ArticleSurgical neurology international2013
The infratentorial supracerebellar approach in surgery of lesions of the pineal region.
Article in Surgical neurology international, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.
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Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- What is the best surgical approach for Pineal Region Tumors? A systematic literature review and anatomical comparative study.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026Pooled it
- Surgical management of pineal region tumors in Italy: a SINch (SINch®) National Survey with systematic review.Neurosurgical review · 2026Pooled it
- Anatomical investigation of the superficial venous drainage of the suboccipital surface of the cerebellum.Anatomical science international · 2026Article
- Stereotactic radiosurgery for pineal gland metastases: results from the international radiosurgery research foundation.Journal of neuro-oncology · 2026Article
- Microsurgical approaches to the pineal region: anatomic and radiological principles based on the characteristics of the neurovascular structures.Surgical and radiologic anatomy : SRA · 2026Article
- Antegrade Concorde position for leveraging the lateral supracerebellar infratentorial approach.Brain & spine · 2026Article
- The Infratentorial Supracerebellar Approach: The Most Used Avenue for Pineal and Pineal Region Tumors: How We Do It.Advances and technical standards in neurosurgery · 2026Article
- Functional outcomes and anatomy-based surgical strategy in 57 pineal region tumors.Surgical neurology international · 2026Article
- Purely endoscopic transventricular approach for resection of a pineal region epidermoid cyst with third ventricle extension in a pediatric patient: a case-based review and literature analysis.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025Review
- Supracerebellar highway-fast and safe road to pediatric pineal tumor resection.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025Article
- The microsurgical infratentorial supracerebellar approach for lesions of the pineal gland: feasibility, morbidity, and functional outcomes from a single-center experience.Neurosurgical review · 2025Article
- Anatomy of the posterior Fossa: a comprehensive description for pediatric brain tumors.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024Review
- Fully neuroendoscopic resection of cerebellopontine angle tumors through a retrosigmoid approach: a retrospective single-center study.Neurosurgical review · 2023Article
- Microscope neuronavigation-guided microsurgical fenestration of quadrigeminal cistern arachnoid cysts: how I do it.Acta neurochirurgica · 2023Article
- Suboccipital trans-horizontal fissure approach for cerebellar hemorrhage with rupture into the upper fourth and third ventricles: the first clinical experience. Illustrative cases.Journal of neurosurgery. Case lessons · 2022Article
- Long term outcomes following surgery for pineal region tumors.Journal of neuro-oncology · 2022Article
- Management of pineal region tumors in a pediatric case series.Neurosurgical review · 2021Article
- What is the risk of venous cerebellar infarction in the supracerebellar infratentorial approach?Neurosurgical review · 2021Review
- Supratentorial and Infratentorial Approaches to Pineal Surgery: A Database Analysis.Journal of neurological surgery. Part B, Skull base · 2019Article
- [Purely endoscopic supracerebellar infratentorial approach for epidermoid cyst in third ventricle].Surgical neurology international · 2019Article
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6 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundSurgery of pineal region lesions is considered a challenging task, due to the particular relationship of lesions in this location with neural and vascular structures. Few series with a significant experience of dealing with these patients have been reported.
methodsWe review our experience using infratentorial supracerebellar approach in the surgery of pineal region, regarding the extension of the removal, postoperative morbidity, and discussing details of the surgical technique. In all cases, a supracerebellar infratentorial approach was used in the semi sitting position.
resultsA total of 32 patients were operated in the past 20 years (3 germinomas, 3 teratoma, 3 pineocitoma, 2 pineal tumor of intermediate differentiation, 6 pineoblastomas, 6 low grade astrocytoma, 2 glioblastoma, 2 metastasis, 1 ependymoma, 1 epidermoid tumor, 1 cavernoma, and 2 arachnoid cyst). Total removal was achieved in 15 cases and subtotal extensive removal in 7 patients. In the remaining cases, only partial removal was possible, due to the involved pathological types. There was no surgical mortality and no cases of cerebellar venous infarction. Morbidity consisted of transient ocular movement disturbance in 14 patients, transient ataxia in 3 patients, and 1 case of local cerebrospinal fluid (CSF) fistula with meningitis that required surgical treatment.
conclusionSupracerebellar infratentorial is a safe approach to lesions in the pineal region, and total or extensive subtotal removal is possible in most cases, with acceptable morbidity.
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