J Neurol Surg B Skull Base 2025; 86(S 01): S1-S576
DOI: 10.1055/s-0045-1803447
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Extended Middle Fossa Approach for a Recurrent Clival Chordoma

Autoren

  • Yuhei Sangatsuda

    1   Stanford University, Stanford, California, United States

  • Vera Vigo

    1   Stanford University, Stanford, California, United States

  • Enrico Gambatesa

    1   Stanford University, Stanford, California, United States

  • Christine K. Lee

    1   Stanford University, Stanford, California, United States

  • Yuanzhi Xu

    1   Stanford University, Stanford, California, United States

  • Alix Bex

    1   Stanford University, Stanford, California, United States

  • Juan Carlos Fernandez-Miranda

    1   Stanford University, Stanford, California, United States
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A 49-year-old man presented with a recurrent giant chordoma involving multiple skull base compartments with brainstem compression. Resection was performed via an extended middle fossa approach with orbitozygomatic craniotomy, leaving residual tumor in the parasellar and parabasilar regions. These were removed in a second stage via endoscopic endonasal surgery achieving GTR. A temporoparietal nasal flap was performed for skull base reconstruction, secondary to CSF leak and meningitis. The patient recovered well from surgery without tumor recurrence.



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Artikel online veröffentlicht:
07. Februar 2025

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