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The occipital transtentorial approach to the posterior fossa in the pediatric patient.

The occipital transtentorial approach to the high posterior fossa has been previously described for the adult neurosurgical patient. In this presentation 5 pediatric patients with differing pathology in the posterior fossa are reported following successful occipital transtentorial operations. The advantages of this approach over the suboccipital route for microneurosurgery are discussed.