title: Two-stage surgical resection of an atypical teratoid rhabdoid tumor occupying the infratentorial and supratentorial compartment in children under two years: Report of two cases.
abstract: BACKGROUND
  Atypical teratoid rhabdoid tumors are highly malignant neoplasms that present in young children and can grow to a large size. Maximal safe surgical resection is a mainstay of treatment.
  
  
  METHODS
  Two cases of children under the age of two with large tumors involving the supratentorial and infratentorial compartments are presented. A two-staged operative approach combining a standard suboccipital approach to the fourth ventricle followed by an infratentorial, supracerebellar approach was utilized for resection.
  
  
  CONCLUSIONS
  Maximal safe surgical resection of large tumors in young children is challenging. A staged approach is presented that affords maximal tumor resection while minimizing perioperative morbidity.
  
  
  CONCLUSIONS
  A staged operative approach appears safe and efficacious when resecting large tumors from both the infratentorial and supratentorial compartments in children less than two years of age.
authors.affiliation: Department of Neurosurgery, University of Alabama at Birmingham, Birmingham, AL, United States. Electronic address: pforeman@uabmc.edu.
authors.forename: Paul M
authors.initials: PM
authors.lastname: Foreman
authors.affiliation: Department of Neurosurgery, University of Alabama at Birmingham, Birmingham, AL, United States.
authors.forename: Casey J
authors.initials: CJ
authors.lastname: Madura
authors.affiliation: Department of Neurosurgery, University of Alabama at Birmingham, Birmingham, AL, United States.
authors.forename: James M
authors.initials: JM
authors.lastname: Johnston
authors.affiliation: Department of Neurosurgery, University of Alabama at Birmingham, Birmingham, AL, United States.
authors.forename: Brandon G
authors.initials: BG
authors.lastname: Rocque
keywords: Atypical teratoid rhabdoid tumor; Infratentorial; Resection; Supratentorial
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