Subscribe to RSS
DOI: 10.1055/s-0042-1759872
Transnasal Endoscopic Approach for Resection of a Cavernous Sinus Cavernous Malformation
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]).
#
Keywords
transnasal endoscopic approach - middle cranial fossa - cavernous sinus - cavernous malformationwww.thieme.com/skullbasevideos
Quality:
#
Conflict of Interest
None declared.
Address for correspondence
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/)
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany