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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Brazilian Society for Pediatric Neurosurgery
2019
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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) |
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tumor pineal park bench superior cerebellar Pediatrics RJ1-570 Surgery RD1-811 |
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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 |
work_keys_str_mv |
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_version_ |
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