The midline suboccipital subtonsillar approach to the cerebellomedullary cistern: how I do it.

Abstract:

BACKGROUND:Lesions lateral to the lower brainstem in an area extending from the foraminae of Luschka to the foramen magnum are rare and include different pathologies. There is no consensus on an ideal surgical approach. METHOD:To gain access to this area, we use the midline suboccipital subtonsillar approach (STA). This midline approach with unilateral retraction of the cerebellar tonsil enables entry into the cerebellomedullary cistern. CONCLUSIONS:The STA offers excellent access with a panoramic view of the cerebellomedullary cistern and its structures and therefore can be useful for a number of different pathologies in the lower petroclival area.

journal_name

Acta Neurochir (Wien)

journal_title

Acta neurochirurgica

authors

Herlan S,Roser F,Ebner FH,Tatagiba M

doi

10.1007/s00701-017-3270-5

subject

Has Abstract

pub_date

2017-09-01 00:00:00

pages

1613-1617

issue

9

eissn

0001-6268

issn

0942-0940

pii

10.1007/s00701-017-3270-5

journal_volume

159

pub_type

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