The Endoscopic Supracerebellar Infratentorial Approach in the Sitting Position: A Safe and Effective Update to a Traditional Approach

Background: The supracerebellar infratentorial (SCIT) approach has been a workhorse of the skull base neurosurgeon for pineal region lesions. Historically, this approach has been performed using the surgical microscope with the patient in the prone/Concorde or the sitting position. Herein, we present a case series demonstrating the safety and efficacy of the endoscopic supracerebellar infratentorial approach in the sitting position, and describe our reconstruction protocol involving the use of inlay collagen sponge grafts to minimize CSF leaks and related complications.