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Review of Surgical Anatomy of the Tumors Involving Cavernous Sinus

The lesions involving cavernous sinus (CS) and lateral sellar region includes tumors, vascular lesions, infection, inflammation, and trauma. Tumors associated with CS cause significant distortion of the microanatomy posing an additional surgical challenge to the neurosurgeons. The surgical approach...

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Autores principales: Chotai, Silky, Liu, Yi, Qi, Songtao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5820859/
https://www.ncbi.nlm.nih.gov/pubmed/29492113
http://dx.doi.org/10.4103/ajns.AJNS_26_16
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author Chotai, Silky
Liu, Yi
Qi, Songtao
author_facet Chotai, Silky
Liu, Yi
Qi, Songtao
author_sort Chotai, Silky
collection PubMed
description The lesions involving cavernous sinus (CS) and lateral sellar region includes tumors, vascular lesions, infection, inflammation, and trauma. Tumors associated with CS cause significant distortion of the microanatomy posing an additional surgical challenge to the neurosurgeons. The surgical approach and microsurgical anatomy with respect to the origin and growth of the tumor within the CS region have not been comprehensively described in recent years. We conducted a review of literature concerning CS and associated tumors, complied through MEDLINE/OVID and using cross-references of articles on PubMed with the keywords cavernous sinus, CS tumors, pituitary adenoma, meningioma, schwannoma, chordoma, CS hemangiomas, extradural, interdural, intradural, skull base, gamma knife radiosurgery, endoscopic endonasal approach. Based on the tumor origin and growth pattern, the tumors associated with CS can be classified into three categories: Type-I: tumor originating from CS, Type-II: originating from lateral wall of CS, and Type-III: extraneous origin and occupying CS. The review focuses on approach to a tumor within each type of tumor in the CS region. The emphasis is that the tumor growth pattern and significant distortion of the CS anatomy caused by the tumor growth should be considered while planning the optimal surgical approach for tumors in this region to ensure complete tumor resection with minimal neurovascular morbidity.
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spelling pubmed-58208592018-02-28 Review of Surgical Anatomy of the Tumors Involving Cavernous Sinus Chotai, Silky Liu, Yi Qi, Songtao Asian J Neurosurg Review Article The lesions involving cavernous sinus (CS) and lateral sellar region includes tumors, vascular lesions, infection, inflammation, and trauma. Tumors associated with CS cause significant distortion of the microanatomy posing an additional surgical challenge to the neurosurgeons. The surgical approach and microsurgical anatomy with respect to the origin and growth of the tumor within the CS region have not been comprehensively described in recent years. We conducted a review of literature concerning CS and associated tumors, complied through MEDLINE/OVID and using cross-references of articles on PubMed with the keywords cavernous sinus, CS tumors, pituitary adenoma, meningioma, schwannoma, chordoma, CS hemangiomas, extradural, interdural, intradural, skull base, gamma knife radiosurgery, endoscopic endonasal approach. Based on the tumor origin and growth pattern, the tumors associated with CS can be classified into three categories: Type-I: tumor originating from CS, Type-II: originating from lateral wall of CS, and Type-III: extraneous origin and occupying CS. The review focuses on approach to a tumor within each type of tumor in the CS region. The emphasis is that the tumor growth pattern and significant distortion of the CS anatomy caused by the tumor growth should be considered while planning the optimal surgical approach for tumors in this region to ensure complete tumor resection with minimal neurovascular morbidity. Medknow Publications & Media Pvt Ltd 2018 /pmc/articles/PMC5820859/ /pubmed/29492113 http://dx.doi.org/10.4103/ajns.AJNS_26_16 Text en Copyright: © 2018 Asian Journal of Neurosurgery http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Review Article
Chotai, Silky
Liu, Yi
Qi, Songtao
Review of Surgical Anatomy of the Tumors Involving Cavernous Sinus
title Review of Surgical Anatomy of the Tumors Involving Cavernous Sinus
title_full Review of Surgical Anatomy of the Tumors Involving Cavernous Sinus
title_fullStr Review of Surgical Anatomy of the Tumors Involving Cavernous Sinus
title_full_unstemmed Review of Surgical Anatomy of the Tumors Involving Cavernous Sinus
title_short Review of Surgical Anatomy of the Tumors Involving Cavernous Sinus
title_sort review of surgical anatomy of the tumors involving cavernous sinus
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5820859/
https://www.ncbi.nlm.nih.gov/pubmed/29492113
http://dx.doi.org/10.4103/ajns.AJNS_26_16
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