CC BY-NC-ND 4.0 · J Neurol Surg B Skull Base 2022; 83(S 03): e667-e668
DOI: 10.1055/s-0042-1759872
Skull Base: Operative Videos

Transnasal Endoscopic Approach for Resection of a Cavernous Sinus Cavernous Malformation

Lei Zhao
1   Department of Neurosurgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, China
,
Runfeng Wang
1   Department of Neurosurgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, China
,
Zhihong Li
1   Department of Neurosurgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, China
,
Bo Ma
1   Department of Neurosurgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, China
,
Zhiguo Zhang
1   Department of Neurosurgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, China
› Author Affiliations
 

Abstract

Objectives The complicated anatomy in the parasellar region of the middle cranial fossa renders a surgical challenge in the management of cavernous malformation in this region. We demonstrate the resection of a cavernous malformation in this operative video.

Design The procedure is presented via a surgical instructional video.

Setting The operation was performed by a skull base team in a tertiary neurosurgical center.

Participant A 49-year-old female presented with intermittent headache and right facial numbness for 6 months. Physical examination suggested a decreased sensation of pain, temperature, and light-touch on the right side of the face. Magnetic resonance imaging indicated that a space-occupying lesion located in the middle cranial fossa.

Results Gross total resection was achieved, and the cranial nerve function was preserved.

Conclusion The lesion involving middle cranial fossa should be managed meticulously. Transnasal endoscopic approach is a good option for the resection of the lesion. Simultaneously, the cavernous sinus should be protected to a great extent in case of bleeding and cranial nerve injury.

The link to the video can be found at https://youtu.be/tbN8tuEb6nM ([Figs. 1] and [2]).


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Zoom Image
Fig. 1 Patient's magnetic resonance imaging (MRI). (A) Preoperative. (B) Postoperative.
Zoom Image
Fig. 2 Endoscopic view after the resection of the lesion and the cavernous sinus segment ICA. ICA, internal carotid artery.

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Quality:

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Conflict of Interest

None declared.

Address for correspondence

Zhiguo Zhang, MD, PhD
Department of Neurosurgery, Tangdu Hospital, Fourth Military Medical University
569 Xinsi Road, Xi'an, Shaanxi 710038
China   

Publication History

Received: 30 January 2021

Accepted: 12 November 2022

Article published online:
10 January 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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Zoom Image
Fig. 1 Patient's magnetic resonance imaging (MRI). (A) Preoperative. (B) Postoperative.
Zoom Image
Fig. 2 Endoscopic view after the resection of the lesion and the cavernous sinus segment ICA. ICA, internal carotid artery.