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Αλέξανδρος Γ. Σφακιανάκης

Thursday, November 25, 2021

Extradural Middle Fossa and Transcavernous Approach for Resection of Trigeminal Neurinoma at Lateral Cavernous Sinus

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J Neurol Surg B Skull Base
DOI: 10.1055/s-0041-1736630

We present a 52-year-old male case of right trigeminal neurinoma at lateral cavernous sinus. The tumor was 40 mm in maximum diameter, obviously compressed temporal lobe and encased internal carotid artery. Extradural middle fossa and transcavernous approach was applied and the tumor was resected via Parkinson's triangle. This approach enabled safe and effective tumor resection, sufficient visualization, and operative field (Figs. 1 and 2). We performed dissection of the tumor from trigeminal nerve, tentorium, and middle fossa and resect the tumor around internal carotid artery sufficiently. Postoperative course was good without any new neurological deficit. This sur gical method is considered safe and effective for the resection of the tumor at lateral cavernous sinus.The link to the video can be found at: https://youtu.be/2ekuILIgEuo.
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Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, Germany

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