Borba, Luis A. B. et al.: 2021 Microsurgical and Endoscopic Approaches to the Skull Base DOI: 10.1055/b-0041-182768
Section VIII Approaches to the Posterior Incisural Space

47 Supracerebellar Infratentorial Approach: Endoscopic Perspective

More Information

Book

Editors: Borba, Luis A. B.; de Oliveira, Jean G.

Authors: Ahmed, A. Karim; Almeida, Joao Paulo; Alzhrani, Gmaan A.; Aragón-Arreola, Jorge F.; Barbero, Juan Manuel Revuelta; Berumen, Enrique Lopez; Borghei-Ravazi, Hamid; Braga, Fernando Menezes; Burhan, Hira; Cabral, Gustavo Augusto Porto Sereno; Caffaratti, Guido; Campero, Alvaro; Cândido, Duarte N. C.; Carrau, Ricardo L.; Cassidy, Matthew; Castellanos, Alberto Manuel Ángeles; Catapano, Joshua S.; Ceccato, Guilherme Henrique Weiler; Centeno, Tomás Ries; Cerezo, Eugenio; Chakravarthi, Srikant; Chaudhary, Pramod; Cherian, Iype; Cohen, Alan R.; Colli, Benedicto Oscar; Couldwell, William T.; Dodson, Vincent; Eguiluz-Meléndez, Aldo G.; Elizalde, Ramiro López; Eloy, Jean Anderson; Felicio, Thiago Albonette; Felix, Vinod; Ferrarez, Carlos Eduardo Prata Fernandes; Ferreira, Mauro A. Tostes; Fernandez-Miranda, Juan C.; Filho, Miguel Giudicissi; Froelich, Sébastien; García, Martín Granados; Gardner, Paul A.; Gentili, Fred; Giacomelli, Richard; Goel, Atul; Gómez-Amador, Juan Luis; Gozal, Yair M.; Gondim, Guilherme Gozzoli Podolsky; Gusmão, Sebastião Nataniel Silva; Hanakita, Shunya; Hardesty, D. A.; Herrera, Daniel Londoño; Hsueh, Wayne D.; Joshi, Krishna C.; Jradi, Ahmed Al; Kadri, Paulo A. S.; Kafle, Prakash; Kalb, Samuel; Kalkmann, Gabriela F.; Kanaan, Imad N.; Karekezi, Claire; Kassam, Amin; Kovalev, Aleksandr Yurievich; Kshettry, Varun R.; Labidi, Moujahed; Landeiro, José Alberto; Lang, Michael J.; Lawton, Michael T.; Lem-Carrillo, Mónica; Liu, James K.; Longo-Calderón, Gabriel Mauricio; Lopez, Juan; Lovato, Renan M.; Majmundar, Neil; Marian-Magaña, Ricardo; Maluf, Felipe Bicalho; Martínez-Manrique, José de Jesús; Martins, Carolina; Martins, Warley; Markin, Egor S.; Méndez, Humberto Reyna; Monroy-Sosa, Alejandro; Mora, José Alfredo Espinosa; Mukherjee, Debraj; Munakomi, Sunil; Mura, Jorge; Nakaji, Peter; Narendrakumar, Veerasigamani; Nathal, Edgar; Nunes, Cristian Ferrareze; Oliveira, Marcelo Magaldi; Ortega-Porcayo, Luis Alberto; Otto, Bradley A.; Park, HunHo; Peres, Gabriel H.; Porras, Jose Luis; Prevedello, Daniel M.; Rassi, Marcio S.; Rassi-Neto, Aziz; Recinos, Pablo F.; Rehder, Roberta; Reis, Cassius Vinicius Correa dos; Reyes, Laura Matilde Ubaldo; Rhoton, Albert; Ribas, Eduardo Carvalhal; Ríos-Zermeño, Jorge; Rocha, Eder da Silva; Romano-Feinholz, Samuel; Ronconi, Daniel; Rosito, Diego Méndez; S., Vignesh; Sáenz, Amparo; Safarov, Aidar Kh.; Sagar, Soumya; Sanchez, Miguel M.; Shrestha, Sudeep; Silva, Izabel Eugênia Costa e; da Silveira, Roberto Leal; Snyderman, Carl H.; Socolovsky, Mariano; Spetzler, Robert F.; Sufianov, Rinat A.; Sufianov, Albert A.; Thingujam, Jagadish; Todeschini, Alexandre B.; Valença, Marcelo; Valencia-Ramos, Cristopher G.; Veiga, José Carlos Esteves; Vescan, Allan; Villalonga, Juan F.; Volovetz, Josephine; Wang, Eric W.; Watanabe, Kentaro; Wicks, Robert T.; Witterick, Ian; Yasuda, Alexandre; Zadeh, Gelareh; Zagzoog, Nirmeen; Zahrani, Abdulrahman Al; Zhao, Xiaochun; Zoli, M.

