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KMID : 0942820020010010016
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Journal of Korean Brain Tumor Society
2002 Volume.1 No. 1 p.16 ~ p.23
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Occipital Transtentorial Approach
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Jung Shin
Moon Kyung-Sub
Kang Sam-Suk
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Abstract
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Until the introduction of microsurgery, the surgical result of pineal region tumors was very poor with high mortality and morbidity. However, there have been remarkable improvements with advanced imaging, surgical approaches, and microsurgery. Now the main surgical approaches to pineal region tumors are the occipital transtentorial approach and the infratentorial supracerebellar approach. Surgical techniques of the occipital transtentorial approach are described here. The occipital transtentorial approach is showed to be effective not only for pineal body tumors, but also for superomedial cerebellar tumors. Current operative techniques allow safe, effective removal of pineal region tumors. To date, published results of this operative approach have been excellent with little risk of specific complications including hemianopsia, parenchymal venous infarction, and air embolus. Our surgical results are presented.
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KEYWORD
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Pineal tumor, Occipital transtentorial approach, Surgical technique, Complications
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