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Paramedian Approaches to the Posterior Fossa

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Book cover Posterior Fossa Tumors in Children

Abstract

Midline suboccipital craniotomies expose the fourth ventricle, upper brainstem, and pineal region, and it is widely used for lesions such as tumors of the culmen, pineal tumors, medulloblastoma, cerebellar hemisphere astrocytoma, ependymoma of the fourth ventricle, and foramen magnum tumors.

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References

  1. Rosegay H (1992) The Krause operations. J Neurosurg 76(6):1032–1036

    Article  CAS  PubMed  Google Scholar 

  2. Yasargil MG, Fox JL (1974) The microsurgical approach to acoustic neurinomas. Surg Neurol 2:393–398

    CAS  PubMed  Google Scholar 

  3. Adson AW (1941) A straight lateral incision for unilateral suboccipital craniotomy. Surg Gynecol Obstet 72:99–100

    Google Scholar 

  4. Bucy PC (1951) Surgical treatment of acoustic tumors. J Neurosurg 8:547–555

    Article  CAS  PubMed  Google Scholar 

  5. Dandy WE (1929) An operation for the cure of tic douloureux. Partial section of the sensory root at the pons. Arch Surg 18:687–734

    Article  Google Scholar 

  6. Dandy WE (1934) Removal of cerebellopontine (acoustic) tumors through a unilateral approach. Arch Surg 29:337–344

    Article  Google Scholar 

  7. Bassiouni H, Ntoukas V, Asgari S, Sandalcioglu EI, Stolke D, Seifert V (2006) Foramen magnum meningiomas: clinical outcome after microsurgical resection via a posterolateral suboccipital retrocondylar approach. Neurosurgery 59(6):1177–1187

    Article  PubMed  Google Scholar 

  8. Rhoton AL Jr (1984) Microsurgical anatomy of acoustic neuromas. Neurol Res 6:3–21

    PubMed  Google Scholar 

  9. Rhoton AL Jr (1986) Microsurgical anatomy of the brainstem surface facing an acoustic neuroma. Surg Neurol 25:326–339

    Article  PubMed  Google Scholar 

  10. Rhoton AL Jr (1976) Microsurgical removal of acoustic neuromas. Surg Neurol 6:211–219

    PubMed  Google Scholar 

  11. Bruneau M, Cornelius JF, George B (2006) Antero-lateral approach to the V3 segment of the vertebral artery. Neurosurgery 58(Suppl 1):ONS29–ONS35

    PubMed  Google Scholar 

  12. Sartor K, Fliedner E, Pfingst E (1977) Angiographic demonstration of cervical extradural meningioma. Neuroradiology 14:147–149

    Article  CAS  PubMed  Google Scholar 

  13. Tubbs RS, Loukas M, Shoja MM, Bellew MP, Cohen-Gadol AA (2009) Surface landmarks for the junction between the transverse and sigmoid sinuses: application of the “strategic” burr hole for suboccipital craniotomy. Neurosurgery 65(6 Suppl):37–41; discussion 41

    PubMed  Google Scholar 

  14. Rhoton AL Jr (2000) The cerebellopontine angle and posterior fossa cranial nerves by the retrosigmoid approach. Neurosurgery 47:S93–S129

    Article  PubMed  Google Scholar 

  15. Rhoton AL Jr (1979) Microsurgical anatomy of the posterior fossa cranial nerves. Clin Neurosurg 26:398–462

    PubMed  Google Scholar 

  16. Berry M, Bannister LH, Standring SM (1999) Nervous system. In: Williams PL (ed) Gray’s anatomy, 38th edn. Churchill Livingstone, Edinburgh, pp 1262–1264

    Google Scholar 

  17. Sinclair J, Kelly ME, Steinberg GK (2006) Surgical management of posterior fossa arteriovenous malformations. Neurosurgery 58(4 Suppl 2):ONS-189–ONS-201; discussion ONS-201

    Google Scholar 

  18. Tedeschi H, Rhoton AL Jr (1994) Lateral approaches to the petroclival region. Surg Neurol 41(3):180–216

    Article  CAS  PubMed  Google Scholar 

  19. Rhoton AL Jr (1994) The three neurovascular complexes in the posterior fossa and vascular compression syndromes (honored guest lecture). Clin Neurosurg 41:112–149

    PubMed  Google Scholar 

  20. Seeger W (1978) Atlas of topographical anatomy of the brain and surrounding structures for neuro surgeons, neuroradiologists, and neuropathologists. Springer, Vienna, pp 486–489

    Book  Google Scholar 

  21. George B, Laurian C (1979) Surgical possibilities in the third portion of the vertebral artery (above C2). Anatomical study and report of a case of anastomosis between subclavian artery and vertebral artery at C1-C2 level. Acta Neurochir Suppl (Wien) 28(1):263–269

    CAS  Google Scholar 

  22. George B, Dematons C, Cophignon J (1988) Lateral approach to the anterior portion of the foramen magnum. Application to surgical removal of 14 benign tumors: technical note. Surg Neurol 29(6):484–490

