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Pineal Region Tumor (Infratentorial Supracerebellar Approach)

Last Updated: September 30, 2018

Resection of a Pineal Region Tumor via the Paramedian Supracerebellar Approach

Surgical approaches to pineal tumors tested the resolve of our early forefathers and were not reported until the early 1900s. Early pioneers of pineal surgery included Sir Victor Horsley, Brunner, and Schloffer, all with minimal or no success until Oppenheim and Krause in 1913. In 1921, Walter Dandy described the transcallosal approach in three patients with pineal tumors after he had developed the technique safely in puppies.

In 1926, Krause published a report of a successful infratentorial approach to pineal region tumors in three patients without operative mortality. These successes sparked interest in developing more effective approaches to the pineal region. But with minimal success, more conservative m...