Revisiting the Telovelar Approach for Lesions of the Mesial Part of the Cerebellar Peduncles by Using the Cerebellar Functional Networks to Guide Surgical Practice

By integrating white matter fiber dissection and tractography, this study refines the anatomic basis of the telovelar approach for mesial cerebellar peduncle lesions and its impact on critical cerebellar pathways. Understanding these three-dimensional white matter relationships enhances intraoperative decision-making, optimizes surgical strategies and advances the neurosurgical field toward functionally informed, minimally disruptive interventions.