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Endoscopic trans-sphenoidal surgery for petroclival and clival meningiomas.

Publication ,  Journal Article
Beer-Furlan, A; Abi-Hachem, R; Jamshidi, AO; Carrau, RL; Prevedello, DM
Published in: J Neurosurg Sci
December 2016

Petroclival meningiomas are challenging lesions to manage independently of the selected surgical approach and are unique tumors in the type of pathological displacement of the surrounding anatomy. They also represent one of the most controversial entities with regard to approach selection, especially when deciding between an open versus endonasal route. When choosing an approach to the intradural portion of the petroclival region, the location of critical neurovascular structures relative to the lesion must be anticipated, including the abducens and trigeminal nerves. The role of the expanded endoscopic endonasal approach (EEA) in the management of ventral posterior fossa meningiomas is still restricted due to limited surgical indications in selected cases. It is a safe alternative for the rare cases of meningiomas with most part of its dural base at the midline clival region, and it may be used as solely or combination of other approaches. Thus, appropriate case selection may optimize the advantages of the approach and reduce morbidity of this complex pathology. We discuss in this review article the main advantages and limitations of the EEA for clival and petroclival meningiomas.

Duke Scholars

Published In

J Neurosurg Sci

EISSN

1827-1855

Publication Date

December 2016

Volume

60

Issue

4

Start / End Page

495 / 502

Location

Italy

Related Subject Headings

  • Skull Base Neoplasms
  • Neurosurgical Procedures
  • Neurology & Neurosurgery
  • Meningioma
  • Meningeal Neoplasms
  • Humans
  • Endoscopy
  • Cranial Fossa, Posterior
 

Citation

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MLA
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Beer-Furlan, A., Abi-Hachem, R., Jamshidi, A. O., Carrau, R. L., & Prevedello, D. M. (2016). Endoscopic trans-sphenoidal surgery for petroclival and clival meningiomas. J Neurosurg Sci, 60(4), 495–502.
Beer-Furlan, André, Ralph Abi-Hachem, Ali O. Jamshidi, Ricardo L. Carrau, and Daniel M. Prevedello. “Endoscopic trans-sphenoidal surgery for petroclival and clival meningiomas.J Neurosurg Sci 60, no. 4 (December 2016): 495–502.
Beer-Furlan A, Abi-Hachem R, Jamshidi AO, Carrau RL, Prevedello DM. Endoscopic trans-sphenoidal surgery for petroclival and clival meningiomas. J Neurosurg Sci. 2016 Dec;60(4):495–502.
Beer-Furlan, André, et al. “Endoscopic trans-sphenoidal surgery for petroclival and clival meningiomas.J Neurosurg Sci, vol. 60, no. 4, Dec. 2016, pp. 495–502.
Beer-Furlan A, Abi-Hachem R, Jamshidi AO, Carrau RL, Prevedello DM. Endoscopic trans-sphenoidal surgery for petroclival and clival meningiomas. J Neurosurg Sci. 2016 Dec;60(4):495–502.

Published In

J Neurosurg Sci

EISSN

1827-1855

Publication Date

December 2016

Volume

60

Issue

4

Start / End Page

495 / 502

Location

Italy

Related Subject Headings

  • Skull Base Neoplasms
  • Neurosurgical Procedures
  • Neurology & Neurosurgery
  • Meningioma
  • Meningeal Neoplasms
  • Humans
  • Endoscopy
  • Cranial Fossa, Posterior