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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...

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Detalles Bibliográficos
Autores principales: Sinha, Saurabh, Culpin, Elizabeth, McMullan, John
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
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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.
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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
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