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Erschienen in:
10.05.2017 | How I Do it - Neurosurgical Anatomy
The paramedian supracerebellar infratentorial approach
Erschienen in: Acta Neurochirurgica | Ausgabe 8/2017
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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 that we 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.