{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T12:44:59Z","timestamp":1783082699313,"version":"3.54.6"},"reference-count":10,"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 occipital approach for pineal tumors was first described by James Poppen in 1966. Since then, it has been widely used for accessing deep-seated tumors as it offers a wider surgical view than the supracerebellar transtentorial approach. This video demonstrates the technical nuances of the occipital transtentorial approach and the exoscopic dissection of a pineal gland tumor in a 66-year-old male. Use of the exoscope over the microscope provides certain ergonomic advantages and improves surgical workflow, as demonstrated here.<\/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.FOCVID23161\">https:\/\/stream.cadmore.media\/r10.3171\/2023.10.FOCVID23161<\/jats:ext-link>\n                  <\/jats:p>","DOI":"10.3171\/2023.10.focvid23161","type":"journal-article","created":{"date-parts":[[2023,12,31]],"date-time":"2023-12-31T23:49:17Z","timestamp":1704066557000},"page":"V16","source":"Crossref","is-referenced-by-count":4,"title":["Occipital-interhemispheric transtentorial pineal mass resection"],"prefix":"10.3171","volume":"10","author":[{"given":"Grant","family":"Arzumanov","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Allegheny General Hospital, Pittsburgh, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seung W.","family":"Jeong","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Allegheny General Hospital, Pittsburgh, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bhavika","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Allegheny General Hospital, Pittsburgh, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rocco","family":"Dabecco","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Allegheny General Hospital, Pittsburgh, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose","family":"Sandoval","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Allegheny General Hospital, Pittsburgh, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew J.","family":"Shepard","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Allegheny General Hospital, Pittsburgh, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jody","family":"Leonardo","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Allegheny General Hospital, Pittsburgh, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Allegheny General Hospital, Pittsburgh, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"4","key":"b1","series-title":"Surg Neurol","first-page":"298","article-title":"Three-quarter prone approach to the pineal-tentorial region","volume":"29","author":"Ausman JI","year":"1988","unstructured":"Ausman JI, Malik GM, Dujovny M, Mann R. Three-quarter prone approach to the pineal-tentorial region. Surg Neurol. 1988;29(4):298\u2013306."},{"key":"b2","series-title":"Surg Neurol Int","first-page":"39","article-title":"An overview of the current surgical options for pineal region tumors","volume":"5","author":"Azab WA","year":"2014","unstructured":"Azab WA, Nasim K, Salaheddin W. An overview of the current surgical options for pineal region tumors. Surg Neurol Int. 2014;5:39."},{"issue":"3 suppl","key":"b3","series-title":"Neurosurgery","first-page":"ons35","article-title":"Comparative analysis of posterior approaches to the medial temporal region: supracerebellar transtentorial versus occipital transtentorial","volume":"64","author":"Jittapiromsak P","year":"2009","unstructured":"Jittapiromsak P, Deshmukh P, Nakaji P, Spetzler RF, Preul MC. Comparative analysis of posterior approaches to the medial temporal region: supracerebellar transtentorial versus occipital transtentorial. Neurosurgery. 2009;64(3 suppl):ons35\u2013ons43."},{"issue":"3","key":"b4","series-title":"Neurosurgery","first-page":"554","article-title":"Occipital transtentorial approach to the precentral cerebellar fissure and posterior incisural space","volume":"65","author":"Moshel YA","year":"2009","unstructured":"Moshel YA, Parker EC, Kelly PJ. Occipital transtentorial approach to the precentral cerebellar fissure and posterior incisural space. Neurosurgery. 2009;65(3):554\u2013564."},{"issue":"6","key":"b5","series-title":"J Neurosurg","first-page":"706","article-title":"The right occipital approach to a pinealoma","volume":"25","author":"Poppen JL","year":"1966","unstructured":"Poppen JL. The right occipital approach to a pinealoma. J Neurosurg. 1966;25(6):706\u2013710."},{"issue":"4","key":"b1","series-title":"Surg Neurol","first-page":"298","article-title":"Three-quarter prone approach to the pineal-tentorial region","volume":"29","author":"Ausman JI","year":"1988","unstructured":"Ausman JI, Malik GM, Dujovny M, Mann R. Three-quarter prone approach to the pineal-tentorial region. Surg Neurol. 1988;29(4):298\u2013306."},{"key":"b2","series-title":"Surg Neurol Int","first-page":"39","article-title":"An overview of the current surgical options for pineal region tumors","volume":"5","author":"Azab WA","year":"2014","unstructured":"Azab WA, Nasim K, Salaheddin W. An overview of the current surgical options for pineal region tumors. Surg Neurol Int. 2014;5:39."},{"issue":"3 suppl","key":"b3","series-title":"Neurosurgery","first-page":"ons35","article-title":"Comparative analysis of posterior approaches to the medial temporal region: supracerebellar transtentorial versus occipital transtentorial","volume":"64","author":"Jittapiromsak P","year":"2009","unstructured":"Jittapiromsak P, Deshmukh P, Nakaji P, Spetzler RF, Preul MC. Comparative analysis of posterior approaches to the medial temporal region: supracerebellar transtentorial versus occipital transtentorial. Neurosurgery. 2009;64(3 suppl):ons35\u2013ons43."},{"issue":"3","key":"b4","series-title":"Neurosurgery","first-page":"554","article-title":"Occipital transtentorial approach to the precentral cerebellar fissure and posterior incisural space","volume":"65","author":"Moshel YA","year":"2009","unstructured":"Moshel YA, Parker EC, Kelly PJ. Occipital transtentorial approach to the precentral cerebellar fissure and posterior incisural space. Neurosurgery. 2009;65(3):554\u2013564."},{"issue":"6","key":"b5","series-title":"J Neurosurg","first-page":"706","article-title":"The right occipital approach to a pinealoma","volume":"25","author":"Poppen JL","year":"1966","unstructured":"Poppen JL. The right occipital approach to a pinealoma. J Neurosurg. 1966;25(6):706\u2013710."}],"container-title":["Neurosurgical Focus: Video"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/neurosurg-focus-video\/10\/1\/article-pV16.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/neurosurg-focus-video\/10\/1\/article-pV16.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/neurosurg-focus-video\/10\/1\/article-pV16.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T23:34:49Z","timestamp":1782862489000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/neurosurg-focus-video\/10\/1\/article-pV16.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":10,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.3171\/2023.10.focvid23161","relation":{},"ISSN":["2643-5217"],"issn-type":[{"value":"2643-5217","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1]]}}}