Operative approaches to the pineal region tumors |
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Authors: | M. Fukui Yoshihiro Natori Toshio Matsushima Shunji Nishio Kiyonobu Ikezaki |
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Affiliation: | (1) Department of Neurosurgery, Neurological Institute, Kyushu University, Fukuoka, 812–82 Japan Tel.: (81) 92-642-5521 Fax: (81) 92-642-5526 e-mail: masa@ns.med.kyushu-u.ac.jp, JP |
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Abstract: | Until the introduction of microsurgery, the surgical treatment of pineal region tumors had very poor results with high mortality and morbidity. However, there have been remarkable improvements with modern surgical technology and advanced knowledge. Now the main surgical approaches to pineal region tumors are the occipital transtentorial approach and the infratentorial supracerebellar approach. Recently the neuroendoscopic approach has been added. The surgical approach and any supplementary treatment should be selected in each case according to the nature of the individual tumor. The forms of treat-ment practiced by ourselves, including neuroendoscopic surgery, are presented, and the surgical treatments now applied are discussed. |
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Keywords: | Pineal region tumor Occipital transtentorial approach Infratentorial supracerebellar approach Neuroendoscopic approach |
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