Combined approach (infratentorial supracerebellar–telovelar transventric.) for large brainstem tumor

Guillermo Aldave, MD, PhD

Division of Neurosurgery, Department of Surgery, Texas Children’s Hospital; Department of Neurosurgery, Baylor College of Medicine, Houston, Texas

The safe entry zones into the brainstem provide access to challenging lesions in this region that do not reach the surface. However, in large brainstem tumors there are two issues to bear in mind before deciding the approach. First, the anatomy can be distorted, and it can be difficult to recognize the entry zone. Second, for large brainstem lesions it may be challenging to address the whole tumor from only one zone and combined approaches may be required. Thus, we show a combined approach, infratentorial supracerebellar and telovelar transventricular, to remove a large brainstem tumor. Appropriate consent was obtained.


**Intro music: "Daybreak" by Graeme Rosner