A Supracerebellar-Infratentorial Approach in Pineal Region Lesions

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11110%2F20%3A10418343" target="_blank" >RIV/00216208:11110/20:10418343 - isvavai.cz</a>

Výsledek na webu

<a href="https://doi.org/10.1007/978-3-030-50913-2_8" target="_blank" >https://doi.org/10.1007/978-3-030-50913-2_8</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1007/978-3-030-50913-2_8" target="_blank" >10.1007/978-3-030-50913-2_8</a>

Jazyk výsledku

angličtina

Název v původním jazyce

A Supracerebellar-Infratentorial Approach in Pineal Region Lesions

Popis výsledku v původním jazyce

The pineal region is a deep-seated area of the brain surrounded by eloquent structures. Differential diagnosis of space-occupying lesions in this region encompasses pineal gland cysts, pineal gland tumors, metastases, germ cell tumors, meningiomas, gliomas, ependymomas, hemangioblastomas, and neuroectodermal tumors. Cavernomas are also rather frequent lesions in this area; more rare lesions include arteriovenous malformations, and cholesteatomas occur infrequently. The surgical strategy is mainly based on anatomical characteristics and the histological type of the tumor. Except for radiosensitive germinomas, complete surgical excision is the treatment of choice.Microsurgical supracerebellar-infratentorial (SCIT) approach is essential for resection of pineal region lesions. SCIT is a straightforward extracerebral approach via the natural corridor between the superior aspect of the cerebellum and the tentorium. A unilateral SCIT approach has recently been used to protect the dominant transverse sinus and spare the bridging veins between the vermis and tentorium. The SCIT is a versatile approach, addressing not only lesions in the pineal region but also pathologies in the tectum and lateral mesencephalon, posterior third ventricle, upper fourth ventricle, anterior rectus sinus, posterior thalamus and upper cerebellopontine angle, medial temporal and occipital lobe, and finally, the petroclival area up to the posterior clinoid process. The cavum Meckeli is also accessible.

Název v anglickém jazyce

A Supracerebellar-Infratentorial Approach in Pineal Region Lesions

Popis výsledku anglicky

The pineal region is a deep-seated area of the brain surrounded by eloquent structures. Differential diagnosis of space-occupying lesions in this region encompasses pineal gland cysts, pineal gland tumors, metastases, germ cell tumors, meningiomas, gliomas, ependymomas, hemangioblastomas, and neuroectodermal tumors. Cavernomas are also rather frequent lesions in this area; more rare lesions include arteriovenous malformations, and cholesteatomas occur infrequently. The surgical strategy is mainly based on anatomical characteristics and the histological type of the tumor. Except for radiosensitive germinomas, complete surgical excision is the treatment of choice.Microsurgical supracerebellar-infratentorial (SCIT) approach is essential for resection of pineal region lesions. SCIT is a straightforward extracerebral approach via the natural corridor between the superior aspect of the cerebellum and the tentorium. A unilateral SCIT approach has recently been used to protect the dominant transverse sinus and spare the bridging veins between the vermis and tentorium. The SCIT is a versatile approach, addressing not only lesions in the pineal region but also pathologies in the tectum and lateral mesencephalon, posterior third ventricle, upper fourth ventricle, anterior rectus sinus, posterior thalamus and upper cerebellopontine angle, medial temporal and occipital lobe, and finally, the petroclival area up to the posterior clinoid process. The cavum Meckeli is also accessible.

Druh

C - Kapitola v odborné knize

CEP obor

—

OECD FORD obor

30103 - Neurosciences (including psychophysiology)

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2020

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název knihy nebo sborníku

Pineal Region Lesions : Management Strategies and Controversial Issues

ISBN

978-3-030-50912-5

Počet stran výsledku

17

Strana od-do

61-77

Počet stran knihy

300

Název nakladatele

Springer

Místo vydání

Cham

Kód UT WoS kapitoly

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