{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T00:48:25Z","timestamp":1779151705718,"version":"3.51.4"},"reference-count":45,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2023,4,1]],"date-time":"2023-04-01T00:00:00Z","timestamp":1680307200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,4,1]],"date-time":"2023-04-01T00:00:00Z","timestamp":1680307200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,4,1]],"date-time":"2023-04-01T00:00:00Z","timestamp":1680307200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2023,4,1]],"date-time":"2023-04-01T00:00:00Z","timestamp":1680307200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2023,4,1]],"date-time":"2023-04-01T00:00:00Z","timestamp":1680307200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2023,4,1]],"date-time":"2023-04-01T00:00:00Z","timestamp":1680307200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2023,4,1]],"date-time":"2023-04-01T00:00:00Z","timestamp":1680307200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["World Neurosurgery"],"published-print":{"date-parts":[[2023,4]]},"DOI":"10.1016\/j.wneu.2022.12.121","type":"journal-article","created":{"date-parts":[[2023,1,3]],"date-time":"2023-01-03T11:57:51Z","timestamp":1672747071000},"page":"e151-e164","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":7,"special_numbering":"C","title":["The Minimally Invasive Lateral Occipital Infracortical Supra-\/Transtentorial Approach in Surgery of Lesions of the Pineal Region: A Possible Alternative to the Standard Approaches"],"prefix":"10.1016","volume":"172","author":[{"given":"Guenther C.","family":"Feigl","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gavin","family":"Britz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5793-8436","authenticated-orcid":false,"given":"Daniel","family":"Staribacher","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dzmitry","family":"Kuzmin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"issue":"SUPPL. 1","key":"10.1016\/j.wneu.2022.12.121_bib1","first-page":"45","article-title":"The keyhole concept in aneurysm surgery: results of the past 20 years","volume":"68","author":"Fischer","year":"2011","journal-title":"Neurosurgery"},{"issue":"4 SUPPL","key":"10.1016\/j.wneu.2022.12.121_bib2","first-page":"242","article-title":"Ten-year experience with the supraorbital subfrontal approach through an eyebrow skin incision","volume":"57","author":"Reisch","year":"2005","journal-title":"Neurosurgery"},{"key":"10.1016\/j.wneu.2022.12.121_bib3","first-page":"592","article-title":"Subtemporal keyhole approach to the suprasellar and petroclival region: microanatomic considerations and clinical application","volume":"41","author":"Taniguchi","year":"1997","journal-title":"Neurosurgery"},{"key":"10.1016\/j.wneu.2022.12.121_bib4","volume":"1","author":"Perneczky","year":"2008"},{"key":"10.1016\/j.wneu.2022.12.121_bib5","series-title":"Principles of Posterior Fossa Surgery","year":"2014"},{"key":"10.1016\/j.wneu.2022.12.121_bib6","doi-asserted-by":"crossref","DOI":"10.1515\/romneu-2016-0037","article-title":"Fedor Krause (1857-1937): the father of German neurosurgery","volume":"30","author":"Costea","year":"2016","journal-title":"Romanian Neurosurg"},{"key":"10.1016\/j.wneu.2022.12.121_bib7","doi-asserted-by":"crossref","first-page":"789","DOI":"10.3171\/2013.4.JNS121520","article-title":"Van Wagenen (1897-1961): pupil, mentor, and neurosurgical pioneer Historical vignette","volume":"119","author":"Kimmell","year":"2013","journal-title":"J Neurosurg"},{"key":"10.1016\/j.wneu.2022.12.121_bib8","doi-asserted-by":"crossref","first-page":"706","DOI":"10.3171\/jns.1966.25.6.0706","article-title":"The right occipital approach to a pinealoma","volume":"25","author":"Poppen","year":"1966","journal-title":"J Neurosurg"},{"key":"10.1016\/j.wneu.2022.12.121_bib9","article-title":"The infratentorial supracerebellar approach to pineal lesions","volume":"35:197-202","author":"Stein","year":"1971","journal-title":"J Neurosurg"},{"key":"10.1016\/j.wneu.2022.12.121_bib10","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1007\/BF01417679","article-title":"Surgical management of pineal region tumors","volume":"134","author":"Bruce","year":"1995","journal-title":"Acta Neurochir"},{"issue":"SUPPL. 