Title: Microsurgical and Endoscopic Approaches to the Skull Base

Subtitle: Anatomy, Tactics, and Techniques

Print ISBN: 9781626239661; Online ISBN: 9781684203772; Book DOI: 10.1055/b000000340

Subjects: Neurosurgery;Otorhinolaryngology, Phoniatrics, Audiology

Thieme Clinical Collections (English Language)



 
Robert T. Wicks, Xiaochun Zhao, and Peter Nakaji

Abstract

The supracerebellar infratentorial approach can provide direct access to potential pathologies of the pineal region, quadrigeminal plate, and superior cerebellar artery. The medial pulvinar, bilateral atria of the lateral ventricles, and mesial temporal region can also be approached through a transtentorial extension. Complications are minimized through a minimally invasive, off-midline craniotomy and integration of the high-definition endoscope from the beginning of the case. Three representative cases showing the dynamic options available through this surgical approach are presented.

 
  • 1 Cardia A, Caroli M, Pluderi M et al. Endoscope-assisted infratentorial-supracerebellar approach to the third ventricle: an anatomical study.. J Neurosurg 2006; 104 (6) (Suppl. Suppl) 409-414 PubMed (PMID: 16776376)
  • 2 Conrad J, Welschehold S, Charalampaki P, van Lindert E, Grunert P, Perneczky A. Mesencephalic ependymal cysts: treatment under pure endoscopic or endoscope-assisted keyhole conditions.. J Neurosurg 2008; 109 (4) 723-728 PubMed (PMID: 18826361)
  • 3 Kalani MY, Martirosyan NL, Nakaji P, Spetzler RF. The supracerebellar infratentorial approach to the dorsal midbrain.. Neurosurg Focus 2016; 40 Video (Suppl. Suppl 1) 1-, 15462 PubMed (PMID: 26722694)
  • 4 Kalani MY, Lei T, Martirosyan NL, Oppenlander ME, Spetzler RF, Nakaji P. Endoscope-assisted supracerebellar transtentorial approach to the posterior medial temporal lobe for resection of cavernous malformation.. Neurosurg Focus 2016; 40 Video (Suppl. Suppl 1) 1-, 15465 PubMed (PMID: 26722685)
  • 5 Uschold T, Abla AA, Fusco D, Bristol RE, Nakaji P. Supracerebellar infratentorial endoscopically controlled resection of pineal lesions: case series and operative technique.. J Neurosurg Pediatr 2011; 8 (6) 554-564 PubMed (PMID: 22132912)
  • 6 Zhao X, Borba Moreira L, Cavallo C et al. Quantitative endoscopic comparison of contralateral interhemispheric transprecuneus and supracerebellar transtentorial transcollateral sulcus approaches to the atrium.. World Neurosurg 2019; 122: e215-e225 PubMed (PMID: 30308340)
  • 7 Yonekawa Y, Imhof HG, Taub E et al. Supracerebellar transtentorial approach to posterior temporomedial structures.. J Neurosurg 2001; 94 (2) 339-345 PubMed (PMID: 11213977)
  • 8 Cushing H. Intracranial Tumours: Notes upon a Series of Two Thousand Verified Cases with Surgical-Mortality Percentages Pertaining Thereto. Springfield, Illinois: C.C. Thomas; 1932
  • 11 Yasargil M. Paramedian supracerebellar approach. In: Yasargil M, ed. Microneurosurgery. Vol. 1. New York: Thieme; 1984:242
  • 12 Laborde G, Gilsbach JM, Harders A, Seeger W. Experience with the infratentorial supracerebellar approach in lesions of the quadrigeminal region, posterior third ventricle, culmen cerebelli, and cerebellar peduncle.. Acta Neurochir (Wien) 1992; 114 (3–4) 135-138 PubMed (PMID: 1580192)
