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| Name | Infratentorial supracerebellar approach for microsurgical resection of large midline pineal. |
| Video Uploader | Video From Archives of Pediatric Neurosurgery |
| Upload Date | This Video Uploaded At 19-12-2019 09:55:11 |
| Video Discription | 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 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. |
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