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Right occipital transtentorial approach for a pineal malignant germ cell tumor.
Gill, Brian J A; Higgins, Dominique M; Banu, Matei A; Argenziano, Michael G; Feldstein, Neil A; Bruce, Jeffrey N.
Affiliation
  • Gill BJA; Department of Neurological Surgery, Columbia University Irving Medical Center, New York, New York.
  • Higgins DM; Department of Neurological Surgery, Columbia University Irving Medical Center, New York, New York.
  • Banu MA; Department of Neurological Surgery, Columbia University Irving Medical Center, New York, New York.
  • Argenziano MG; Department of Neurological Surgery, Columbia University Irving Medical Center, New York, New York.
  • Feldstein NA; Department of Neurological Surgery, Columbia University Irving Medical Center, New York, New York.
  • Bruce JN; Department of Neurological Surgery, Columbia University Irving Medical Center, New York, New York.
Neurosurg Focus Video ; 5(1): V3, 2021 Jul.
Article in En | MEDLINE | ID: mdl-36284916
Germ cell tumors account for up to 53% of the malignant lesions found in the pineal region and are typically managed with a combination of radiation therapy and chemotherapy. Malignant somatic transformation of intracranial germ cell tumors is exceedingly rare and has only been reported on two other occasions. Here the authors present the case of a pineal yolk sac tumor that failed optimum first-line treatment and underwent malignant somatic transformation to an enteric mucinous adenocarcinoma requiring surgical intervention. This video demonstrates the technical nuances of the occipital transtentorial approach and the safe microsurgical dissection of lesions within the pineal region. The video can be found here: https://stream.cadmore.media/r10.3171/2021.4.FOCVID2151.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Language: En Journal: Neurosurg Focus Video Year: 2021 Document type: Article Country of publication: Estados Unidos

Full text: 1 Collection: 01-internacional Database: MEDLINE Language: En Journal: Neurosurg Focus Video Year: 2021 Document type: Article Country of publication: Estados Unidos