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Giant Pediatric Midline Tumors of the Posterior Fossa: The Combined Transventricular and Supracerebellar Technique and other Approaches

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Pediatric Cancer, Volume 4

Part of the book series: Pediatric Cancer ((PECA,volume 4))

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Abstract

Huge pediatric midline tumors of the posterior fossa involving the fourth ventricle and the tectal region are challenging and difficult to approach. One important postoperative side effect is the occurrence of cerebellar mutism. During the last decades survival rates increased remarkably, not only due to technical innovations in surgery but also due to improved postoperative adjuvant therapy options like radiation therapy and chemotherapy in an interdisciplinary therapy setting. We present our experience with a combined transventricular/telovelar and supracerebellar/infratentorial approach in a total of five pediatric patients which allows removal of huge pediatric midline tumors of the posterior fossa without vermian splitting and thus reducing the risk of postoperative cerebellar mutism.

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Authors and Affiliations

  1. The Department of Neurosurgery, Medical School Hannover, Carl-Neuberg-Str1, 30625, Hannover, Germany

    Elvis J. Hermann & Joachim K. Krauss

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  1. Elvis J. Hermann
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  2. Joachim K. Krauss
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Correspondence to Joachim K. Krauss .

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Editors and Affiliations

  1. , Kean University, Room 213, Library building, Morris Avenue 1000, Union, 07083, New Jersey, USA

    M.A. Hayat

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Hermann, E.J., Krauss, J.K. (2013). Giant Pediatric Midline Tumors of the Posterior Fossa: The Combined Transventricular and Supracerebellar Technique and other Approaches. In: Hayat, M. (eds) Pediatric Cancer, Volume 4. Pediatric Cancer, vol 4. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-6591-7_26

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