The paramedian supracerebellar infratentorial approach

Biagia La Pira, Thomas Sorenson, Vicent Quillis-Quesada, Giuseppe Lanzino

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)1529-1532
Number of pages4
JournalActa Neurochirurgica
Volume159
Issue number8
DOIs
StatePublished - Aug 1 2017

Keywords

  • Brainstem
  • Lesions
  • Paramedian
  • Supracerebellar infratentorial approach
  • Surgery

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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    La Pira, B., Sorenson, T., Quillis-Quesada, V., & Lanzino, G. (2017). The paramedian supracerebellar infratentorial approach. Acta Neurochirurgica, 159(8), 1529-1532. https://doi.org/10.1007/s00701-017-3196-y