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Extra-intradural extracavernous subtemporal approach for chondrosarcomas: technical note and case report
Carmela Chiaramonte1, Timothée Jacquesson2, Emmanuel Jouanneau2
1Division of Neurosurgery, Department of Neurosciences and Reproductive and Odontostomatological Sciences, School of Medicine and Surgery, University of Naples Federico II, Via Vincenzo Lombardi, 44 Gragnano, Naples, Italy. milachiaramonte87@gmail.com.
Acta Neurochirurgica
|July 6, 2019
Summary
A minimally invasive surgical approach offers a safe option for partial removal of soft skull base chondrosarcomas, particularly those invading the petrous apex and cavernous sinus.
Area of Science:
- Neurosurgery
- Oncology
- Skull Base Surgery
Background:
- Skull base chondrosarcomas are rare, slow-growing tumors frequently involving the petrous apex and cavernous sinus.
- Surgical intervention is often considered, with partial removal being a viable initial strategy before radiotherapy.
- Existing surgical approaches for these complex tumors are numerous.
Observation:
- A case of a right parasellar chondrosarcoma was treated.
- A minimally invasive extra-intradural extracavernous subtemporal approach was utilized.
- This approach facilitated a safe and effective partial tumor removal.
Findings:
- The described surgical technique is suitable for soft, non-calcified chondrosarcomas.
- It allows for safe and effective partial removal of these tumors.
- The approach is particularly useful for lesions in the parasellar region and petrous apex.
Implications:
- This minimally invasive approach provides a valuable option for selected skull base chondrosarcoma cases.
- It enables good decompression and partial tumor removal.
- Further research may explore its application in similar challenging tumor locations.
Keywords:
Cavernous sinus surgeryChondrosarcomasExtracavernous approachExtradural approachSkull base surgerySubtemporal approachMore Related Videos
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