Abstract:
INTRODUCTION: The development of improved micro-surgery techniques and neuroanesthesia has
become increasingly sophisticated makes open-microsurgery tumor resection a choice for the management of the pineal region.
CASE PRESENTATION: An 11-year-old male with a pineal body tumor post ventriculo-peritoneal (VP)
shunt, underwent tumor resection. Patients complain of headaches, relieve with medication but often
recurrent, and often experience a decrease in consciousness. One month before the procedure,the patient
experienced blurred vision, staggering, nausea, vomiting, and decrease of consciousness. The operation
is performed with an occipital transtentorial approach (OTA) technique. During surgery, hemodynamics
was relatively stable. Postoperatively, the patient underwent controlled ventilation in the intensive care
room, and recover significantly within one week.
DISCUSSION: Various surgical approaches have been proposed for pineal region tumors. We review
the available literature (PubMed) with 11 reported cases of pineal tumor therapy with the occipital
transtentorial approach and evaluate general symptoms in clinical manifestations, histopathological
features, radiological findings, and survival times to demonstrate therapeutic effectiveness. Several
cases of the pineal tumor were also reported using tumor extraction by occipital transtentorial
approach.
