Journal of Neurological Surgery Part B: Skull Base, Table of Contents

CC-BY-NC-ND 4.0 · J Neurol Surg B Skull Base 2018; 79(S 02): S208-S210
DOI: 10.1055/s-0037-1620248

Skull Base: Operative Videos

Georg Thieme Verlag KG Stuttgart · New York

Contralateral Minimum Anterior and Posterior Combined Petrosal Approach for Retrochiasmatic Craniopharyngiomas: An Alternative Technique

Sachin Ranganatha Goudihalli

¹Department of Neurosurgery, Fortis Hospital, Bangalore, India

³Department of Neurosurgery, Osaka City University Graduate School of Medicine, Osaka, Japan

,

Hiroki Morisako

³Department of Neurosurgery, Osaka City University Graduate School of Medicine, Osaka, Japan

,

Wimba Prastarana

²Department of Neurosurgery, Airlangga University, Surabaya, Indonesia

,

Takeo Goto

³Department of Neurosurgery, Osaka City University Graduate School of Medicine, Osaka, Japan

,

Hiroki Ohata

³Department of Neurosurgery, Osaka City University Graduate School of Medicine, Osaka, Japan

,

Kenji Ohata

³Department of Neurosurgery, Osaka City University Graduate School of Medicine, Osaka, Japan

› Author Affiliations

Keywords

Keywords

retrochiasmatic craniopharyngioma - petrosal approach - interpeduncular fossa - optic tract

Fig. 1 Preoperative CT scan (A), and MRI including axial (B), coronal (C), and saggital (D) sequences showing tumor with calcification, in the retrochiasmatic area close to left optic tract. MRI, magnetic resonance imaging.

Fig. 2 Intraoperative images showing the retrochiasmatic area with tumor and vital neurovascular bundle around (A) and the tumor bed visualized after the complete tumor removal, showing the left optic tract (B). T, tumor, III, right oculomotor nerve; PCA, right posterior cerebral artery; SCA, right superior cerebellar artery; IV, right trochlear nerve; BS, brain stem; OT, left optic tract; *, clipped right hyploplastic PCoM.

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References
1 Kunihiro N, Goto T, Ishibashi K, Ohata K. Surgical outcomes of the minimum anterior and posterior combined transpetrosal approach for resection of retrochiasmatic craniopharyngiomas with complicated conditions. J Neurosurg 2014; 120 (01) 1-11
2 Morisako H, Goto T, Goto H, Bohoun CA, Tamrakar S, Ohata K. Aggressive surgery based on an anatomical subclassification of craniopharyngiomas. Neurosurg Focus 2016; 41 (06) E10
3 Oyama K, Prevedello DM, Ditzel Filho LF. , et al. Anatomic comparison of the endonasal and transpetrosal approaches for interpeduncular fossa access. Neurosurg Focus 2014; 37 (04) E12
4 Taussky P, Kalra R, Coppens J, Mohebali J, Jensen R, Couldwell WT. Endocrinological outcome after pituitary transposition (hypophysopexy) and adjuvant radiotherapy for tumors involving the cavernous sinus. J Neurosurg 2011; 115 (01) 55-62

Fig. 1 Preoperative CT scan (A), and MRI including axial (B), coronal (C), and saggital (D) sequences showing tumor with calcification, in the retrochiasmatic area close to left optic tract. MRI, magnetic resonance imaging.

Fig. 2 Intraoperative images showing the retrochiasmatic area with tumor and vital neurovascular bundle around (A) and the tumor bed visualized after the complete tumor removal, showing the left optic tract (B). T, tumor, III, right oculomotor nerve; PCA, right posterior cerebral artery; SCA, right superior cerebellar artery; IV, right trochlear nerve; BS, brain stem; OT, left optic tract; *, clipped right hyploplastic PCoM.