sessions before the course is helpful. A bit of both will pay tremendous dividends in the course discussions between faculty members and participants. The course is well organised, and a reminder, course timetable, and location map are issued in advance of the course. The website (www.leedsneuroanatomycourses.co.uk) has helpful information.

Is there an exam?

No, but the course emphasises continuous interaction between the instructors and the participants at every point. Six neurosurgical approaches—pterional, midline inter-hemispheric, anterior frontal, subtemporal, midline posterior, and retrosigmoid—are covered in extensive detail.

How much does it cost?

The course costs £450 for two days. There is also a wonderful dinner at a good Italian restaurant after the first day’s session. The 2010 session also had teaching on neurovascular anatomy. Receipts are issued so that the cost can be claimed back from trusts or deaneries. A course certificate is issued at the end of the course.

Was it worth it?

Absolutely. The course provides a good template on which a neurosurgical trainee can build. The knowledge gained gives a better perspective on the “dos and don’ts” in intracranial procedures. My surgical skills, confidence, and neuroanatomical knowledge all improved. There was a good turnout of trainees from several neurosurgical units in the United Kingdom and in other European countries.

Top tips

• It helps to do some preparatory reading in neuroanatomy before attending the course.

• The course starts on both days at about 8 am so try to get to Leeds the day before. Much has to be covered between 8 am and 5 pm.

• The course dinner is a good informal way to chat with other UK and European neurosurgical trainees.

• Book early for the course because the places fill up quickly.

Further information

Contact Valerie Allerton, Department of Neurosurgery, Leeds General Infirmary, Leeds LS1 3EX; tel +44 113 392 8413; Fax: +44 113 392 5414; Valerie.Allerton{at}leedsth.nhs.uk.