Midline suboccipital osteoplastic craniotomy - 'cobra craniotomy'.

Abstract:

BACKGROUND:Midline suboccipital craniotomy has been proposed as an alternative to conventional craniectomy for removal of posterior fossa tumors. METHOD:We describe a modified technique for midline suboccipital osteoplastic craniotomy based on the atlantooccipital membrane for a 17-year-old boy with superior vermian astrocytoma. Osteoplastic craniotomy was performed safely in this patient. RESULT:The presence of the turned down, attached bone flap did not interfere with surgery. Reattachment of the bone flap was easy and stable. This technique was not associated with additional risks. CONCLUSION:Midline suboccipital osteoplastic craniotomy is a better option for superiorly placed midline posterior fossa tumor surgery.

journal_name

Pediatr Neurosurg

journal_title

Pediatric neurosurgery

authors

Maiti T,Bhat DI,Devi BI,Shukla D

doi

10.1159/000354220

subject

Has Abstract

pub_date

2012-01-01 00:00:00

pages

394-6

issue

6

eissn

1016-2291

issn

1423-0305

pii

000354220

journal_volume

48

pub_type

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