PMC7569261_01
MRI of the patient in emergency unit admission.
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On MRI with contrast (post VP-Shunt); was found solid mass of 5,5 x 4,5 x 3 cm in the pineal body area (Fig. 1).
Lateral semi-prone position for the OTA.
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Tumor extraction was carried out using the Occipital Transtentorial Approach (OTA) technique at a secondary referral hospital (Fig. 2, Fig. 3, Fig. 4). The patient underwent tumor resection using an open-microsurgery occipital transtentorial approach, with histopathological assessment stated as an immature teratoma.
(A) Topographic anatomy of the operative field; (B) Removal of pineal region tumor.
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Tumor extraction was carried out using the Occipital Transtentorial Approach (OTA) technique at a secondary referral hospital (Fig. 2, Fig. 3, Fig. 4). The patient underwent tumor resection using an open-microsurgery occipital transtentorial approach, with histopathological assessment stated as an immature teratoma.
CT Scan one month post-operation.
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One month after surgery, patient control and CT scan examinations found VP-Shunt function is still proper, and there are no abnormalities (Fig. 5).