J Neurol Surg B Skull Base 2025; 86(S 01): S1-S576
DOI: 10.1055/s-0045-1803523
Presentation Abstracts
Podium Presentations
Video Presentations

Acromegaly with Extension Tracking the Sympathetic Chain

Ali Palejwala
1   Stanford University, Stanford, California, United States
,
Vera Vigo
1   Stanford University, Stanford, California, United States
,
Alix Bex
1   Stanford University, Stanford, California, United States
,
Matei A. Banu
1   Stanford University, Stanford, California, United States
,
Vladimir A. Ljubimov
1   Stanford University, Stanford, California, United States
,
Peter H. Hwang
1   Stanford University, Stanford, California, United States
,
Juan Carlos Fernandez-Miranda
1   Stanford University, Stanford, California, United States
› Author Affiliations
› Further Information
Also available atMedOne
 

This is a 42-year-old female, diagnosed with acromegaly. MRI brain demonstrated a presumed GH-secreting pituitary neuroendocrine tumor with extension into multiple compartments of the right cavernous sinus. The patient underwent an endoscopic transpterygoid approach for resection. This video demonstrates that all compartments of the cavernous sinus can be accessed, especially focusing on the inferior compartment. In this case, the tumor was tracking along the sympathetic chain, which was resected completely.



Publication History

Article published online:
07 February 2025

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