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Simplified supine modified park bench / lateral decubitus position using a shoulder pad and a Mayfield head clamp for neurosurgical approach to lesions located in the occipital lobe or the posterior fossa: technical note

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Abstract

Neurosurgical approach to lesions located in the occipital lobes or in the posterior fossa require very specific and time-consuming patient installations, such as the park bench position, the prone position, or the sitting position. Nevertheless, each of these position present major drawbacks regarding specific installation-related adverse events and potentially serious neurosurgical complications such as venous air embolism, iatrogenic intracranial hypertension, and supratentorial remote hematoma just to cite a few. In order to provide neurosurgeons with a simpler, physiologically-respective, easily tolerated, less time-consuming, and less provider or specific adverse events patient installation, Ochiai (1979) introduced the supine modified park-bench / lateral decubitus position. Given that this patient position has not gained wide visibility among the neurosurgical community despite its obvious numerous advantages over its classic counterparts, we provide our experience using this installation for neurosurgical approach to lesions located in the occipital lobes and in the posterior fossa.

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Funding

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Authors and Affiliations

  1. Neurosurgery department, Sainte-Anne Military Teaching Hospital, 2 boulevard Sainte-Anne, Toulon Cedex 9, 83800, France

    Nathan Beucler, Antoine Do Tran & Arnaud Dagain

  2. Val-de-Grâce Military Academy, 1 place Alphonse Laveran, Paris Cedex 5, 75230, France

    Arnaud Dagain

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Contributions

NB designed the article. NB, ADT and AD participated to the clinical care of the patients. NB and ADT performed the literature review. NB drafted the manuscript. NB, ADT and AD reviewed the manuscript. NB and AD performed the final revision of the manuscript.

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Correspondence to Nathan Beucler.

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The patient or his relatives were able to read this manuscript and its associated illustrations, and they have given their consent for publication. This work was conducted according to the declaration of Helsinki of 1964 and any of its further amendments.

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All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest (such as honoraria; educational grants; participation in speakers? bureaus; membership, employment, consultancies, stock ownership, or other equity interest; and expert testimony or patent-licensing arrangements), or non-financial interest (such as personal or professional relationships, affiliations, knowledge or beliefs) in the subject matter or materials discussed in this manuscript.

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Beucler, N., Tran, A.D. & Dagain, A. Simplified supine modified park bench / lateral decubitus position using a shoulder pad and a Mayfield head clamp for neurosurgical approach to lesions located in the occipital lobe or the posterior fossa: technical note. Neurosurg Rev 47, 221 (2024). https://doi.org/10.1007/s10143-024-02458-1

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