Background: The conventional retrosigmoid and lateral supracerebellar approach was used for surgery in 5 select cases of large chordomas.
Methods: Patients were treated during 2011 and 2019. Location of the tumor in the depth from surface, wide tumor extensions, and intimate relationships with critical neural and vascular lesions made the approach selection a formidable challenge.
Results: The discussed approach provided a satisfactory and wide exposure that permitted circumferential dissection of the tumor. Maneuvering the angulation of microscope provided access to the part of tumor that extended in the region of cavernous sinus.
Conclusions: Radical resection of all the tumors was achieved.
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http://dx.doi.org/10.1016/j.wneu.2020.07.087 | DOI Listing |
World Neurosurg
January 2025
Department of Neurosurgery, Altınbaş University, Istanbul, Turkiye.
J Neurosurg
January 2025
1Department of Neurosurgery, ASST Cremona, Italy.
Objective: Brainstem cavernous malformations (BSCMs) were once considered inoperable. Microsurgical resection now represents a valuable option for treating patients with hemorrhagic or symptomatic lesions. The aim of this study was to provide a practical guide for surgical planning by analyzing postoperative neurological and functional outcomes.
View Article and Find Full Text PDFNeurosurg Focus
December 2024
1Department of Neurosurgery, Stanford University School of Medicine, Palo Alto, California.
Objective: Despite its potential advantages, robotic surgery has yet to be applied to skull base procedures. Complex anatomy and restricted access have limited the development of robotic skull base surgery. The authors' aim was to conduct a feasibility study of robotic surgery for posterior fossa skull base lesions.
View Article and Find Full Text PDFWorld Neurosurg
December 2024
Neurosurgery Department, Sainte-Anne Military Teaching Hospital, Toulon, France. Electronic address:
Cavernous malformations are low-flow fragile vascular lesions prone to extralesional bleeding that can occur in the cerebral hemispheres, the brainstem, or the spinal cord. This paper reports the case of a 32-year-old right-handed man with acute-onset headaches associated with right-sided tinnitus, right-sided hemianesthesia, and binocular diplopia related to cranial nerve IV palsy. Neuroimaging displayed left-sided isolated cavernous malformation of the inferior tectal plate, with evidence of extralesional bleeding.
View Article and Find Full Text PDFFront Oncol
October 2024
Department of Neurosurgery, General Hospital of Northern Theater Command, Shenyang, Liaoning, China.
Introduction: The surgery of clival chordoma remains one of the most formidable challenges for neurosurgeons because of its location at great depth in the cranium and proximity to critical neurovascular structures. Here, we describe the technique and feasibility of the purely endoscopic far-lateral supracerebellar infratentorial approach (EF-SCITA) for resection of an intradural clival chordoma.
Case Description: A 68-year-old women presented with sudden ptosis on the left side for two weeks.
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