6","key":"10.1016\/j.wneu.2022.12.121_bib11","first-page":"409","article-title":"Endoscope-assisted infratentorial-supracerebellar approach to the third ventricle: an anatomical study","volume":"104","author":"Cardia","year":"2006","journal-title":"J Neurosurg"},{"key":"10.1016\/j.wneu.2022.12.121_bib12","doi-asserted-by":"crossref","unstructured":"Patern\u00f3 V. Surgical Adjuvants for the Pineal Region Approach In: Springer Nature Switzerland AG, ed. 51\u201358.","DOI":"10.1007\/978-3-030-50913-2_7"},{"key":"10.1016\/j.wneu.2022.12.121_bib13","doi-asserted-by":"crossref","unstructured":"Pendl G. Microsurgical Anatomy of the Pineal and Midbrain Region. Surgery in and around the brain stem and the third ventricle. Berlin, Heidelberg, New York: Springer; 65\u201376.","DOI":"10.1007\/978-3-642-71240-1_6"},{"key":"10.1016\/j.wneu.2022.12.121_bib14","doi-asserted-by":"crossref","first-page":"205","DOI":"10.3171\/jns.1980.53.2.0205","article-title":"Microsurgical anatomy of the pineal region","volume":"53","author":"Yamamoto","year":"1980","journal-title":"J Neurosurg"},{"key":"10.1016\/j.wneu.2022.12.121_bib15","doi-asserted-by":"crossref","first-page":"365","DOI":"10.3171\/jns.1984.60.2.0365","article-title":"Microsurgical anatomy of the region of the tentorial incisura","volume":"60","author":"Ono","year":"1984","journal-title":"J Neurosurg"},{"key":"10.1016\/j.wneu.2022.12.121_bib16","doi-asserted-by":"crossref","first-page":"1028","DOI":"10.3171\/jns.2003.99.6.1028","article-title":"Microsurgical anatomy of the great cerebral vein of Galen and its tributaries","volume":"99","author":"Chaynes","year":"2003","journal-title":"J Neurosurg"},{"key":"10.1016\/j.wneu.2022.12.121_bib17","doi-asserted-by":"crossref","first-page":"1835","DOI":"10.1007\/s00381-012-2018-z","article-title":"Arterial vascularization of the pineal gland","volume":"29","author":"Kahilogullari","year":"2013","journal-title":"Childs Nerv Syst"},{"key":"10.1016\/j.wneu.2022.12.121_bib18","series-title":"Cranial Anatomy and Surgical Approach","author":"Rhoton","year":"2003"},{"key":"10.1016\/j.wneu.2022.12.121_bib19","doi-asserted-by":"crossref","first-page":"678","DOI":"10.1227\/01.NEU.0000108783.54424.6E","article-title":"Microsurgical anatomy of the venous drainage of the mesencephalodiencephalic junction","volume":"54","author":"Chaynes","year":"2004","journal-title":"Neurosurgery"},{"key":"10.1016\/j.wneu.2022.12.121_bib20","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1007\/s007010200031","article-title":"Symptomatic pineal cysts: clinical manifestations and management","volume":"144","author":"Michielsen","year":"2002","journal-title":"Acta Neurochir"},{"key":"10.1016\/j.wneu.2022.12.121_bib21","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1016\/j.neuchi.2013.08.009","article-title":"Pineal region tumors: clinical symptoms and syndromes","volume":"61","author":"Rousselle","year":"2015","journal-title":"Neurochirurgie"},{"key":"10.1016\/j.wneu.2022.12.121_bib22","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1016\/j.wneu.2017.05.155","article-title":"Conservative and surgical treatment of patients with pineal cysts: Prospective case series of 110 patients","volume":"105","author":"M\u00e1jovsk\u00fd","year":"2017","journal-title":"World Neurosurg"},{"key":"10.1016\/j.wneu.2022.12.121_bib23","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1007\/s003810050175","article-title":"Pineal