Object. The authors studied the microsurgical anatomy and endoscopic features of the pineal region and third ventricle to describe a combined microsurgical-endoscopic infratentorial-supracerebellar approach to the posterior third ventricle. Such an approach exposes the pineal gland and its complex neurovascular structures so that the third ventricle can be reached through a minimally invasive parapineal incision. Methods. The approach was studied in 10 adult cadaveric heads, six fresh and four formalin fixed, by using an operative microscope with a magnification level of 6 to 40 and the assistance of an endoscope. The endoscope-assisted infratentorial- supracerebellar approach affords a complete view of the third ventricle from a posterior perspective. The third ventricle is entered through a parapineal incision using the natural space between the internal cerebral vein and the vein of Rosenthal located above the superior colliculi. Conclusions. The infratentorial-supracerebellar approach to the third ventricle follows a natural corridor and requires minimal retraction and resection of critical neural structures. With the use of the endoscope, an unsurpassed view into the third ventricle from a posterior perspective is obtained.
Endoscope-assisted infratentorial-supracerebellar approach to the third ventricle : an anatomical study / A. Cardia, M. Caroli, M. Pluderi, C. Arienta, S.M. Gaini, G. Lanzino, M. Tschabitscher. - In: JOURNAL OF NEUROSURGERY. - ISSN 0022-3085. - 104:6 Suppl. S(2006 Jun), pp. 409-414. [10.3171/ped.2006.104.6.409]
|Titolo:||Endoscope-assisted infratentorial-supracerebellar approach to the third ventricle : an anatomical study|
|Parole Chiave:||Endoscopy; Infratentorial-supracerebellar approach; Microsurgical anatomy; Pediatric neurosurgery; Pineal region; Third ventricle|
|Settore Scientifico Disciplinare:||Settore MED/27 - Neurochirurgia|
|Data di pubblicazione:||giu-2006|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.3171/ped.2006.104.6.409|
|Appare nelle tipologie:||01 - Articolo su periodico|