  • 13 Ogata N, Yonekawa Y. Paramedian supracerebellar approach to the upper brain stem and peduncular lesions.. Neurosurgery 1997; 40 (1) 101-104, discussion 104–105 PubMed (PMID: 8971831)
  • 14 Porter JM, Pidgeon C, Cunningham AJ. The sitting position in neurosurgery: a critical appraisal.. Br J Anaesth 1999; 82 (1) 117-128 PubMed (PMID: 10325848)
  • 15 Nathoo N, Mayberg MR, Barnett GHW. W. James Gardner: pioneer neurosurgeon and inventor.. J Neurosurg 2004; 100 (5) 965-973 PubMed (PMID: 15137620)
  • 16 Himes BT, Mallory GW, Abcejo AS et al. Contemporary analysis of the intraoperative and perioperative complications of neurosurgical procedures performed in the sitting position.. J Neurosurg 2017; 127 (1) 182-188 PubMed (PMID: 27494821)
  • 17 Spektor S, Fraifeld S, Margolin E, Saseedharan S, Eimerl D, Umansky F. Comparison of outcomes following complex posterior fossa surgery performed in the sitting versus lateral position.. J Clin Neurosci 2015; 22 (4) 705-712 PubMed (PMID: 25752232)
  • 18 Hsu W, Li KW, Bookland M, Jallo GI. Keyhole to the brain: Walter Dandy and neuroendoscopy.. J Neurosurg Pediatr 2009; 3 (5) 439-442 PubMed (PMID: 19409026)
  • 19 Apuzzo ML, Heifetz MD, Weiss MH, Kurze T. Neurosurgical endoscopy using the side-viewing telescope.. J Neurosurg 1977; 46 (3) 398-400 PubMed (PMID: 839267)
  • 20 Reisch R, Stadie A, Kockro RA, Hopf N. The keyhole concept in neurosurgery.. World Neurosurg 2013; 79 (2) (Suppl. Suppl) 17.e9-17.e13 PubMed (PMID: 22381839)
  • 21 Gronert GA, Messick Jr JM, Cucchiara RF, Michenfelder JD. Paradoxical air embolism from a patent foramen ovale.. Anesthesiology 1979; 50 (6) 548-549 PubMed (PMID: 453582)
  • 22 Schwarz G, Fuchs G, Weihs W, Tritthart H, Schalk HV, Kaltenböck F. Sitting position for neurosurgery: experience with preoperative contrast echocardiography in 301 patients.. J Neurosurg Anesthesiol 1994; 6 (2) 83-88 PubMed (PMID: 8012178)
  • 23 Vishteh AG, David CA, Marciano FF, Coscarella E, Spetzler RF. Extreme lateral supracerebellar infratentorial approach to the posterolateral mesencephalon: technique and clinical experience.. Neurosurgery 2000; 46 (2) 384-388, discussion 388–389 PubMed (PMID: 10690727)
  • 24 Kalani MYS, Couldwell WT. Extreme lateral supracerebellar infratentorial approach to the lateral midbrain.. J Neurol Surg B Skull Base 2018; 79 (Suppl. Suppl 5) S415-S417 PubMed (PMID: 30456047)
  • 25 Giammattei L, Borsotti F, Daniel RT. Extreme lateral supracerebellar infratentorial approach: how I do it.. Acta Neurochir (Wien) 2019; 161 (5) 1013-1016 PubMed (PMID: 30937609)
  • 26 Zaidi HA, Elhadi AM, Lei T, Preul MC, Little AS, Nakaji P. Minimally invasive endoscopic supracerebellar-infratentorial surgery of the pineal region: anatomical comparison of four variant approaches.. World Neurosurg 2015; 84 (2) 257-266 PubMed (PMID: 25827042)
  • 27 Jakola AS, Bartek Jr J, Mathiesen T. Venous complications in supracerebellar infratentorial approach.. Acta Neurochir (Wien) 2013; 155 (3) 477-478 PubMed (PMID: 23314936)
  • 28 Yasargil M. Infratentorial cerebellar convexity AVMs. In: Yasargil M, ed. Microneurosurgery. Vol IIIB. New York: Thieme; 1988:169–171
  • 30 Gore PA, Gonzalez LF, Rekate HL, Nakaji P. Endoscopic supracerebellar infratentorial approach for pineal cyst resection: technical case report.. Neurosurgery 2008; 62 (3) (Suppl. Suppl 1) 108-109, discussion 109 PubMed (PMID: 18424974)