• Acta neurochirurgica · Mar 2013

    Comparative Study

    How I do it--pineal surgery: supracerebellar infratentorial versus occipital transtentorial.

    • Michael G Hart, Thomas Santarius, and Ramez W Kirollos.
    • Department of Neurosurgery, Division of Neurosciences, Addenbrooke's Hospital, Box 166, Cambridge, CB2 0QQ, UK. mikehart82@me.com
    • Acta Neurochir (Wien). 2013 Mar 1;155(3):463-7.

    BackgroundResection of a pineal tumour requires fastidious pre-operative planning to select the optimal surgical approach and maximise resection while minimising morbidity.MethodTo describe and compare the supracerebellar infratentorial and occipital transtentorial approaches.ConclusionsSpecific considerations include patient-specific anatomy, extent and relationships of the tumour, and the techniques likely to be employed during resection. The supracerebellar infratentorial approach provides a direct corridor to pineal tumours caudal to the deep veins; for tumours invaginating the tectal plate in a caudal direction the occipital transtentorial provides a better view.

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