Document Detail

Occipitotranstentorial approach for lesions of the superior cerebellar hemisphere: technical report.
MedLine Citation:
PMID:  9361067     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: The occipitotranstentorial approach is well accepted for lesions of the pineal region, superior cerebellar vermis, or mesencephalon. Although evidently suitable, this approach has not, to our knowledge, been reported for lesions of the superior cerebellar hemisphere in adults. Experience with this approach is reported. METHODS: Four patients underwent surgery between August 1995 and March 1997. The findings obtained are evaluated. RESULTS: All lesions were situated in the quadrangular lobules (one extending into the vermis), and all were completely removed. Postoperative deficits, especially visual field deficits, did not occur. CONCLUSION: Lesions of the superior cerebellar hemispheres are easily approached by an occipitotranstentorial route. The major advantages over a supracerebellar approach are that the surgical route is nearly perpendicular to the lesion and to the tentorium instead of parallel, and wide exposure is thereby possible.
R H Bartels; J de Vries; J J Van Overbeeke; J A Grotenhuis
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Neurosurgery     Volume:  41     ISSN:  0148-396X     ISO Abbreviation:  Neurosurgery     Publication Date:  1997 Nov 
Date Detail:
Created Date:  1997-12-22     Completed Date:  1997-12-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7802914     Medline TA:  Neurosurgery     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1127-9     Citation Subset:  IM    
Department of Neurosurgery, University Hospital Nijmegen, The Netherlands.
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MeSH Terms
Aged, 80 and over
Brain Neoplasms / radiography,  surgery*
Cerebellum / surgery*
Middle Aged
Neurosurgical Procedures / methods*
Occipital Lobe / surgery*
Pineal Gland
Tomography, X-Ray Computed

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