Abstract：
OBJECTIVE: Access to the pineal region has always represented a fascinating challenge to the neurosurgeons. Almost equally thrilling is the historical evolution from the hard beginnings with extremely high mortality rates to the current surgical outcomes, with excellent resection rates without long-term morbidity for most of the patients. The purpose of this paper is to provide an overview of the historical evolution of the occipital interhemispheric transtentorial (OITT) approach and its role in the development of access to the pineal region.
METHODS: Review of the literature highlights the occipital transtentorial approach from the historical context prior its description and the beginning to the current modifications and new recent insights.
RESULTS: The occipital transtentorial approach described initially by Poppen in 1966 has played a key role in the progress and success accessing the pineal area.
CONCLUSIONS: This historical review aims to highlight the extraordinary effort of those neurosurgeons who guided and led the development of one of the most important approaches to the pineal region.
METHODS: Review of the literature highlights the occipital transtentorial approach from the historical context prior its description and the beginning to the current modifications and new recent insights.
RESULTS: The occipital transtentorial approach described initially by Poppen in 1966 has played a key role in the progress and success accessing the pineal area.
CONCLUSIONS: This historical review aims to highlight the extraordinary effort of those neurosurgeons who guided and led the development of one of the most important approaches to the pineal region.
摘要：
目的：进入松果体区一直是神经外科医生的一个令人着迷的挑战。几乎同样令人兴奋的是，从死亡率极高的艰难开始到目前的手术结果的历史演变，对于大多数患者来说，具有优异的切除率而没有长期发病率。本文的目的是概述枕骨半球间横幕（OITT）方法的历史演变及其在进入松果体区发展中的作用。
方法：对文献的回顾突出了枕骨跨治疗方法从其描述之前的历史背景和开始到当前的修改和新的最新见解。
结果：Poppen于1966年最初描述的枕骨跨幕方法在进入松果体区的进展和成功中发挥了关键作用。
结论：这篇历史回顾旨在强调那些指导和领导松果体区最重要方法之一的神经外科医生的非凡努力。
方法：对文献的回顾突出了枕骨跨治疗方法从其描述之前的历史背景和开始到当前的修改和新的最新见解。
结果：Poppen于1966年最初描述的枕骨跨幕方法在进入松果体区的进展和成功中发挥了关键作用。
结论：这篇历史回顾旨在强调那些指导和领导松果体区最重要方法之一的神经外科医生的非凡努力。
