[Supratentorial-infraoccipital (or occipitopolar) approach: clinical and anatomical study]

Twenty-two patients harboring tumors or vascular lesions (AVMs and aneurysms) located at the posterior aspect of the parahipocampal gyrus and the pulvinar of thalamus operated by supratentorial-infraoccipital approach were analysed. Total resection was achieved in all five AVM patients as well as in six out of fifteen tumor patients. This approach was performed in five anatomical specimens (ten approaches); It results, along with the surgical results, allow this approach to be considered a good option for lesions of the pulvinar of thalamus and postero-medial temporal lobe which are evident at the transverse fissure.