Infratentorial supracerebellar approach for pineal lesions

Abstract This report describes the technical considerations required in the infratentorial supracerebellar approach to pineal tumor removal with the patient in the sitting position. Points requiring special attention with respect to air embolism prevention by the application of a cervical tourniquet, the angle formed by the neck and head of the patient placed in the sitting position, and access through the dural sinus are presented, followed by essential requirements for each surgical technique for the successful completion of tumor removal. With due caution, the aforementioned approach is considered a good option associated with easy orientation and with no damage to normal tissues.