The paramedian supracerebellar infratentorial approach

作者：La Pira Biagia; Sorenson Thomas^*; Quillis Quesada Vicent; Lanzino Giuseppe

来源：Acta Neurochirurgica, 2017, 159(8): 1529-1532.

DOI：10.1007/s00701-017-3196-y

• Supracerebellar infratentorial approach
• Surgery
• Paramedian
• Lesions
• Brainstem

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 thatwe 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.

• 出版日期2017-8