Skip to main content

Three-Quarter Prone Approach to the Pineal-Tentorial Region. Report of Seven Cases

  • Conference paper
Processes of the Cranial Midline

Part of the book series: Acta Neurochirurgica Supplementum ((NEUROCHIRURGICA,volume 53))

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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Similar content being viewed by others

References

  1. Ausman JI, Malik GM, Dujovny M, Mann R (1988) Three- quarter prone approach to the pineal-tentorial region. Surg Neurol 29: 298–306

    Article  PubMed  CAS  Google Scholar 

  2. 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

    Google Scholar 

  3. Clark WK (1987) Occipital transtentorial approach. In: Apuzzo ML J (ed) Surgery of the third ventricle. William & Wilkins, Baltimore, pp 591–610

    Google Scholar 

  4. Dandy WE (1921) An operation for the removal of pineal tumors. Surg Gynecol Obstet 33: 113–119

    Google Scholar 

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

    Article  PubMed  CAS  Google Scholar 

  6. 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

    Article  PubMed  CAS  Google Scholar 

  7. Krause F (1926) Operative Freilegung der Vierhügel nebst Beobachtungen über Hirndruck and Dekompression. Zentralbl Chir 53: 2812–2819

    Google Scholar 

  8. 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

    Google Scholar 

  9. Page LK (1977) The infratentorial supracerebellar exposure of tumors in the pineal area. Neurosurgery 1: 36–40

    Article  PubMed  CAS  Google Scholar 

  10. 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

    Google Scholar 

  11. Poppen JL (1966) The right occipital approach to a pinealoma. J Neurosurg 25: 706–710

    Article  PubMed  CAS  Google Scholar 

  12. Reid NS, Clark WK (1978) Comparison of the infratentorial and transtentorial approaches to the pineal region. Neurosurgery 3: 1–8

    Article  PubMed  CAS  Google Scholar 

  13. Sano K (1983) Pineal region tumors: problems in pathology treatment. Clin Neurosurg 30: 59–91

    PubMed  CAS  Google Scholar 

  14. Stein BM (1971) The infratentorial supracerebellar approach to pineal lesions. J Neurosurg 35: 197–202

    Article  PubMed  CAS  Google Scholar 

  15. 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

    Google Scholar 

  16. 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

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1991 Springer-Verlag

About this paper

Cite this paper

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

Download citation

  • DOI: https://doi.org/10.1007/978-3-7091-9183-5_24

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-9185-9

  • Online ISBN: 978-3-7091-9183-5

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics