Department of Neurosurgery, Hospital General Universitario de Alicante, Avda. Pintor Baeza sn, 03010, Alicante, Spain.
Department of Neurosurgery, CHUV, Lausanne, Switzerland.
Acta Neurochir (Wien). 2021 May;163(5):1311-1316. doi: 10.1007/s00701-021-04825-z. Epub 2021 Mar 30.
Classical approaches to the temporomesial region (TMR) include transtemporal, transylvian, or subtemporal. The supracerebellar infratentorial, initially developed to access dorsolateral cavernomas, has of late shown its versatility to access areas around the central core. The TMR is one such area that can be accessed through this approach with the addition of a tentorial incision.
The paramedian supracerebellar transtentorial approach (PSCTA) is described along with its advantages and limits compared to other approaches to treat TMR gliomas.
The PSCTA offers a basal panoramic view of the TMR without the need of retraction, cortical incision, and white matter transgression.
传统的颞叶内侧区域（TMR）入路包括经颞叶、经小脑幕或经颞下。为了进入颅后窝外侧的海绵状血管瘤，最初开发了上小脑幕下小脑幕入路，最近它在进入中脑核心区域周围的区域方面显示出了多功能性。TMR 就是可以通过这种方法进入的区域之一，只需增加一个天幕切开术。
描述了旁正中上小脑幕经小脑幕入路（PSCTA），并与其他治疗 TMR 胶质瘤的方法相比，说明了其优点和局限性。
PSCTA 提供了 TMR 的基底全景视图，而无需牵拉、皮质切开和白质侵犯。
