Infratentorial supracerebellar approach for microsurgical resection of large midline pineal region tumor: a technical note

Authors

DOI:

https://doi.org/10.29327/apn.v1i1(September-December).11

Keywords:

Tumor, Pineal, Park bench, Superior cerebellar

Abstract

Pineal region tumors pose certain challenges regarding to their resection: a deep surgical field, associated critical surrounding neurovascular structures, and narrow operative working corridor due to obstruction by the apex of the culmen. The authors describe a midline supracerebellar infratentorial approach that is routinely performed and was successfully used in the treatment of a large midline pineal region tumor in a 4 years old child. The surgeon achieved generous exposure of the caudal midline mesencephalon through a "cross-court" midline or oblique trajectory, while avoiding excessive retraction on the culmen demonstrating that large midline pineal region tumors can be removed through a suboccipital craniotomy. This approach is safe, may spare some of the midline vermian bridging veins, and may be potentially less invasive and more efficient than other surgical techniques.

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Published

2019-12-19 — Updated on 2019-12-19

How to Cite

1.
de Oliveira RS, Viana DC, Ballestero MFM. Infratentorial supracerebellar approach for microsurgical resection of large midline pineal region tumor: a technical note. Arch Pediatr Neurosurg [Internet]. 2019 Dec. 19 [cited 2024 May 23];1(1(September-December):29-31. Available from: https://archpedneurosurg.com.br/sbnped2019/article/view/11

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