J Neurol Surg B Skull Base 2025; 86(S 01): S1-S576
DOI: 10.1055/s-0045-1803503
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Retrosigmoid Transtentorial Approach with Suprameatal Drilling (Kawase from below) for Gross Total Resection of a Large Petroclival Meningioma

Spyridon Karadimas
1   Thomas Jefferson University, Philadelphia, Pennsylvania, United States
,
Ankush Chandra
2   UTHealth Houston, Houston, Texas, United States
,
Jacques J. Morcos
2   UTHealth Houston, Houston, Texas, United States
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This is a case of a 54-year-old male with headaches who was found to have a large left petroclival meningioma mostly locating in the posterior fossa but extending to the Meckel's cave and supratentorial space. A left retrosigmoid transtentorial approach combined with drilling of the suprameatal bone (reverse Kawase) was performed. Post-op MRI confirmed gross total resection. Patient was discharged home without any neurological deficits.



Publication History

Article published online:
07 February 2025

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