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Surgery for Infratentorial Mass

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Monitoring the Nervous System for Anesthesiologists and Other Health Care Professionals

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Abstract

The infratentorial space is that region of the intracranial space including the posterior cranial fossa below the tentorium cerebella. The tentorium cerebella are an extension of the dura mater which separates the basal surface of the occipital lobe and temporal lobes from the cerebellum and brainstem. This region includes all of the brainstem with the exception of the superior portion of the mesencephalon, which extends through an opening in the tentorium. The tentorium is a rather rigid structure such that volume expansion above or below can lead to transtentorial herniation often noted clinically by pressure on the third cranial nerve and a dilated pupil (mydriasis) on the affected side.

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Author information

Authors and Affiliations

  1. Division of Neuroanaesthesia and Intraoperative Neuromonitoring, Department of Anaesthesiology, Intensive Care and Pain Therapy, Klinikum St. Georg gGmbH Leipzig, Delitzscher Strasse 141, 04129, Leipzig, Saxony, Germany

    Michael J. Malcharek

  2. Department of Anesthesiology, Emergency Medicine and Pain Therapy, University Witten/Herdecke, Helios Clinic Wuppertal, Wuppertal, North Rhine-Westphalia, Germany

    Gerhard Schneider

Authors
  1. Michael J. Malcharek
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  2. Gerhard Schneider
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Corresponding author

Correspondence to Michael J. Malcharek .

Editor information

Editors and Affiliations

  1. Director, Neurosurg Anes Fellowship Prog, Professor, Department of Anesthesiology Chief, Neurosurgical Anesthesia, Chicago, Illinois, USA

    Antoun Koht

  2. Univ of Colorado School of Medicine, Professor Department of Anesthesiology, Aurora, Colorado, USA

    Tod B. Sloan

  3. Director,, Associate Professor Department of Anesthesiology, Chicago, Illinois, USA

    J. Richard Toleikis

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Malcharek, M.J., Schneider, G. (2012). Surgery for Infratentorial Mass. In: Koht, A., Sloan, T., Toleikis, J. (eds) Monitoring the Nervous System for Anesthesiologists and Other Health Care Professionals. Springer, Boston, MA. https://doi.org/10.1007/978-1-4614-0308-1_21

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  • DOI: https://doi.org/10.1007/978-1-4614-0308-1_21

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  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4614-0307-4

  • Online ISBN: 978-1-4614-0308-1

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