tumors: experience with 48 cases over 10 years","volume":"14","author":"Cho","year":"1998","journal-title":"Childs Nerv Syst"},{"key":"10.1016\/j.wneu.2022.12.121_bib24","doi-asserted-by":"crossref","first-page":"e792","DOI":"10.1111\/aos.13283","article-title":"Parinaud syndrome: a 25-year (1991\u20132016) review of 40 consecutive adult cases","volume":"95","author":"Shields","year":"2017","journal-title":"Acta Ophthalmol"},{"key":"10.1016\/j.wneu.2022.12.121_bib25","doi-asserted-by":"crossref","first-page":"577","DOI":"10.1148\/radiographics.12.3.1609147","article-title":"Pineal region masses: differential diagnosis","volume":"12","author":"Smirniotopoulos","year":"1992","journal-title":"Radiographics"},{"key":"10.1016\/j.wneu.2022.12.121_bib26","series-title":"Pineal Region Tumor (Infratentorial Supracerebellar Approach). In:Neurosurgical Atlas","author":"Cohen-Gadol","year":"2017"},{"key":"10.1016\/j.wneu.2022.12.121_bib27","article-title":"The infratentorial supracerebellar approach in surgery of lesions of the pineal region","volume":"4:154","author":"Oliveira","year":"2013","journal-title":"Surg Neurol Int"},{"key":"10.1016\/j.wneu.2022.12.121_bib28","doi-asserted-by":"crossref","first-page":"725","DOI":"10.1016\/j.ajme.2018.02.003","article-title":"The supracerebellar infratentorial approach in pineal region tumors: technique and outcome in an underprivileged setting","volume":"54","author":"Abbassy","year":"2018","journal-title":"Alexandria J Med"},{"key":"10.1016\/j.wneu.2022.12.121_bib29","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1016\/j.clineuro.2015.08.009","article-title":"Supracerebellar infratentorial approach with paramedian expansion for posterior third ventricular and pineal region lesions","volume":"139","author":"Aboul-Enein","year":"2015","journal-title":"Clin Neurol Neurosurg"},{"key":"10.1016\/j.wneu.2022.12.121_bib30","doi-asserted-by":"crossref","first-page":"554","DOI":"10.3171\/2011.8.PEDS1157","article-title":"Supracerebellar infratentorial endoscopically controlled resection of pineal lesions: case series and operative technique - clinical article","volume":"8","author":"Uschold","year":"2011","journal-title":"J Neurosurg Pediatr"},{"key":"10.1016\/j.wneu.2022.12.121_bib31","doi-asserted-by":"crossref","first-page":"2155","DOI":"10.1007\/s00701-016-2895-0","article-title":"Purely endoscopic resection of pineal region tumors using infratentorial supracerebellar approach: How I do it","volume":"158","author":"Gu","year":"2016","journal-title":"Acta Neurochir"},{"key":"10.1016\/j.wneu.2022.12.121_bib32","first-page":"e520","article-title":"Endoscope-assisted combined supracerebellar infratentorial and endoscopic transventricular approach to the pineal region: a technical note","volume":"8","author":"Felbaum","year":"2016","journal-title":"Cureus"},{"key":"10.1016\/j.wneu.2022.12.121_bib33","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1016\/j.wneu.2013.01.003","article-title":"Neurosurgical procedures in the semisitting position: evaluation of the risk of paradoxical venous air embolism in patients with a patent foramen ovale","volume":"81","author":"Feigl","year":"2014","journal-title":"World Neurosurg"},{"key":"10.1016\/j.wneu.2022.12.121_bib34","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1016\/0090-3019(89)90032-3","article-title":"Occipital transtentorial approach for removal of pineal region tumors: report of 64 consecutive cases","volume":"32","author":"Luo","year":"1989","journal-title":"Surg Neurol"},{"key":"10.1016\/j.wneu.2022.12.121_bib35","doi-asserted-by":"crossref","first-page":"801","DOI":"10.1007\/s007010050380","article-title":"Surgical treatment of pineal region tumours through the occipital transtentorial approach: evaluation of the effectiveness of intra-operative