Abstract
We report our preliminary results (seven cases) with a three-quarter prone approach to the pineal-tentorial region using an opening beneath the midline. The technique we have used eliminates the risk of air embolism because the head is just over the right atrium, the table remaining in an horizontal plane. Using the natural effect of gravity, it is no more necessary to use retraction on the occipital lobe. So, hemianopsia is eliminated. We confirm the results of other teams who have used this approach which seems to us to be the best way to treat any lesion in the pineal-tentorial area.
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Ausman JI, Malik GM, Dujovny M, Mann R (1988) Three- quarter prone approach to the pineal-tentorial region. Surg Neurol 29: 298–306
Caron JP, Nick J, Contamin F, Singer B, Comoy J, Keravel Y (1977) Tolerance de la ligature et de la thrombose aseptique des veines cérébrales profondes chez l’homme. Ann Med Interne (Paris) 12: 899–906
Clark WK (1987) Occipital transtentorial approach. In: Apuzzo ML J (ed) Surgery of the third ventricle. William & Wilkins, Baltimore, pp 591–610
Dandy WE (1921) An operation for the removal of pineal tumors. Surg Gynecol Obstet 33: 113–119
Jamieson KG (1971) Excision of pineal tumors. J Neurosurg 35: 550–553
Kobayashi S, Sugita K, Tanaka Y, Kyoshima K (1983) Infratentorial approach to the pineal region in the prone position: Concorde position. J Neurosurg 58: 141–143
Krause F (1926) Operative Freilegung der Vierhügel nebst Beobachtungen über Hirndruck and Dekompression. Zentralbl Chir 53: 2812–2819
McComb JG, Apuzzo MLJ (1987) Posterior intrahemispheric retrocallosal and transcallosal approaches. In: Apuzzo MLJ (ed) Surgery of the third ventricle. William & Wilkins, Baltimore, pp 611–641
Page LK (1977) The infratentorial supracerebellar exposure of tumors in the pineal area. Neurosurgery 1: 36–40
Pendl G (1985) Microsurgical approaches to the pineal and midbrain region. In: Pendl G (ed) Pineal and midbrain lesions, Springer, New York, Wien pp 103–116
Poppen JL (1966) The right occipital approach to a pinealoma. J Neurosurg 25: 706–710
Reid NS, Clark WK (1978) Comparison of the infratentorial and transtentorial approaches to the pineal region. Neurosurgery 3: 1–8
Sano K (1983) Pineal region tumors: problems in pathology treatment. Clin Neurosurg 30: 59–91
Stein BM (1971) The infratentorial supracerebellar approach to pineal lesions. J Neurosurg 35: 197–202
Stein BM (1982) Supracerebellar approach for pineal region neoplasms. In: Schmidek HH, Sweet WH (eds) Operative neurosurgical techniques. Indications, methods and results, vol 1. Grune & Stratton, New York, pp 599–607
Stone JL, Cybulski GR, Crowell RM, Moody RA (1990) The lateral position-dependant occipital approach-to pineal and medial occipito-parietal lesions. Acta Neurochir (Wien) 102: 133–136
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© 1991 Springer-Verlag
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Brotchi, J., Levivier, M., Raftopoulos, C., Dewitte, O., Pirotte, B., Noterman, J. (1991). Three-Quarter Prone Approach to the Pineal-Tentorial Region. Report of Seven Cases. In: Koos, W., Richling, B. (eds) Processes of the Cranial Midline. Acta Neurochirurgica Supplementum, vol 53. Springer, Vienna. https://doi.org/10.1007/978-3-7091-9183-5_24
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DOI: https://doi.org/10.1007/978-3-7091-9183-5_24
Publisher Name: Springer, Vienna
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