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

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 infratentoria...

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Autores principales: Ricardo Santos de Oliveira, Dinark Conceição Viana, Matheus Fernando Manzolli Ballestero
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Lenguaje:EN
Publicado: Brazilian Society for Pediatric Neurosurgery 2019
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Acceso en línea:https://doaj.org/article/75afeeb52cb34015b4ea34f456204499
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spelling oai:doaj.org-article:75afeeb52cb34015b4ea34f4562044992021-11-23T21:46:37ZInfratentorial supracerebellar approach for microsurgical resection of large midline pineal region tumor: a technical note2675-362610.29327/apn.v1i1(September-December).11https://doaj.org/article/75afeeb52cb34015b4ea34f4562044992019-12-01T00:00:00Zhttps://www.archpedneurosurg.com.br/pkp/index.php/sbnped2019/article/view/11https://doaj.org/toc/2675-3626Pineal 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.Ricardo Santos de OliveiraDinark Conceição VianaMatheus Fernando Manzolli BallesteroBrazilian Society for Pediatric Neurosurgeryarticletumorpinealpark benchsuperior cerebellarPediatricsRJ1-570SurgeryRD1-811ENArchives of Pediatric Neurosurgery, Vol 1, Iss 1(September-December), Pp 29-31 (2019)
institution DOAJ
collection DOAJ
language EN
topic tumor
pineal
park bench
superior cerebellar
Pediatrics
RJ1-570
Surgery
RD1-811
spellingShingle tumor
pineal
park bench
superior cerebellar
Pediatrics
RJ1-570
Surgery
RD1-811
Ricardo Santos de Oliveira
Dinark Conceição Viana
Matheus Fernando Manzolli Ballestero
Infratentorial supracerebellar approach for microsurgical resection of large midline pineal region tumor: a technical note
description 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.
format article
author Ricardo Santos de Oliveira
Dinark Conceição Viana
Matheus Fernando Manzolli Ballestero
author_facet Ricardo Santos de Oliveira
Dinark Conceição Viana
Matheus Fernando Manzolli Ballestero
author_sort Ricardo Santos de Oliveira
title Infratentorial supracerebellar approach for microsurgical resection of large midline pineal region tumor: a technical note
title_short Infratentorial supracerebellar approach for microsurgical resection of large midline pineal region tumor: a technical note
title_full Infratentorial supracerebellar approach for microsurgical resection of large midline pineal region tumor: a technical note
title_fullStr Infratentorial supracerebellar approach for microsurgical resection of large midline pineal region tumor: a technical note
title_full_unstemmed Infratentorial supracerebellar approach for microsurgical resection of large midline pineal region tumor: a technical note
title_sort infratentorial supracerebellar approach for microsurgical resection of large midline pineal region tumor: a technical note
publisher Brazilian Society for Pediatric Neurosurgery
publishDate 2019
url https://doaj.org/article/75afeeb52cb34015b4ea34f456204499
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AT dinarkconceicaoviana infratentorialsupracerebellarapproachformicrosurgicalresectionoflargemidlinepinealregiontumoratechnicalnote
AT matheusfernandomanzolliballestero infratentorialsupracerebellarapproachformicrosurgicalresectionoflargemidlinepinealregiontumoratechnicalnote
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