micro-endoscopy combined with neuronavigation","volume":"141","author":"Shirane","year":"1999","journal-title":"Acta Neurochir"},{"key":"10.1016\/j.wneu.2022.12.121_bib36","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1016\/j.neuchi.2013.12.005","article-title":"The sub-occipital transtentorial approach revisited base on our own experience","volume":"61","author":"Mottolese","year":"2015","journal-title":"Neurochirurgie"},{"key":"10.1016\/j.wneu.2022.12.121_bib37","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1093\/ons\/opx089","article-title":"Endoscopic occipital transtentorial approach for pineal region tumor","volume":"14","author":"Tanikawa","year":"2018","journal-title":"Oper Neurosurg"},{"key":"10.1016\/j.wneu.2022.12.121_bib38","volume":"2","author":"Yasargil","year":"2019"},{"key":"10.1016\/j.wneu.2022.12.121_bib39","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1007\/BF01540866","article-title":"Treatment of tumours of the pineal region and posterior part of the third ventricle","volume":"116","author":"Herrmann","year":"1992","journal-title":"Acta Neurochir"},{"key":"10.1016\/j.wneu.2022.12.121_bib40","doi-asserted-by":"crossref","first-page":"182","DOI":"10.3171\/2016.9.JNS16279","article-title":"Anterior interhemispheric transsplenial approach to pineal region tumors: anatomical study and illustrative case","volume":"128","author":"Yagmurlu","year":"2018","journal-title":"J Neurosurg"},{"key":"10.1016\/j.wneu.2022.12.121_bib41","article-title":"Endoscopic-assisted posterior interhemispheric retrocallosal transfalcine approach for microsurgical resection of a pineal region falcotentorial meningioma: operative video and technical nuances","volume":"40","author":"Liu","year":"2016","journal-title":"Neurosurg Focus"},{"issue":"SPEC. ISS.","key":"10.1016\/j.wneu.2022.12.121_bib42","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1023\/A:1012790213818","article-title":"Pineal region tumor: surgical anatomy and approach","volume":"54","author":"Yamamoto","year":"2001","journal-title":"J Neurooncol"},{"key":"10.1016\/j.wneu.2022.12.121_bib43","first-page":"305","article-title":"Surgical approaches to pineal region - review article","volume":"95","author":"M\u00e1jovsk\u00fd","year":"2016","journal-title":"Rozhl Chir"},{"key":"10.1016\/j.wneu.2022.12.121_bib44","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1159\/000413684","article-title":"Direct surgery for pineal tumors: occipital-transtentorial approach","volume":"30","author":"Lapras","year":"1987","journal-title":"Prog Exp Tumor Res"},{"key":"10.1016\/j.wneu.2022.12.121_bib45","series-title":"Hemostasis and Fleece-Bound Sealing in Neurosurgery","author":"Matula","year":"2019"}],"container-title":["World Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1878875022018277?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1878875022018277?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T09:19:15Z","timestamp":1761815955000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1878875022018277"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4]]},"references-count":45,"alternative-id":["S1878875022018277"],"URL":"https:\/\/doi.org\/10.1016\/j.wneu.2022.12.121","relation":{},"ISSN":["1878-8750"],"issn-type":[{"value":"1878-8750","type":"print"}],"subject":[],"published":{"date-parts":[[2023,4]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"The Minimally Invasive Lateral Occipital Infracortical Supra-\/Transtentorial Approach in Surgery of Lesions of the Pineal Region: A Possible Alternative to the Standard Approaches","name":"articletitle","label":"Article Title"},{"value":"World Neurosurgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.wneu.2022.12.121","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2023 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}