Posterior Interhemispheric Transcallosal Approach to Pineal Region Tumors

2008 ◽  
Vol 1 (4) ◽  
pp. A355-A355
Author(s):  
R. G. Ellenbogen ◽  
A. Avellino ◽  
K. Stevenson ◽  
P. Gabikian ◽  
R. Sze
2021 ◽  
Vol 5 (1) ◽  
pp. V11
Author(s):  
Daniel A. Donoho ◽  
Guillermo Aldave

Pineal region tumors represent a formidable challenge to the neurosurgeon. Choosing the right approach is key to optimizing the extent of resection and minimizing surgical morbidity. In this video, the authors show an interhemispheric transcallosal approach to a pineal region tumor in a 15-year-old boy. The advantage of this corridor over posterior approaches is that it provides a nice view of the tumor plane with the venous complex, especially while dissecting tumor from the anterior aspect of the internal cerebral veins on their vertical path. Thus, this approach represents a safe and effective alternative for selected pineal tumors. The video can be found here: https://stream.cadmore.media/r10.3171/2021.4.FOCVID2120.


1994 ◽  
Vol 12 (1) ◽  
pp. 17-24 ◽  
Author(s):  
Athanasios D. Gouliamos ◽  
Angelos E. Kalovidouris ◽  
Grigoris K. Kotoulas ◽  
Alexandra K. Athanasopoulou ◽  
John R. Kouvaris ◽  
...  

2021 ◽  
Vol 36 (1) ◽  
Author(s):  
Saraj Kumar Singh ◽  
Krishan Kumar Sharma ◽  
Tarun Kumar

Abstract Background Pineal region tumors are commonly present in the pediatric age group. However, pleomorphic xanthoastrocytoma (PXA) is very rare at this region, and only few case reports have been reported till now in literature. Case presentation Here, we report a rare case of pineal region, juxta-thalamic, pleomorphic xanthoastrocytoma (PXA) in an 11-year-old male child. The child presented with severe headache after which MRI was done. It was suggestive of pineal region low-grade tumor. The patient was operated in Parkbench position with SCIT (supracerebellar approach) in a retractor-free manner. Gross total resection was done. However, the patient developed postoperative left-sided hemiparesis. It got improved in 1 month, and the patient became ambulatory. Histopathology came out as pleomorphic xanthoastrocytoma. Conclusion Surgical management should include careful resection near the internal capsule to avoid postoperative hemiparesis. Also, shunt should be delayed in the cystic cavity created by resection of tumor.


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