Surgery of pineal region lesions in childhood.
Personal experience with surgical exploration and total resection or evacuation of pineal and midbrain mass lesions in 20 pediatric patients from a total material of 52 cases demonstrate the efficacy of modern microsurgical techniques. Microtopography indicated the choice of the most suitable approach to these deep-seated lesions. The infratentorial supracerebellar approach proved to be the ideal exposure, except in one case of a lesion in the interpeduncular cistern, where a subtemporal approach was chosen. There was only one death as a consequence of the operation in a case of an extensive medulloblastoma; in all the other cases, no increase in morbidity occurred after surgery. Duration of post-operative observation with individual survival times will be demonstrated.
D000293:Adolescent; D001927:Brain Diseases / Q000601:surgery*; D001932:Brain Neoplasms / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D003560:Cysts / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D008636:Mesencephalon; D008866:Microsurgery; D010870:Pineal Gland