{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T13:13:43Z","timestamp":1783775623674,"version":"3.55.0"},"reference-count":19,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JNS"],"published-print":{"date-parts":[[2012,4]]},"abstract":"<jats:sec>\n<jats:title>Object<\/jats:title>\n<jats:p>The aim of this study was to describe the surgical anatomy of the mediobasal aspect of the temporal lobe and the supracerebellar transtentorial (SCTT) approach performed not with an opening, but with the resection of the tentorium, as an alternative route for the neurosurgical management of vascular and tumoral lesions arising from this region.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>Methods<\/jats:title>\n<jats:p>Cadaveric specimens were used to illustrate the surgical anatomy of the mediobasal region of the temporal lobe. Demographic aspects, characteristics of lesions, clinical presentation, surgical results, follow-up findings, and outcomes were retrospectively reviewed for patients referred to receive the SCTT approach with tentorial resection.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>Results<\/jats:title>\n<jats:p>Ten patients (83%) were female and 2 (17%) were male. Their ages ranged from 6 to 59 years (mean 34.5 \u00b1 15.8 years). All lesions (3 posterior cerebral artery aneurysms, 3 arteriovenous malformations, 3 cavernous malformations, and 3 tumors) were completely excluded or resected. After a mean follow-up period of 143 months (range 10\u2013240 months), the mean postoperative Glasgow Outcome Scale score was 4.9.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>Conclusions<\/jats:title>\n<jats:p>Knowledge of the surgical anatomy provides improvement for microsurgical approaches. The evolution from a small opening to a resection of the tentorium absolutely changed the exposure of the mediobasal aspect of the temporal lobe. The SCTT approach with tentorial resection is an excellent alternative route to the posterior part of mediobasal aspect of the temporal lobe, and it was enough to achieve the best neurosurgical management of tumoral and vascular lesions located in this area.<\/jats:p><\/jats:sec>","DOI":"10.3171\/2011.12.jns111256","type":"journal-article","created":{"date-parts":[[2012,1,13]],"date-time":"2012-01-13T15:00:01Z","timestamp":1326466801000},"page":"764-772","source":"Crossref","is-referenced-by-count":55,"title":["Supracerebellar transtentorial approach\u2014resection of the tentorium instead of an opening\u2014to provide broad exposure of the mediobasal temporal lobe: anatomical aspects and surgical applications"],"prefix":"10.3171","volume":"116","author":[{"given":"Jean G.","family":"de Oliveira","sequence":"first","affiliation":[{"name":"Microneurosurgery Laboratory, Institute of Neurological Sciences, Hospital Benefic\u00eancia Portuguesa de S\u00e3o Paulo;"},{"name":"Division of Neurosurgery, School of Medicine, University Nove de Julho, S\u00e3o Paulo;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard Gonzalo","family":"P\u00e1rraga","sequence":"additional","affiliation":[{"name":"Microneurosurgery Laboratory, Institute of Neurological Sciences, Hospital Benefic\u00eancia Portuguesa de S\u00e3o Paulo;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Feres","family":"Chaddad-Neto","sequence":"additional","affiliation":[{"name":"Microneurosurgery Laboratory, Institute of Neurological Sciences, Hospital Benefic\u00eancia Portuguesa de S\u00e3o Paulo;"},{"name":"Division of Neurosurgery, School of Medicine, State University of Campinas, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guilherme Carvalhal","family":"Ribas","sequence":"additional","affiliation":[{"name":"Microneurosurgery Laboratory, Institute of Neurological Sciences, Hospital Benefic\u00eancia Portuguesa de S\u00e3o Paulo;"},{"name":"Clinical Anatomy Discipline, Department of Surgery\u2013Laborat\u00f3rio de Investiga\u00e7\u00e3o M\u00e9dica\u201302, University of S\u00e3o Paulo Medical School;"},{"name":"Hospital Israelita Albert Einstein, S\u00e3o Paulo; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evandro P. L.","family":"de