The Supracerebellar Infratentorial Approach to the Dorsal Midbrain

Authors

M. Yashar S. KalaniFollow
Nikolay L. MartirosyanFollow
Peter Nakaji, Barrow Neurological InstituteFollow
Robert F. Spetzler, Barrow Neurological InstituteFollow

Department

neurosurgery

Document Type

Article

Abstract

The supracerebellar infratentorial approach provides access to the dorsal midbrain, pineal region, and tentorial incisura. This approach can be used with the patient in a sitting, prone, park-bench, or supine position. For a patient with a supple neck and favorable anatomy, we prefer the supine position. The ipsilateral shoulder is elevated, the head turned to the contralateral side, the chin is tucked, and the neck extended toward the floor to open the craniocervical angle for added working room. Care must be taken to place the craniotomy laterally to make use of the ascending angle of the tentorium for ease of access to deep-seated lesions. The video can be found here: https://youtu.be/BZh6ljmE23k .

Publication Date

2016

Publication Title

Neurosurgical focus

ISSN

1092-0684

Volume

40

First Page

2016.1.FocusVid.15462

Digital Object Identifier (DOI)

10.3171/2016.1.FocusVid.15462

Recommended Citation

Kalani, M. Yashar S.; Martirosyan, Nikolay L.; Nakaji, Peter; and Spetzler, Robert F., "The Supracerebellar Infratentorial Approach to the Dorsal Midbrain" (2016). Neurosurgery. 465.
https://scholar.barrowneuro.org/neurosurgery/465