title: Supracerebellar transtentorial approach to posterior temporomedial structures.
abstract: The supracerebellar transtentorial (SCTT) approach, a modification of the infratentorial supracerebellar approach, facilitates simple and minimally invasive access to posterior temporomedial structures without requiring retraction of the temporal or occipital lobe. The SCTT approach was used in 16 patients over a 3-year period. Eleven patients harbored tumors confined to, or located mainly within, the posterior hippocampal formation, three patients harbored aneurysms (one ruptured posterior cerebral artery [PCA] aneurysm at the P2-P3 junction, one ruptured giant PCA [P2] aneurysm, and one giant basilar artery-superior cerebellar artery aneurysm), one patient had juvenile-type moyamoya disease, and one patient suffered from medically intractable epilepsy. In these patients, the SCTT approach enabled tumor removal, aneurysm clipping, and vascular bypass procedures. The authors' experience suggests that this approach can be used routinely in treating lesions in the posterior temporomedial region.
authors.affiliation: Department of Neurosurgery, Zurich University Hospital, Switzerland. yonekawa@nch.unizh.ch
authors.forename: Y
authors.initials: Y
authors.lastname: Yonekawa
authors.forename: H G
authors.initials: HG
authors.lastname: Imhof
authors.forename: E
authors.initials: E
authors.lastname: Taub
authors.forename: M
authors.initials: M
authors.lastname: Curcic
authors.forename: Y
authors.initials: Y
authors.lastname: Kaku
authors.forename: P
authors.initials: P
authors.lastname: Roth
authors.forename: H G
authors.initials: HG
authors.lastname: Wieser
authors.forename: P
authors.initials: P
authors.lastname: Groscurth
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D017542:Aneurysm, Ruptured / Q000473:pathology / Q000601:surgery*; D002531:Cerebellum / Q000601:surgery*; D002548:Cerebral Revascularization; D002648:Child; D002675:Child, Preschool; D003399:Craniotomy / Q000379:methods*; D017029:Epilepsy, Complex Partial / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000473:pathology / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009072:Moyamoya Disease / Q000473:pathology / Q000601:surgery*; D009778:Occipital Lobe / Q000473:pathology / Q000601:surgery*; D020534:Parahippocampal Gyrus / Q000473:pathology / Q000601:surgery*; D015173:Supratentorial Neoplasms / Q000473:pathology / Q000601:surgery*; D013702:Temporal Lobe / Q000473:pathology / Q000601:surgery*