Combined Paramedian Supracerebellar-transtentorial and Miniinvasive Suboccipital Approach to the Entire Length of the Mediobasal Temporal Region Glioma

Authors: R. Bartoš 1,2;  T. Radovnický 1;  M. Orlický 1;  D. Bejšovec 3;  J. Prokšová 4;  M. Sameš 1
Authors‘ workplace: Neurochirurgická klinika UJEP a Krajská zdravotní a. s., Masarykova nemocnice v Ústí nad Labem, o. z. 1;  ICRC, Mezinárodní centrum klinického výzkumu, FN u sv. Anny v Brně 2;  Oddělení intenzivní medicíny a resuscitace, Krajská zdravotní a. s., Masarykova nemocnice v Ústí nad Labem, o. z. 3;  Rehabilitační oddělení – logopedie, Krajská zdravotní a. s., Masarykova nemocnice v Ústí nad Labem, o. z. 4
Published in: Cesk Slov Neurol N 2014; 77/110(3): 353-358
Category: Short Communication

Poděkování: prof. H. Bertalanffymu za motivaci k provedení operace a vysvětlení technických detailů během návštěvy v Ústí nad Labem 27. 11. 2013.


In a short communication, we describe a case of a 64 years old patient suffering from glioma of the entire length of the mediobasal temporal area of the right hemisphere. For its resection, we have selected paramedian supracerebellar-transtentorial approach that had to be supplemented with the minimally invasive suboccipital approach. We discuss an anatomical aspect, surgical details and limits of this elegant approach to the mediobasal temporal area, the frequent target of cancer and epilepsy surgeries.

Key words:
brain glioma – epilepsy – hippocampus – temporal lobe

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manu­script met the ICMJE “uniform requirements” for biomedical papers.


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2. Yonekawa Y, Imhof HG, Taub E, Curic M, Kaku Y, Roth P et al. Supracerebellar transtentorial approach to posterior temporomedial structures. J Neurosurg 2001; 94(2): 339– 345.

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4. Jittapiromask P, Deshomukh P, Nakaji P, Spetzler RF, Preul MC. Comparative analysis of the posterior approaches to the medial temporal region: supracerebellar transtentorial versus occipital transtentorial. Neurosurgery 2009; 64 (Suppl 3): 35– 42.

5. Türe U, Harupt MV, Kaya AH, Baimedi P, Firat Z, Türe H et al. The paramedian supracerebellar‑ transtentorial approach to the entire length of the mediobasal temporal region: an anatomical and clinical study. Laboratory investigation. J Neurosurg 2012; 116(4): 773– 791. doi: 10.3171/ 2011.12.JNS11791.

Paediatric neurology Neurosurgery Neurology

Article was published in

Czech and Slovak Neurology and Neurosurgery

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2014 Issue 3

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