Top

Acta Neurochirurgica

Published in:

25-09-2023 | Pineal Tumor | How I Do it

The sub-occipital transtentorial approach for pineal region tumors: how I do it

Authors: Pierre-Aurélien Beuriat, Alexandru Szathmari, Federico Di Rocco, Carmine Mottolese

Published in: Acta Neurochirurgica | Issue 11/2023

Abstract

Background

Two major approaches exist for the surgical removal of pineal region tumors: the supracebellar infratentorial and the sub-occipital transtentorial.

Methods

We present the Lyon’s technique of the sub-occipital transtentorial approach for pineal region tumors and our tricks to avoid complications. The principle is to expose the pineal region under the occipital lobe and not through the interhemispheric fissure.

Conclusions

The sub-occipital transtentorial approach is a direct, extra cerebral, safe, and effective way to access tumors of the pineal region.

Available only for authorised users

Cardenas RJ, Javalkar V, Ezer H, Burnham J, Nanda A (2011) Occipital interhemispheric transtentorial approach to the superior cerebellum. J Clin Neurosci 18(1):128–130CrossRefPubMed

Caron JP, Nick J, Contamin F, Singer B, Comoy J, Keravel Y (1977) Tolerance of ligation and of aseptic thrombosis of deep cerebral veins in man. Apropos of 4 cases. Ann Med Interne (Paris) 128(12):899–906PubMed

Dallier F, Di Roio C (2015) Sitting position for pineal surgery: some anaesthetic considerations. Neurochirurgie 61(2–3):164–167CrossRefPubMed

Jamieson KG (1971) Excision of pineal tumors. J Neurosurg 35(5):550–553CrossRefPubMed

Jea A, Vachhrajani S, Widjaja E, Nilsson D, Raybaud C, Shroff M, Rutka JT (2008) Corpus callosotomy in children and the disconnection syndromes: a review. Childs Nerv Syst 24(6):685–692CrossRefPubMed

Lapras C, Patet J (1998) Controveries, techniques, and strategies for pineal tumor surgery. Surgery of the third Ventricle, Mickael L.J.A.Apuzzo, Williams and Wilkins, Baltimore

Mottolese C, Beuriat PA, Szathmari A (2015) Pineal tumours: experience of the French National Register and the Lyon School, results and considerations. Neurochirurgie 61(2–3):223–235CrossRefPubMed

Mottolese C, Szathamari A, Beuriat PA, Grassiot B, Simon E (2015) Neuroendoscopy and pineal tumors: a review of the literature and our considerations regarding its utility. Neurochirurgie 61(2–3):155–159CrossRefPubMed

Mottolese C, Szathmari A, Ricci-Franchi AC, Beuriat PA, Grassiot B (2015) The sub-occipital transtentorial approach revisited base on our own experience. Neurochirurgie 61(2–3):168–175CrossRefPubMed

10.

Yağmurlu K, Zaidi HA, Kalani MYS, Rhoton AL, Preul MC, Spetzler RF (2018) Anterior interhemispheric transsplenial approach to pineal region tumors: anatomical study and illustrative case. J Neurosurg 128(1):182–192CrossRefPubMed

Title: The sub-occipital transtentorial approach for pineal region tumors: how I do it
Authors: Pierre-Aurélien Beuriat
Alexandru Szathmari
Federico Di Rocco
Carmine Mottolese
Publication date: 25-09-2023
Publisher: Springer Vienna
Keyword: Pineal Tumor
Published in: Acta Neurochirurgica / Issue 11/2023
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-023-05813-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The sub-occipital transtentorial approach for pineal region tumors: how I do it

Abstract

Background

Methods

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Conclusions

Please log in to get access to this content

Other articles of this Issue 11/2023

Dorsal column mapping in resection of intramedullary spinal cord tumors: a prospective comparison of two methods and neurological follow-up

Reducing morbidity associated with subdural drain placement after burr-hole drainage of unilateral chronic subdural hematomas: a retrospective series comparing conventional and modified Nelaton catheter techniques

The association between blood pressure at admission and in-hospital mortality in patients with subarachnoid hemorrhage

Reliability of intraoperative visual evoked potentials (iVEPs) in monitoring visual function during endoscopic transsphenoidal surgery

Novel freehand frontal ventriculostomy in the supraorbital keyhole approach: technical note

Construction and validation of infection risk model for patients with external ventricular drainage: a multicenter retrospective study