Neurology India
menu-bar5 Open access journal indexed with Index Medicus
  Users online: 45  
 Home | Login 
About Editorial board Articlesmenu-bullet NSI Publicationsmenu-bullet Search Instructions Online Submission Subscribe Videos Etcetera Contact
  Navigate Here 
 Resource Links
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Article in PDF (800 KB)
    Citation Manager
    Access Statistics
    Reader Comments
    Email Alert *
    Add to My List *
* Registration required (free)  

  In this Article

 Article Access Statistics
    PDF Downloaded66    
    Comments [Add]    

Recommend this journal


Table of Contents    
Year : 2020  |  Volume : 68  |  Issue : 6  |  Page : 1277-1278

The Cover Page - Endoscopic-view of Supra-Cerebellar Infratentorial Approach

Department of Neurosurgery, LSU Health Sciences, Shreveport, LA 71103, LA

Date of Web Publication19-Dec-2020

Correspondence Address:
Dr. Sandeep Kandregula
[email protected]
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0028-3886.304085

Rights and Permissions

How to cite this article:
Kandregula S, Guthikonda B. The Cover Page - Endoscopic-view of Supra-Cerebellar Infratentorial Approach. Neurol India 2020;68:1277-8

How to cite this URL:
Kandregula S, Guthikonda B. The Cover Page - Endoscopic-view of Supra-Cerebellar Infratentorial Approach. Neurol India [serial online] 2020 [cited 2021 Jun 16];68:1277-8. Available from:

Supra-cerebellar Infratentorial (SCIT) approach (also known as Krause's approach) dates back to 1926 when Krause published a report of three patients with pineal region tumors. Later in 1971, Stein successfully operated on six patients with this approach with minimal morbidity. The introduction of the endoscope in Neurosurgery led to tremendous innovations and modifications to the operative procedures. While the SCIT approach evolved into the midline, paramedian, extreme lateral, and contralateral SCIT approaches, endoscopic assistance led to the visualization of the unseen corners, and integrating two simultaneous visuals information led to gross total resection and reduced recurrences. Along with SCIT, the occipital tentorial approach also gives access to the posterior third ventricular region/cisternal pulvinar surface. A few studies compared the qualitatively between the operative exposures. Ipsilateral paramedian SCIT gives a shorter corridor distance, and contralateral paramedian SCIT gives a better surgical view.[2] Using 00 and 450 endoscopes provides a better view of the pineal gland, internal cerebral vein, and median posterior choroidal arteries.[1] 300 and 700 endoscopes help visualize the tumors/lesions hidden behind the critical and delicate neurovascular structures.[3] The pathology and the surgeon's expertise in using the endoscope assistance led to smaller craniotomies and faster post-operative recovery. One of the potential drawbacks of using endoscope assistance is the damage to the tissues while introducing the instruments and endoscope itself into the operative space. Careful insertion, along with increased expertise, can overcome this particular disadvantage.

In this illustration, we showed endoscopic assisted midline SCIT for excision of the epidermoid. Illustrations depicted the anatomy of the posterior third ventricular and pineal region after the excision of the epidermoid.

Software: Procreate.

Device: Ipad Pro.

  References Top

Akiyama O, Matsushima K, Gungor A, Matsuo S, Goodrich DJ, Tubbs RS, et al. Microsurgical and endoscopic approaches to the pulvinar. J Neurosurg 2017:127;630-45. doi: 10.3171/2016.8.JNS16676.  Back to cited text no. 1
Cohen-Cohen S, Cohen-Gadol AA, Gomez-Amador JL, Alves-Belo JT, Shah KJ, Fernandez-Miranda JC. Supracerebellar Infratentorial and Occipital Transtentorial Approaches to the Pulvinar: Ipsilateral Versus Contralateral Corridors. Oper Neurosurg (Hagerstown) 2019:16;351-359. doi: 10.1093/ons/opy173.  Back to cited text no. 2
Schroeder HW, Oertel J, Gaab MR. Endoscope-assisted microsurgical resection of epidermoid tumors of the cerebellopontine angle. J Neurosurg 2004:101;227-32. doi: 10.3171/jns. 2004.101.2.0227.  Back to cited text no. 3


Print this article  Email this article
Online since 20th March '04
Published by Wolters Kluwer - Medknow