{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:04:34Z","timestamp":1782864274654,"version":"3.54.5"},"reference-count":12,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p>The supracerebellar infratentorial (SCIT) approach is a well-described corridor to lesions in the quadrigeminal cistern, pineal gland, and dorsal midbrain. It can be performed in the prone or sitting position. The sitting position offers the benefit of gravity retraction of the cerebellum but comes at the expense of nonergonomic hand positioning and the potential risk of air embolism. The 3D exoscope is an alternative to the operating microscope and permits the SCIT approach in the prone position with excellent visualization. This video demonstrates exoscope-based SCIT approach for resection of a pineal meningioma in the prone position.<\/jats:p>\n                  <jats:p>\n                    The video can be found here:\n                    <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/stream.cadmore.media\/r10.3171\/2023.10.FOCVID23155\">https:\/\/stream.cadmore.media\/r10.3171\/2023.10.FOCVID23155<\/jats:ext-link>\n                  <\/jats:p>","DOI":"10.3171\/2023.10.focvid23155","type":"journal-article","created":{"date-parts":[[2023,12,31]],"date-time":"2023-12-31T23:49:19Z","timestamp":1704066559000},"page":"V15","source":"Crossref","is-referenced-by-count":1,"title":["Exoscope-based supracerebellar infratentorial approach for a pineal meningioma in the prone position"],"prefix":"10.3171","volume":"10","author":[{"given":"Arka N.","family":"Mallela","sequence":"first","affiliation":[{"name":"Department of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tritan J.","family":"Plute","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hussam","family":"Abou-Al-Shaar","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David T.","family":"Fernandes Cabral","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Constantinos G.","family":"Hadjipanayis","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania; and"},{"name":"Hillman Cancer Center, Pittsburgh, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"1","key":"b1","series-title":"Neurosurgery","first-page":"36","article-title":"The infratentorial-supracerebellar exposure of tumors in the pineal area","volume":"1","author":"Page LK","year":"1977","unstructured":"Page LK. The infratentorial-supracerebellar exposure of tumors in the pineal area. Neurosurgery. 1977;1(1):36\u201340."},{"issue":"3-4","key":"b2","series-title":"Acta Neurochir (Wien)","first-page":"130","article-title":"Surgical management of pineal region tumors","volume":"134","author":"Bruce JN","year":"1995","unstructured":"Bruce JN, Stein BM. Surgical management of pineal region tumors. Acta Neurochir (Wien). 1995;134(3-4):130\u2013135."},{"key":"b3","series-title":"Operative Neurosurgical Techniques: Indications, Methods, and Results","first-page":"755","article-title":"Supracerebellar approach to pineal region neoplasms","author":"Bruce J","year":"1995","unstructured":"Bruce J, Stein B. Supracerebellar approach to pineal region neoplasms. In: Schmidek HH, Sweet WH, eds. Operative Neurosurgical Techniques: Indications, Methods, and Results. WB Saunders;1995:755-763."},{"issue":"19","key":"b4","series-title":"J Neurosurg Case Lessons","first-page":"CASE21626","article-title":"Use of the 3D exoscope for the supracerebellar infratentorial approach in the concorde position: an effective and ergonomic alternative. Illustrative cases","volume":"3","author":"Roa JA","year":"2022","unstructured":"Roa JA, Schupper AJ, Yaeger K, Hadjipanayis CG. Use of the 3D exoscope for the supracerebellar infratentorial approach in the concorde position: an effective and ergonomic alternative. Illustrative cases. J Neurosurg Case Lessons. 2022;3(19):CASE21626,2022."},{"issue":"6","key":"b5","series-title":"Oper Neurosurg (Hagerstown)","first-page":"717","article-title":"First-in-man clinical experience using a high-definition 3-dimensional exoscope system for microneurosurgery","volume":"16","author":"Khalessi AA","year":"2019","unstructured":"Khalessi AA, Rahme R, Rennert RC,  First-in-man clinical experience using a high-definition 3-dimensional exoscope system for microneurosurgery. Oper Neurosurg (Hagerstown). 