How I do it: endoscopic supracerebellar infratentorial approach for torcular meningioma removal

Acta Neurochir (Wien). 2019 Aug;161(8):1669-1673. doi: 10.1007/s00701-019-03950-0. Epub 2019 May 30.

Abstract

Background: Torcular meningioma is a rare type of brain tumor with few reports regarding the appropriate resection approach for this disease. In cases without sinus occlusion, surgeons are advised to spare the sinus; however, the sinus may interfere with the visual field.

Method: Endoscopic supracerebellar infratentorial approach for removal of torcular meningioma was performed in the prone position. The tumor attachment to sinus or confluence was removed or coagulate safely due to an optimal look-up view with the 0° and 30° endoscope.

Conclusion: Endoscopic supracerebellar infratentorial approach for infratentorial torcular meningioma is a safe and less invasive technique.

Keywords: Endoscopic keyhole surgery; Endoscopic supracerebellar infratentorial approach; Torcular meningioma.

MeSH terms

  • Dura Mater / surgery
  • Humans
  • Meningeal Neoplasms / pathology*
  • Meningioma / surgery*
  • Neurosurgical Procedures / adverse effects
  • Neurosurgical Procedures / methods*
  • Postoperative Complications / prevention & control
  • Prone Position