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| Name | Microsurgical Anatomy and the Effects of Gravity Retraction With the SCIT Approach |
| Video Uploader | Video From NEUROSURGERY Journal |
| Upload Date | This Video Uploaded At 27-02-2018 17:14:14 |
| Video Discription | The midline supracerebellar-infratentorial (SCIT) approach provides excellent access to the posterior incisural space, quadrigeminal cistern and the pineal region, and is useful for cavernous malformations located in the posterior midbrain and thalamus. Dissection to the depths of this surgical corridor is facilitated by gravity retraction of the cerebellum, which opens this natural plane and widens the exposure. The sitting position is needed for gravity retraction of the cerebellum, and a patent foramen ovale contraindicates this position due to the risk of air embolism. We present 2 companion cases of cavernous malformation located in the posterior thalamus, one performed in the prone position in a patient with a patent foramen ovale, and the other performed in the sitting position in a patient with normal septum echocardiographically. These videos illustrate the advantages of the sitting position and gravity retraction, as well as the microsurgical anatomy of the posterior tentorial incisura. |
| Category | Science & Technology |
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