Ding Jiahai, Liang Buqing, Deng Liyi, Nie Er, Lu Yang, Huang Jason H, Liu Yong, Wang Lei
Department of Neurosurgery, Affiliated Hospital of Xuzhou Medical University, Xuzhou, CHN.
Neurosurgery, Baylor Scott & White Health, Temple, USA.
Cureus. 2023 Nov 25;15(11):e49379. doi: 10.7759/cureus.49379. eCollection 2023 Nov.
The pterional craniotomy with anterior clinoidectomy is a surgical technique used to resect sphenoid ridge meningiomas. It involves drilling the bone of the anterior clinoid process to gain access to the skull base, including the cavernous sinus and petrous apex particularly. This approach offers several advantages, including excellent exposure of the surgical site, minimal brain retraction, and the ability to visualize and protect critical neurovascular structures. We present a case of a 59-year-old woman presented with headache, dizziness, blurry vision, and unsteady gait for several months. The brain magnetic resonance imaging with gadolinium contrast showed a large space-occupying homogeneously-enhancing lesion at the left skull base, displacing the surrounding structures, including the frontal lobe, temporal lobe, and brainstem. Herein, we present the intraoperative video on a case in which the pterional craniotomy with anterior clinoidectomy that can allow the exposure and resection of the tumor extending into the posterior fossa was utilized for the resection of a large left sphenoid ridge meningioma with brain stem compression.
翼点入路联合前床突切除术是一种用于切除蝶骨嵴脑膜瘤的手术技术。该手术包括磨除前床突骨质，以进入颅底，特别是海绵窦和岩尖。这种手术方法具有几个优点，包括手术部位暴露良好、对脑的牵拉最小，以及能够可视化和保护关键的神经血管结构。我们报告一例59岁女性，数月来出现头痛、头晕、视力模糊和步态不稳。钆增强脑磁共振成像显示左颅底有一个大的占位性均匀强化病变，推移周围结构，包括额叶、颞叶和脑干。在此，我们展示一例术中视频，该病例采用翼点入路联合前床突切除术，以暴露和切除延伸至后颅窝的肿瘤，用于切除压迫脑干的巨大左侧蝶骨嵴脑膜瘤。
