Endoscopic Endonasal Transodontoid Approach for Degenerative Pseudotumor of the Craniocervical Junction

Andrew S. Venteicher; Ezequiel Goldschmidt; Michael M. McDowell; Eric W. Wang; Carl H. Snyderman; Paul A. Gardner

doi:10.1055/s-0039-1700892

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

CC BY-NC-ND 4.0 · J Neurol Surg B Skull Base 2019; 80(S 04): S368-S369
DOI: 10.1055/s-0039-1700892

Skull Base: Operative Videos

Georg Thieme Verlag KG Stuttgart · New York

Endoscopic Endonasal Transodontoid Approach for Degenerative Pseudotumor of the Craniocervical Junction

Authors

Andrew S. Venteicher ^*

¹Department of Neurosurgery, University of Minnesota, Minneapolis, Minnesota, United States
Ezequiel Goldschmidt^*

²Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States
Michael M. McDowell

²Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States
Eric W. Wang

³Department of Otolaryngology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States
Carl H. Snyderman

³Department of Otolaryngology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States
Paul A. Gardner

²Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States

Abstract

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Keywords

transodontoid - endoscopic endonasal approach - craniocervical junction - retroodontoid degenerative pseudotumor - periodontoid pannus

Publication Comments

The authors present two cases of endonasal endoscopic resection of the odontoid for pannus and a synovial cyst. Use of a myofascial flap is demonstrated.

Jeffery Sorenson, MD

University of Tennessee Health Science Center

Memphis, TN

Fig. 1 Patient 1 with broad retroodontoid pseudotumor causing cervicomedullary stenosis. (A) Preoperative MRI T2. (B) Postoperative CT. (C) Endoscopic view after pannus was resected. CT, computed tomography; MRI, magnetic resonance imaging.

Fig. 2 Patient 2 with retroodontoid pseudotumor and synovial cyst causing cervicomedullary stenosis. (A) Preoperative MRI T2. (B) Postoperative CT. (C) Endoscopic view removing synovial cyst wall. CT, computed tomography; MRI, magnetic resonance imaging.

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Figures

Fig. 1 Patient 1 with broad retroodontoid pseudotumor causing cervicomedullary stenosis. (A) Preoperative MRI T2. (B) Postoperative CT. (C) Endoscopic view after pannus was resected. CT, computed tomography; MRI, magnetic resonance imaging.

Fig. 2 Patient 2 with retroodontoid pseudotumor and synovial cyst causing cervicomedullary stenosis. (A) Preoperative MRI T2. (B) Postoperative CT. (C) Endoscopic view removing synovial cyst wall. CT, computed tomography; MRI, magnetic resonance imaging.