Pineal region approaches

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Status
Done
  • Venous sacrifice of PCC precentral cerebral vein can be done
  • Infratentorial supracerebellar
    • Sitting/concorde
    • Galenic system dorsal to tumour
    • Section PCC vein
    • Sacrifice thin bridging veins midline
    • Preserve thick bridging veins lat
    • Easy orientation/ narrow angle and restricted operative field
    • Steeply inclined tent
  • Occipital transtentorial
    • Sitting/prone/concorde/3/4 position
    • Occipital lobe retraction
    • Corridor between occipital lobe and falx
    • Wide view infra and supratentorial compartments
    • Tumours with superior and lateral extension
    • Tent split easily
    • Oblique trajectory
    • Veins in way