Summary
Personal experience with surgical exploration and total resection or evacuation of pineal and midbrain mass lesions in 20 pediatric patients from a total material of 52 cases demonstrate the efficacy of modern microsurgical techniques. Microtopography indicated the choice of the most suitable approach to these deep-seated lesions. The infratentorial supracerebellar approach proved to be the ideal exposure, except in one case of a lesion in the interpeduncular cistern, where a subtemporal approach was chosen. There was only one death as a consequence of the operation in a case of an extensive medulloblastoma; in all the other cases, no increase in morbidity occurred after surgery. Duration of post-operative observation with individual survival times will be demonstrated.
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Pendl, G., Vorkapic, P. (1985). Surgery of Pineal Region Lesions in Childhood. In: Koos, W.T., Pendl, G. (eds) Lesions of the Cerebral Midline. Acta Neurochirurgica Supplementum, vol 35. Springer, Vienna. https://doi.org/10.1007/978-3-7091-8813-2_20
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DOI: https://doi.org/10.1007/978-3-7091-8813-2_20
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