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The first 25 slides, exactly as they appear. The full deck has 43 content slides.
Neurosurgery
Surgical Approaches to Pediatric Midline Posterior Fossa T
Built from Feldman — Neurosurgical Operative Atlas: Neuro-Oncology
What’s inside
10 sections · 43 slides
Overview
- What this deck teaches, step by step
Understanding the problem
What posterior fossa tumors are and why they are dangerous
- What is a posterior fossa tumor?
- The main tumor families you will meet
- How these tumors announce themselves
- Why does a posterior fossa tumor so often cause headache and vomiting?
Preparing for surgery
Timing, controlling pressure, and getting the child ready
- When should the operation happen?
- Why is a permanent shunt NOT placed before removing the tumor?
- Getting the child ready: labs and medicines
Anesthesia and monitoring
Keeping pressure low and the brainstem safe
- Anesthesia setup and lines
- Why keep the child at normal temperature?
- Neuromonitoring in real time
- Cranial-nerve EMG monitoring setup
Positioning the patient
Three ways to lay the child, each a trade-off
- The positioning trade-off in one idea
- The three positions at a glance
- Prone 'Concorde' position — the details
- Seated and park-bench positions — key points
Opening: incision, bone, and dura
Getting safely down to the tumor
- The incision and soft-tissue opening
- Craniotomy: lifting the bone as one replaceable flap
- If the dura is tense before you open it
- Opening the dura around the venous sinuses
Removing the tumor
Technique and how far to go, by tumor type
- General resection technique
- Fourth ventricle tumors: the midline route
- How far to resect — it depends on the tumor
- Numbers worth remembering
- Brainstem tumors: when to operate and when not to
Closing and aftercare
Finishing safely and watching for trouble
- Closing the operative site
- Postoperative management
- What is cerebellar mutism syndrome and who is at risk?
Complications to anticipate
Recognizing and managing the big three
- Air embolism
- Venous sinus injury
- Postoperative CSF leak
Key takeaways
The whole chapter in one breath
- Take-home messages
- Neurosurgical Operative Atlas: Neuro-Oncology