How I do it: paramedian supracerebellar transtentorial approach for a temporomesial glioma

Acta Neurochir (Wien). 2021 May;163(5):1311-1316. doi: 10.1007/s00701-021-04825-z. Epub 2021 Mar 30.

Abstract

Background: Classical approaches to the temporomesial region (TMR) include transtemporal, transylvian, or subtemporal. The supracerebellar infratentorial, initially developed to access dorsolateral cavernomas, has of late shown its versatility to access areas around the central core. The TMR is one such area that can be accessed through this approach with the addition of a tentorial incision.

Method: The paramedian supracerebellar transtentorial approach (PSCTA) is described along with its advantages and limits compared to other approaches to treat TMR gliomas.

Conclusion: The PSCTA offers a basal panoramic view of the TMR without the need of retraction, cortical incision, and white matter transgression.

Keywords: Limbic tumors; Semi sitting position; Supracerebellar transtentorial approach; Temporomesial glioma; Tentorial incision.

MeSH terms

  • Anesthetics / pharmacology
  • Brain Neoplasms / diagnostic imaging
  • Brain Neoplasms / pathology
  • Brain Neoplasms / surgery*
  • Craniotomy
  • Dura Mater / diagnostic imaging
  • Dura Mater / pathology
  • Dura Mater / surgery
  • Glioma / diagnostic imaging
  • Glioma / pathology
  • Glioma / surgery*
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Neurosurgical Procedures*
  • Temporal Lobe / diagnostic imaging
  • Temporal Lobe / pathology
  • Temporal Lobe / surgery*

Substances

  • Anesthetics