Cargando…
Extended endoscopic supracerebellar infratentorial (EESI) approach for a complex pineal region tumour—a technical note
Endoscopic-assisted approaches have been shown to be a suitable alternative to the standard microscopic approach to pineal region tumours. With extension laterally into the ventricles, the 0° endoscope and microscope have significant limitations. We describe the extended endoscopic supracerebellar i...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2018
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5996006/ https://www.ncbi.nlm.nih.gov/pubmed/29687283 http://dx.doi.org/10.1007/s00381-018-3797-7 |
_version_ | 1783330732846874624 |
---|---|
author | Sinha, Saurabh Culpin, Elizabeth McMullan, John |
author_facet | Sinha, Saurabh Culpin, Elizabeth McMullan, John |
author_sort | Sinha, Saurabh |
collection | PubMed |
description | Endoscopic-assisted approaches have been shown to be a suitable alternative to the standard microscopic approach to pineal region tumours. With extension laterally into the ventricles, the 0° endoscope and microscope have significant limitations. We describe the extended endoscopic supracerebellar infratentorial (EESI) approach using angled endoscopes for a complex pineal region tumour that extended into the lateral ventricle. A 15-year-old boy presented with headaches and ataxia. MRI revealed a pineal region tumour extending into the lateral ventricle. The patient was positioned in the sitting position. The supracerebellar infratentorial corridor was accessed through a small craniotomy. The tumour was resected completely via the endoscope. Postoperatively, the patient’s symptoms resolved completely. We believe that this case highlights the benefit of using the endoscopic extended supracerebellar infratentorial (EESI) approach to resect pineal region lesions that extend beyond the midline. |
format | Online Article Text |
id | pubmed-5996006 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-59960062018-06-25 Extended endoscopic supracerebellar infratentorial (EESI) approach for a complex pineal region tumour—a technical note Sinha, Saurabh Culpin, Elizabeth McMullan, John Childs Nerv Syst Technical Note Endoscopic-assisted approaches have been shown to be a suitable alternative to the standard microscopic approach to pineal region tumours. With extension laterally into the ventricles, the 0° endoscope and microscope have significant limitations. We describe the extended endoscopic supracerebellar infratentorial (EESI) approach using angled endoscopes for a complex pineal region tumour that extended into the lateral ventricle. A 15-year-old boy presented with headaches and ataxia. MRI revealed a pineal region tumour extending into the lateral ventricle. The patient was positioned in the sitting position. The supracerebellar infratentorial corridor was accessed through a small craniotomy. The tumour was resected completely via the endoscope. Postoperatively, the patient’s symptoms resolved completely. We believe that this case highlights the benefit of using the endoscopic extended supracerebellar infratentorial (EESI) approach to resect pineal region lesions that extend beyond the midline. Springer Berlin Heidelberg 2018-04-23 2018 /pmc/articles/PMC5996006/ /pubmed/29687283 http://dx.doi.org/10.1007/s00381-018-3797-7 Text en © The Author(s) 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Technical Note Sinha, Saurabh Culpin, Elizabeth McMullan, John Extended endoscopic supracerebellar infratentorial (EESI) approach for a complex pineal region tumour—a technical note |
title | Extended endoscopic supracerebellar infratentorial (EESI) approach for a complex pineal region tumour—a technical note |
title_full | Extended endoscopic supracerebellar infratentorial (EESI) approach for a complex pineal region tumour—a technical note |
title_fullStr | Extended endoscopic supracerebellar infratentorial (EESI) approach for a complex pineal region tumour—a technical note |
title_full_unstemmed | Extended endoscopic supracerebellar infratentorial (EESI) approach for a complex pineal region tumour—a technical note |
title_short | Extended endoscopic supracerebellar infratentorial (EESI) approach for a complex pineal region tumour—a technical note |
title_sort | extended endoscopic supracerebellar infratentorial (eesi) approach for a complex pineal region tumour—a technical note |
topic | Technical Note |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5996006/ https://www.ncbi.nlm.nih.gov/pubmed/29687283 http://dx.doi.org/10.1007/s00381-018-3797-7 |
work_keys_str_mv | AT sinhasaurabh extendedendoscopicsupracerebellarinfratentorialeesiapproachforacomplexpinealregiontumouratechnicalnote AT culpinelizabeth extendedendoscopicsupracerebellarinfratentorialeesiapproachforacomplexpinealregiontumouratechnicalnote AT mcmullanjohn extendedendoscopicsupracerebellarinfratentorialeesiapproachforacomplexpinealregiontumouratechnicalnote |