Transsphenoidal approach to infrasellar tumors involving the cavernous sinus.

Abstract:

:The authors review their 2-year experience with a rhinoseptal transsphenoidal approach to skull-base tumors of various pathologies involving both the sphenoid and cavernous sinuses. Eight patients with cranial nerve palsies attributable to compression of the contents of the cavernous sinus and/or optic canal are included in this report. Among these patients, a total of 17 cranial nerves were affected. Postoperative normalization was achieved in eight nerves, significant improvement in seven nerves, and no improvement in two nerves. There were no operative complications of aggravation of cranial nerve palsies in this series. In spite of the limited operating field, the results demonstrate the effectiveness and safety of this approach. The authors recommend that this approach be considered before more aggressive surgery is undertaken.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Hashimoto N,Kikuchi H

doi

10.3171/jns.1990.73.4.0513

subject

Has Abstract

pub_date

1990-10-01 00:00:00

pages

513-7

issue

4

eissn

0022-3085

issn

1933-0693

journal_volume

73

pub_type

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