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Paramedian Supracerebellar Craniotomy

Last Updated: September 27, 2018

Paramedian Supracerebellar Craniotomy for Brainstem Pilocytic Astrocytoma

General Considerations

A variation of the supracerebellar craniotomy is the paramedian supracerebellar craniotomy, which has some features in common with the midline supracerebellar craniotomy. Because these procedures are two variations of the supracerebellar craniotomy, some information is repeated in these two chapters.  

The supracerebellar craniotomy is one of the most underutilized approaches in neurosurgery. Its flexibility as a far-reaching corridor deserves much more exploration.

The midline bilateral suboccipital supracerebellar route is traditionally designed for exposing pineal region tumors. The limitations of this approach include limited lateral or inferior visualization caused by the angle of th...