Abstract
To approach the pathologies of base of fourth ventricle, cerebellar peduncle and lateral recess, it is possible to use three different surgical approach techniques. These are transvermian approach to fourth ventricle via incision of inferior vermis, telovelar approach that reaches the base, lateral recess and foramina of Luschka via incising the roof of the fourth ventricle between the uvula and tonsil and supra tonsillar approach that reaches the inferior and partially the middle cerebellar peduncle by following the cerebellar tonsil peduncle. In this article, actual techniques for approaching to fourth ventricule was reviewed.
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