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Acta Neurochirurgica
Published in: Acta Neurochirurgica 8/2017

01-08-2017 | How I Do it - Neurosurgical Anatomy

The paramedian supracerebellar infratentorial approach

Authors: Biagia La Pira, Thomas Sorenson, Vicent Quillis-Quesada, Giuseppe Lanzino

Published in: Acta Neurochirurgica | Issue 8/2017

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Abstract

Background

Lesions of the superior cerebellar surface, pineal region, lateral and dorsal midbrain and mesial temporal lobe are challenging to treat and often require neurosurgical intervention.

Methods

The paramedian variation of the supracerebellar infratentorial approach utilizes the downward slope of the cerebellum to facilitate exposure and the lower density of cerebellar bridging veins away from the midline decreases the need to sacrifice larger venous channels. We also discuss our experiences with the approach, and some of the drawbacks and nuances that we have encountered as it has evolved over the years.

Conclusions

This approach is versatile and effective and the authors’ surgical approach of choice for resecting these challenging lesions.
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Literature
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Hernesniemi J, Romani R, Albayrak BS et al (2008) Microsurgical management of pineal region lesions: personal experience with 119 patients. Surg Neurol 70:576–583CrossRefPubMed
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Metadata
Title
The paramedian supracerebellar infratentorial approach
Authors
Biagia La Pira
Thomas Sorenson
Vicent Quillis-Quesada
Giuseppe Lanzino
Publication date
01-08-2017
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 8/2017
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-017-3196-y

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