Combined occipital, transtentorial, supracerebellar, transsinus approach for pineal region teratoma
Küçük Resim Yok
Tarih
2006
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Turkish Neurosurgical Society
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
An 11-year-old boy with a large pineal region mass was admitted to our clinic. The preliminary diagnosis was teratoma. Tumor resection was carried out via combined occipital, transtentorial, supracerebellar, transsinus approach. The tumor tissue was completely resected, and no operative complication other than transient Parinaud syndrome was noted. The histological diagnosis was teratoma, grade 2. After three courses of chemotherapy, the patient underwent external irradiation. He remained asymptomatic with no signs of recurrence 15 months after the surgery. The combination of occipital, transtentorial, supracerebellar, transsinus approach provides excellent views and workspace above and below the tentorial notch. Transverse sinus section is not mandatory for this approach, but sectioning of the unilateral transverse sinus and the tentorium along the rectal sinus allows retraction of the falx and the underlying brain to the opposite side. Thus, a much wider horizontal and vertical projection is obtained. This approach enables more extensive tumor removal for large pineal region tumors.
Açıklama
Anahtar Kelimeler
Combined approach, Pineal region teratoma, Transsinus, Transtentorium approach
Kaynak
Turkish Neurosurgery
WoS Q Değeri
Scopus Q Değeri
Q3
Cilt
16
Sayı
4
