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

  • Elvis J. Hermann
  • Joachim K. Krauss
Part of the Pediatric Cancer book series (PECA, volume 4)


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.


Posterior Fossa Fourth Ventricle Pilocytic Astrocytoma Posterior Inferior Cerebellar Artery Cerebellar Vermis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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© Springer Science+Business Media Dordrecht 2013

Authors and Affiliations

  1. 1.The Department of NeurosurgeryMedical School HannoverHannoverGermany

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