Lateral supracerebellar transtentorial approach to a middle fossa epidermoid tumor.

A 40-year-old patient was admitted with a 9-month history of headaches and multiple episodes of generalized seizures. Investigations revealed a medial temporal epidermoid tumor that extended into the suprasellar region. The tumor was surgically resected using a lateral supracerebellar-transtentorial approach. The rationale for the surgical approach and its validity in this clinical situation is discussed.