    Article  CAS  PubMed  Google Scholar 

  23. George B, Lot G, Boissonnet H (1997) Meningioma of the foramen magnum: a series of 40 cases. Surg Neurol 47(4):371–379

    Article  CAS  PubMed  Google Scholar 

  24. Heros RC (1986) Lateral suboccipital approach for vertebral and vertebrobasilar artery lesions. J Neurosurg 64(4):559–562

    Article  CAS  PubMed  Google Scholar 

  25. Samii M, Klekamp J, Carvalho G (1996) Surgical results for meningiomas of the cranio-cervical junction. Neurosurgery 39(6):1086–1095

    Article  CAS  PubMed  Google Scholar 

  26. Spetzler RF, Grahm TW (1990) The far-lateral approach to the inferior clivus and the upper cervical region. Technical note. BNI Q 6:35–38

    Google Scholar 

  27. Rhoton AL Jr (2000) The far-lateral approach and its transcondylar, supracondylar, and paracondylar extensions. Neurosurgery 47(suppl 3):S195–S209

    Article  PubMed  Google Scholar 

  28. Al-Mefty O, Borba LA, Aoki N, Angtuaco E, Pait TG (1996) The transcondylar approach to extradural nonneoplastic lesions of the craniovertebral junction. J Neurosurg 84(1):1–6

    Article  CAS  PubMed  Google Scholar 

  29. Arnold H, Sepehrnia A (1995) Extreme lateral transcondylar approach. J Neurosurg 82(2):313–314

    CAS  PubMed  Google Scholar 

  30. Sen CN, Sekhar LN (1990) An extreme lateral approach to intradural lesions of the cervical spine and foramen magnum. Neurosurgery 27(2):197–204

    Article  PubMed  Google Scholar 

  31. Babu RP, Sekhar LN, Wright DC (1994) Extreme lateral transcondylar approach: technical improvements and lessons learned. J Neurosurg 81(1):49–59

    Article  CAS  PubMed  Google Scholar 

  32. Bertalanffy H, Seeger W (1991) The dorsolateral, suboccipital, transcondylar approach to the lower clivus and anterior portion of the craniocervical junction. Neurosurgery 29(6):815–821

    Article  CAS  PubMed  Google Scholar 

  33. Menezes AH (2008) Craniovertebral junction neoplasms in the pediatric population. Childs Nerv Syst 24(10):1173–1186

    Article  PubMed  Google Scholar 

  34. Sen CN, Sekhar LN (1993) Extreme lateral transcondylar and transjugular approaches. In: Sekhar LN, Janecka IP (eds) Surgery of cranial base tumors. Raven Press, New York, pp 389–411

    Google Scholar 

  35. Menezes AH (2008) Surgical approaches: postoperative care and complications “posterolateral-far lateral transcondylar approach to the ventral foramen magnum and upper cervical spinal canal”. Childs Nerv Syst 24(10):1203–1207

    Article  PubMed  Google Scholar 

  36. Karam YR, Menezes AH, Traynelis VC (2010) Posterolateral approaches to the craniovertebral approach. Neurosurgery 66(3 Suppl):135–140

    Article  PubMed  Google Scholar 

  37. Velat GJ, Spetzler RF (2012) The far-lateral approach and its variations. World Neurosurg 77(5–6):619–620

    Article  PubMed  Google Scholar 

  38. Kikuta KI, Miyamoto S, Kataoka H, Satow T, Yamada K, Hashimoto N (2004) Use of the prone oblique position in surgery for posterior fossa lesions. Acta Neurochir (Wien) 146(10):1119–1124; discussion 1124

    Article  CAS  Google Scholar 

  39. Hernesniemi J, Ishii K, Karatas A et al (2005) Surgical technique to retract the tentorial edge during subtemporal approach: technical note. Neurosurgery 574(Suppl):E408; discussion E408

    Article  Google Scholar 

  40. Hernesniemi J, Ishii K, Niemela M et al (2005) Subtemporal approach to basilar bifurcation aneurysms: advanced technique and clinical experience. Acta Neurochir Suppl 94:31–38

    Article  CAS  PubMed  Google Scholar 

  41. Drake C, Peerless S, Hernesniemi J (1996) Surgery of vertebrobasilar aneurysms. London, Ontario experience on 1767 patients, 1st edn. Springer, Vienna, pp 21–27

    Google Scholar 

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Correspondence to Giuseppe Mirone .

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Mirone, G., Spennato, P., Cinalli, G. (2015). Paramedian Approaches to the Posterior Fossa. In: Özek, M., Cinalli, G., Maixner, W., Sainte-Rose, C. (eds) Posterior Fossa Tumors in Children. Springer, Cham. https://doi.org/10.1007/978-3-319-11274-9_9

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  • DOI: https://doi.org/10.1007/978-3-319-11274-9_9

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-11273-2

  • Online ISBN: 978-3-319-11274-9

  • eBook Packages: MedicineMedicine (R0)

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