ArticleSurgical neurology international2019
Retractorless interhemispheric transtentorial approach for large lesions in the posterior incisural space.
Article in Surgical neurology international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
5 citing papers in PubMed, 10 citations in OpenAlex.
- Systematic Review and Pooled Analysis of Falcotentorial Meningiomas: Clinical Features, Surgical Techniques, and Postoperative Outcomes.Asian journal of neurosurgery · 2026Review
- Falcotentorial Meningiomas: Insights from Surgical Strategies and Clinical Outcomes.Journal of clinical medicine · 2024Article
- Occipital interhemispheric transtentorial approach in pediatric patients for lesions of the superomedial cerebellum: operative findings and results.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2023Article
- Endoscopic Occipital Transtentorial Approach for Supracerebellar Lesions.NMC case report journal · 2023Article
- Venous corridors in gravity-assisted retractor-less occipito-transtentorial approach - Our experience of an avenue through the tentacles of pod.Surgical neurology international · 2020Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSurgical resection of lesions in the posterior incisural space presents a significant surgical challenge, which may result in postoperative visual complications and other neurological deficits. We, therefore, describe a retractorless interhemispheric transtentorial approach that avoids surrounding brain structures with positive outcomes and no complications or visual damage. CASE DESCRIPTION: We present four cases of lesions in the posterior incisural space that was treated with a retractorless interhemispheric transtentorial approach. Two patients were previously seen at another institution for a falcotentorial meningioma. We resected the meningiomas with a parietal-occipital interhemispheric transtentorial approach with no neurological deficits. A third patient presented with a large superior vermian hemangioblastoma with a steep angle of the tentorium. The fourth patient had a large upper vermian metastatic lesion with progressive enlargement, which was refractory to radiation treatments and chemotherapy, and we achieved partial resection. Postoperative visual function was completely preserved in all patients.
conclusionA carefully executed retractorless interhemispheric approach in select cases is an effective option to reduce morbidity and prevent visual complications when removing lesions in the posterior tentorial incisure.
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