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Endoscopic endonasal transpetroclival approach for recurrent bilateral petroclival meningioma

The authors performed an endoscopic endonasal transpetroclival approach for recurrent bilateral petroclival meningioma, with the aim of sufficient tumor resection with cranial nerve functional preservation. The tumor was sufficiently removed with excellent postoperative course. Petroclival meningiom...

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Detalles Bibliográficos
Autores principales: Shinya, Yuki, Shin, Masahiro, Hasegawa, Hirotaka, Koizumi, Satoshi, Kin, Taichi, Kondo, Kenji, Saito, Nobuhito
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Association of Neurological Surgeons 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9558911/
https://www.ncbi.nlm.nih.gov/pubmed/36284997
http://dx.doi.org/10.3171/2022.1.FOCVID21229
Descripción
Sumario:The authors performed an endoscopic endonasal transpetroclival approach for recurrent bilateral petroclival meningioma, with the aim of sufficient tumor resection with cranial nerve functional preservation. The tumor was sufficiently removed with excellent postoperative course. Petroclival meningioma, especially located in the medial region with dural attachment of the clivus, is considered a good indication for this approach. Recurrent tumors after radiotherapy often have strong adhesion to the brainstem and basilar artery; therefore, careful assessment of whether or not tumor detachment is possible is essential. The endoscopic endonasal transpetroclival approach is an acceptable, less-invasive treatment for petroclival tumors. The video can be found here: https://stream.cadmore.media/r10.3171/2022.1.FOCVID21229