Intracranial Procedures in the Prone Position

  • Mirza Pojskic
  • Kenan I. Arnautovic


The prone position is commonly used for approaches to the posterior fossa, pineal and suboccipital regions, posterior parietal and occipital regions, and posterior approaches to the upper cervical spine. Because of the relatively high complication rate and disadvantages of the sitting and semi-sitting positions, especially the risk of venous air embolism, the prone position and its modifications (Concorde and arm-down Concorde) are becoming more important for everyday surgical practice. In this chapter, we discuss the physiology of the prone position and its general and specific considerations for positioning the patient for lesions of the posterior fossa and pineal region, as well as complications.


Prone position Concorde position Pineal region Posterior fossa Midline suboccipital approach Supracerebellar infratentorial approach 


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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Mirza Pojskic
    • 1
    • 2
  • Kenan I. Arnautovic
    • 2
  1. 1.Department of NeurosurgeryPhilipps University MarburgMarburgGermany
  2. 2.Department of NeurosurgerySemmes-Murphey Clinic, University of TennesseeMemphisUSA

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