Oliveira","sequence":"additional","affiliation":[{"name":"Microneurosurgery Laboratory, Institute of Neurological Sciences, Hospital Benefic\u00eancia Portuguesa de S\u00e3o Paulo;"},{"name":"Division of Neurosurgery, School of Medicine, State University of Campinas, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"4 Suppl 2","key":"b1-jns111256","series-title":"Neurosurgery","first-page":"ONS279","article-title":"Microsurgical approaches to the medial temporal region: an anatomical study","volume":"59","author":"Campero","year":"2006"},{"key":"b2-jns111256","series-title":"Neurosurgeons","first-page":"349","article-title":"Arteriovenous malformations of the mediobasal temporal region","volume":"11","author":"de Oliveira","year":"1992"},{"key":"b3-jns111256","series-title":"Clin Neurosurg","first-page":"364","article-title":"Anatomic principles of cerebrovascular surgery for arteriovenous malformations","volume":"41","author":"de Oliveira","year":"1994"},{"key":"b4-jns111256","series-title":"Neurosurgery","first-page":"389","article-title":"Supracerebellar infratentorial approach to cavernous malformations of the brainstem: surgical variants and clinical experience with 45 patients","volume":"66","author":"de Oliveira","year":"2010"},{"key":"b5-jns111256","series-title":"Surg Neurol","first-page":"509","article-title":"Supracerebellar transtentorial transcollateral sulcus approach to the atrium of the lateral ventricle: microsurgical anatomy and surgical technique in cadaveric dissections","volume":"72","author":"Izci","year":"2009"},{"issue":"3 Suppl","key":"b6-jns111256","series-title":"Neurosurgery","first-page":"35","article-title":"Comparative analysis of posterior approaches to the medial temporal region: supracerebellar transtentorial versus occipital transtentorial","volume":"64","author":"Jittapiromsak","year":"2009"},{"key":"b7-jns111256","series-title":"J Neurosurg","first-page":"63","article-title":"Microsurgical anatomy of the veins of the posterior fossa","volume":"59","author":"Matsushima","year":"1983"},{"key":"b8-jns111256","series-title":"J Neurosurg","first-page":"923","article-title":"Microsurgical anatomy of the tentorial sinuses","volume":"71","author":"Matsushima","year":"1989"},{"issue":"3 Suppl 1","key":"b9-jns111256","series-title":"Neurosurgery","first-page":"1","article-title":"Microsurgical anatomy of the supracerebellar transtentorial approach to the posterior mediobasal temporal region: technical considerations with a case illustration","volume":"62","author":"Moftakhar","year":"2008"},{"key":"b10-jns111256","series-title":"J Neurosurg","first-page":"365","article-title":"Microsurgical anatomy of the region of the tentorial incisura","volume":"60","author":"Ono","year":"1984"},{"key":"b11-jns111256","series-title":"Neurosurgery","first-page":"621","article-title":"Microsurgical anatomy of the deep venous system of the brain","volume":"15","author":"Ono","year":"1984"},{"key":"b12-jns111256","series-title":"Acta Neurochir Suppl (Wien)","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1007\/978-3-211-76589-0_7","article-title":"Thalamic cavernous angioma: paraculminar supracerebellar infratentorial transtentorial approach for the safe and complete surgical removal","volume":"103","author":"Otani","year":"2008"},{"key":"b13-jns111256","series-title":"J Neurosurg","first-page":"916","article-title":"Supracerebellar transtentorial approach","volume":"95","author":"Panigrahi","year":"2001"},{"issue":"3 Suppl","key":"b14-jns111256","series-title":"Neurosurgery","first-page":"S131","article-title":"Tentorial incisura","volume":"47","author":"Rhoton","year":"2000"},{"key":"b15-jns111256","series-title":"Neurosurgery","first-page":"1470","article-title":"Paramedian supracerebellar transtentorial approach for a medial tentorial meningioma with supratentorial extension: technical case report","volume":"49","author":"Uchiyama","year":"2001"},{"key":"b16-jns111256","series-title":"Neurochirurgia (Stuttg)","first-page":"59","article-title":"Cerebral cavernous haemangiomas or cavernomas. 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