Introduction: The sitting position for pineal tumour removal remains controversial as regards the number of potential complications despite good surgical conditions.
Method: A systematic review of the literature was conducted in order to record the most frequent complications observed in this position, their incidence and prevention.
Results: Venous air embolism, hypotension, pneumocephalus, macroglossia, quadriplegia and nerve injuries are the most frequent complications observed. Their incidence can be dramatically decreased with an accurate anesthesiological and neurosurgical management.
Conclusion: In training teams, the sitting position remains the gold standard for pineal tumour removal.
Keywords: Anaesthesia; Anesthésie; Embolie gazeuse; Foramen ovale; Hypotension; Pineal tumor; Position assise; Sitting position; Tumeur pinéale; Venous air embolism.
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