Advanced microsurgical techniques combined with improved neuroanesthetic and postoperative
critical care have made aggressive surgical resection a mainstay in the management
of posterior third ventricular and pineal region tumors. Although a variety of approaches
to the posterior third ventricle have been designed [
1
,
2
,
3
,
4
,
5
,
6
,
7
], three are in common use. The infratentorial-supracerebellar approach takes advantage
of a natural corridor between the cerebellum and the tentorium. Supratentorial approaches
include the interhemispheric-transcallosal and occipital-transtentorial approaches.
Choosing the optimal surgical approach depends on the anatomic extent of the tumor
as well as on the preference and experience of the surgeon. Refinements in surgical
technique have led to a more favorable outlook for patients with these uncommon tumors.To read this article in full you will need to make a payment
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