2019;16(6):717\u2013725."},{"issue":"5","key":"b6","series-title":"Oper Neurosurg (Hagerstown)","first-page":"518","article-title":"3D exoscope system in neurosurgery-comparison of a standard operating microscope with a new 3D exoscope in the cadaver lab","volume":"17","author":"Herlan S","year":"2019","unstructured":"Herlan S, Marquardt JS, Hirt B, Tatagiba M, Ebner FH. 3D exoscope system in neurosurgery-comparison of a standard operating microscope with a new 3D exoscope in the cadaver lab. Oper Neurosurg (Hagerstown). 2019;17(5):518\u2013524."},{"issue":"1","key":"b1","series-title":"Neurosurgery","first-page":"36","article-title":"The infratentorial-supracerebellar exposure of tumors in the pineal area","volume":"1","author":"Page LK","year":"1977","unstructured":"Page LK. The infratentorial-supracerebellar exposure of tumors in the pineal area. Neurosurgery. 1977;1(1):36\u201340."},{"issue":"3-4","key":"b2","series-title":"Acta Neurochir (Wien)","first-page":"130","article-title":"Surgical management of pineal region tumors","volume":"134","author":"Bruce JN","year":"1995","unstructured":"Bruce JN, Stein BM. Surgical management of pineal region tumors. Acta Neurochir (Wien). 1995;134(3-4):130\u2013135."},{"key":"b3","series-title":"Operative Neurosurgical Techniques: Indications, Methods, and Results","first-page":"755","article-title":"Supracerebellar approach to pineal region neoplasms","author":"Bruce J","year":"1995","unstructured":"Bruce J, Stein B. Supracerebellar approach to pineal region neoplasms. In: Schmidek HH, Sweet WH, eds. Operative Neurosurgical Techniques: Indications, Methods, and Results. WB Saunders;1995:755-763."},{"issue":"19","key":"b4","series-title":"J Neurosurg Case Lessons","first-page":"CASE21626","article-title":"Use of the 3D exoscope for the supracerebellar infratentorial approach in the concorde position: an effective and ergonomic alternative. Illustrative cases","volume":"3","author":"Roa JA","year":"2022","unstructured":"Roa JA, Schupper AJ, Yaeger K, Hadjipanayis CG. Use of the 3D exoscope for the supracerebellar infratentorial approach in the concorde position: an effective and ergonomic alternative. Illustrative cases. J Neurosurg Case Lessons. 2022;3(19):CASE21626,2022."},{"issue":"6","key":"b5","series-title":"Oper Neurosurg (Hagerstown)","first-page":"717","article-title":"First-in-man clinical experience using a high-definition 3-dimensional exoscope system for microneurosurgery","volume":"16","author":"Khalessi AA","year":"2019","unstructured":"Khalessi AA, Rahme R, Rennert RC,  First-in-man clinical experience using a high-definition 3-dimensional exoscope system for microneurosurgery. Oper Neurosurg (Hagerstown). 2019;16(6):717\u2013725."},{"issue":"5","key":"b6","series-title":"Oper Neurosurg (Hagerstown)","first-page":"518","article-title":"3D exoscope system in neurosurgery-comparison of a standard operating microscope with a new 3D exoscope in the cadaver lab","volume":"17","author":"Herlan S","year":"2019","unstructured":"Herlan S, Marquardt JS, Hirt B, Tatagiba M, Ebner FH. 3D exoscope system in neurosurgery-comparison of a standard operating microscope with a new 3D exoscope in the cadaver lab. Oper Neurosurg (Hagerstown). 2019;17(5):518\u2013524."}],"container-title":["Neurosurgical Focus: Video"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/neurosurg-focus-video\/10\/1\/article-pV15.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/neurosurg-focus-video\/10\/1\/article-pV15.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/neurosurg-focus-video\/10\/1\/article-pV15.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T23:38:30Z","timestamp":1782862710000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/neurosurg-focus-video\/10\/1\/article-pV15.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":12,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.3171\/2023.10.focvid23155","relation":{},"ISSN":["2643-5217"],"issn-type":[{"value":"2643-5217","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1]]}}}