Extended endoscopic endonasal posterior (transclival) approach to tumors of the clival region and ventral posterior cranial fossa. Part 3. Analysis of surgical treatment outcomes in 127 patients

2018 ◽  
Vol 82 (3) ◽  
pp. 15 ◽  
Author(s):  
A. N. Shkarubo ◽  
K. V. Koval' ◽  
B. A. Kadashev ◽  
D. N. Andreev ◽  
I. V. Chernov
Keyword(s):  
Surgical Treatment ◽  
Treatment Outcomes ◽  
Posterior Cranial Fossa ◽  
Endoscopic Endonasal ◽  
Cranial Fossa

scholarly journals Endoscopic endonasal transclival removal of tumors of the clivus and anterior region of the posterior cranial fossa (results of surgical treatment of 140 patients)

2018 ◽  
Vol 4 (1) ◽  
Author(s):  
Alexey N. Shkarubo ◽  
Konstantin V. Koval ◽  
Ilia V. Chernov ◽  
Dmitry N. Andreev ◽  
Alexey B. Kurnosov ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Posterior Cranial Fossa ◽  
Anterior Region ◽  
Endoscopic Endonasal ◽  
Cranial Fossa

Endoscopic Endonasal Transclival Approach to Tumors of the Clivus and Anterior Region of the Posterior Cranial Fossa (Results of Surgical Treatment of 136 Patients)

2019 ◽  
Vol 121 ◽  
pp. e246-e261 ◽  
Author(s):  
Alexey N. Shkarubo ◽  
Konstantin V. Koval ◽  
Ilia V. Chernov ◽  
Dmitry N. Andreev ◽  
Andrey A. Panteleyev
Keyword(s):  
Surgical Treatment ◽  
Posterior Cranial Fossa ◽  
Anterior Region ◽  
Endoscopic Endonasal ◽  
Cranial Fossa

scholarly journals Surgical Treatment for Epidural Abscess in the Posterior Cranial Fossa Using Trapezius Muscle or Musculocutaneous Flap

Skull Base ◽  
2000 ◽  
Vol Volume 10 (Number 4) ◽  
pp. 0173-0178 ◽  
Author(s):  
Kensuke Kiyokawa ◽  
Yoshiaki Tai ◽  
Yojiro Inoue ◽  
Hiroko Yanaga ◽  
Hideaki Rikimaru ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Epidural Abscess ◽  
Trapezius Muscle ◽  
Posterior Cranial Fossa ◽  
Musculocutaneous Flap ◽  
Cranial Fossa

scholarly journals REMOVING A RETROSELLAR PITUITARY ADENOMA VIA THE ENDOSCOPIC ENDONASAL TRANSSPHENOIDAL TRANSCAVERNOUS APPROACH

2019 ◽  
Vol 21 (2) ◽  
pp. 39-44
Author(s):  
О. I. Sharipov ◽  
M. A. Kutin ◽  
P. L. Kalinin
Keyword(s):  
Pituitary Adenoma ◽  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Cavernous Sinus ◽  
Internal Carotid ◽  
Sella Turcica ◽  
Posterior Cranial Fossa ◽  
Anatomical Landmarks ◽  
Endoscopic Endonasal ◽  
Cranial Fossa

The study objective is to describe the removal of the pituitary adenoma from the posterior cranial fossa through endoscopic transsphenoidal trans-cavernous approach, when the main surgical corridor was the tumor-intact cavernous sinus. Materials and methods. A 55-year-old male patient with endosupraretrosellar endocrine-inactive pituitary adenoma was admitted to N.N. Burdenko Research Center of Neurosurgery. The patient had earlier undergone two surgeries for pituitary adenoma. Using the endoscopic endonasal transsphenoidal approach, we found that these surgeries resulted in the formation of scar-altered adipose tissue in the sphenoid sinus and partly in the sella turcica; anatomical landmarks indicating the midline and the location of the internal carotid arteries were absent. We formed an access to both retro- and suprasellar portions of the tumor between the sella turcica and cavernous segment of the internal carotid artery (through the cavernous sinus); then we dissected anterior and posterior walls of the sinus and revealed a soft capsule-free pituitary adenoma, which was completely removed by a vacuum aspirator. The skull base defect was repaired using the multilayer technique with autologous tissues. Results. After surgery, neurological status and visual functions did not change. In the postoperative period, we observed no oculomotor disorders, pituitary insufficiency, diabetes insipidus, or nasal liquorrhea. Follow-up computed tomography scans revealed no signs of intracranial complications or obvious residual tumor tissue. Magnetic resonance imaging 4 month postoperatively demonstrated small laterosellar fragments of the tumor in the sella turcica. The patient was further followed up. Conclusion. Cavernous sinus is a natural anatomical corridor providing access to the structures of the posterior cranial fossa and interpeduncular cistern. The main risk (damage to the cavernous segment of the internal carotid artery) can be minimized by using intraoperative dopplerography and visual control of all manipulations.

Endoscopic Endonasal Transclival Approach to Tumors of the Clivus and Anterior Region of the Posterior Cranial Fossa: An Anatomic Study

2018 ◽  
Vol 119 ◽  
pp. e825-e841 ◽  
Author(s):  
Alexey N. Shkarubo ◽  
Konstantin V. Koval ◽  
Mikhail A. Shkarubo ◽  
Ilia V. Chernov ◽  
Dmitry N. Andreev ◽  
...  
Keyword(s):  
Posterior Cranial Fossa ◽  
Anterior Region ◽  
Anatomic Study ◽  
Endoscopic Endonasal ◽  
Cranial Fossa

The microscopic surgical treatment for tumor of posterior cranial fossa in children

2009 ◽  
Vol 6 (2) ◽  
pp. 95-99 ◽  
Author(s):  
Duo Chen ◽  
Xiangtai Wei ◽  
Qiang Yin ◽  
Junhong Guan ◽  
Weiran Pan ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Posterior Cranial Fossa ◽  
Cranial Fossa

SURGICAL TREATMENT OF CEREBELLAR SCHISTOSOMIASIS

Neurosurgery ◽  
2009 ◽  
Vol 64 (5) ◽  
pp. 941-944 ◽  
Author(s):  
Kai Shu ◽  
Suojun Zhang ◽  
Lin Han ◽  
Ting Lei
Keyword(s):  
Surgical Treatment ◽  
Intracranial Pressure ◽  
Mass Effect ◽  
Posterior Cranial Fossa ◽  
Increased Intracranial Pressure ◽  
Therapeutic Measures ◽  
Cranial Fossa ◽  
Pathological Focus

Abstract OBJECTIVE To explore the surgical treatment of cerebellar schistosomiasis. METHODS Twelve cases of cerebellar schistosomiasis treated in our department were analyzed retrospectively. RESULTS All cases were cured. At the 2-year follow-up examination, all patients could perform physical tasks normally. CONCLUSION Cerebellar schistosomiasis tends to cause mass effect of the posterior cranial fossa and increased intracranial pressure. Microresection of the pathological focus and decompression of the posterior cranial fossa should be effective therapeutic measures.

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