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  • Title: How I do it--pineal surgery: supracerebellar infratentorial versus occipital transtentorial.
    Author: Hart MG, Santarius T, Kirollos RW.
    Journal: Acta Neurochir (Wien); 2013 Mar; 155(3):463-7. PubMed ID: 23269352.
    Abstract:
    BACKGROUND: Resection of a pineal tumour requires fastidious pre-operative planning to select the optimal surgical approach and maximise resection while minimising morbidity. METHOD: To describe and compare the supracerebellar infratentorial and occipital transtentorial approaches. CONCLUSIONS: Specific considerations include patient-specific anatomy, extent and relationships of the tumour, and the techniques likely to be employed during resection. The supracerebellar infratentorial approach provides a direct corridor to pineal tumours caudal to the deep veins; for tumours invaginating the tectal plate in a caudal direction the occipital transtentorial provides a better view.
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