Evidence map›Paper›PMID 42115460›Full record

ReviewAdvances and technical standards in neurosurgery2026

Surgery of Pineal and Pineal Region Tumours: The Sub-Occipital Transtentorial Approach for Pineal Tumours: How We Do It in Lyon.

Alexandru Szathmari, Pierre-Aurélien Beuriat, Federico Di Rocco, Carmine Mottolese

Abstract readReview
PubMed Publisher
In one paragraph

Review in Advances and technical standards in neurosurgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Alexandru SzathmariPediatric Neurosurgical Service, "Woman, Mother, Child" Hospital, Rockefeller Medical School, Lyon, France.
Pierre-Aurélien BeuriatPediatric Neurosurgical Service, "Woman, Mother, Child" Hospital, Rockefeller Medical School, Lyon, France.
Federico Di RoccoPediatric Neurosurgical Service, "Woman, Mother, Child" Hospital, Rockefeller Medical School, Lyon, France.
Carmine MottolesePediatric Neurosurgical Service, "Woman, Mother, Child" Hospital, Rockefeller Medical School, Lyon, France. carmine.mottolese@chu-lyon.fr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The sub-occipital transtentorial approach for pineal and pineal region tumours is reported as realized in Lyon. The approach described by C. Lapras is still performed today with a large skin flap and a large bone flap, which is sawn flush with the superior longitudinal sinus and the transverse sinus.The large bone flap allows elevation and separation of the hemisphere, avoiding its compression against the internal edge of the parietal bone.Opening the tentorium allows broad visualization of the pineal region space and of the venous arch formed by the basilar veins and the Galen vein.Protecting the occipital lobe with a rubber blade and cottonoids prevents compression of the calcarine scissure and has helped to reduce the incidence of the homonymous lateral hemianopia, which was the main criticism of this approach. In recent years, endoscopy assistance at the end of surgery has helped increase the rate of complete tumour removal by detecting pieces of tumour that were left in place.In Lyon, it was realized in more than 300 procedures.

Indexed as

Brain NeoplasmsNeurosurgical ProceduresPineal GlandPinealomaHumansPineal lesionsPineal region tumoursSub-occipital transtentorial approachSurgery of pineal lesions

Identifiers

PMID42115460

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.