Anatomic, qualitative, and quantitative evaluation of the variants of the infratentorial supracerebellar approach to the posteroinferior thalamus.
Infratentorial Supracerebellar access
Microsurgery
Neuroanatomy
Pineal
Pulvinar
Suboccipital craniotomy
Thalamus
Journal
Neurosurgical review
ISSN: 1437-2320
Titre abrégé: Neurosurg Rev
Pays: Germany
ID NLM: 7908181
Informations de publication
Date de publication:
Aug 2021
Aug 2021
Historique:
received:
01
08
2020
accepted:
28
09
2020
revised:
03
09
2020
pubmed:
25
10
2020
medline:
7
10
2021
entrez:
24
10
2020
Statut:
ppublish
Résumé
The posteroinferior region of the thalamus is formed by the pulvinar, and it is surgically accessed through the infratentorial supracerebellar approach, between the midline and the retromastoid region. This study aimed to compare the paramedian, lateral, extreme lateral, and contralateral paramedian corridors with the posteroinferior thalamus through a suboccipital craniotomy and an infratentorial supracerebellar access. Ten cadavers were studied, and the microsurgical dissections were accompanied by the measurement of the variables using a neuronavigation system. Statistical analysis was performed using analysis of variance (ANOVA). The distance between the access midpoint at the cranial surface and pulvinar varied between 53.3 and 53.9 mm, the contralateral access being an exception (59.9 mm). The vertical angle ranged from 20.6° in the contralateral access to 23.5° in the lateral access. There was a gradual increase in the horizontal angle between the paramedian (17.4°), lateral (31.3°), and extreme lateral (43.7°) accesses. But, this angle in the contralateral access was 14.6°, similar to that of the paramedian access. The exposed area of the thalamus was 125.1 mm
Identifiants
pubmed: 33098480
doi: 10.1007/s10143-020-01405-0
pii: 10.1007/s10143-020-01405-0
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2309-2318Informations de copyright
© 2020. Springer-Verlag GmbH Germany, part of Springer Nature.
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