scholarly journals Subtemporal keyhole approach to Meckel’s cave epidermoid cyst: Case report and review of literature

2017 ◽  
Vol 03 (01) ◽  
pp. 050-053 ◽  
Author(s):  
Qing Lan ◽  
Ai Chen ◽  
Jeffrey Tanudjaja
2021 ◽  
Vol 13 (6) ◽  
pp. 709-716
Author(s):  
Soo Ki Kim ◽  
Takako Fujii ◽  
Ryouhei Komaki ◽  
Hisato Kobayashi ◽  
Toyokazu Okuda ◽  
...  

2010 ◽  
Vol 50 (8) ◽  
pp. 701-704 ◽  
Author(s):  
Atsushi ARAI ◽  
Takashi SASAYAMA ◽  
Junji KOYAMA ◽  
Atsushi FUJITA ◽  
Kohkichi HOSODA ◽  
...  

2018 ◽  
Vol 16 (6) ◽  
pp. E172-E173
Author(s):  
Ken Matsushima ◽  
Michihiro Kohno ◽  
Nobuyuki Nakajima ◽  
Norio Ichimasu

Abstract The combined transpetrosal approach enables wide exposure around the petroclival region by cutting the tentorium and superior petrosal sinus. We often choose this approach for removal of tumors ventral to the facial and vestibulocochlear nerves, such as petroclival meningioma and epidermoid cyst, because complete removal of the tumor under direct visualization is required to prevent its later recurrence, especially in young patients. Recent reports revealed anatomical variations of the drainage of the superior petrosal sinus, and dural incision considering preservation of the superior petrosal vein was proposed.1-3 This 3-dimensional video shows a patient with an epidermoid cyst, which was surgically treated using the combined transpetrosal approach, with consideration of the variation of the superior petrosal sinus and preservation of the drainage route of the superior petrosal vein. The video was reproduced after informed consent of the patient. The patient is a 31-yr-old woman who presented with a left cerebellopontine angle epidermoid cyst extending into Meckel's cave. The superior petrosal sinus was of the lateral type, draining only laterally into the transverse–sigmoid junction without medial connection with the cavernous sinus.1 The combined transpetrosal approach was performed with cutting of the superior petrosal sinus medial to the entry point of the superior petrosal vein, in order to preserve its drainage into the transverse–sigmoid junction. Meckel’ cave was opened along its lateral margin, and tumor removal was accomplished, leaving only a minute part of the capsule strongly adhering to the neurovascular structures. The patient had no new permanent neurological deficits during follow-up. The figures in the video were modified from Matsushima et al1 by permission of the Congress of Neurological Surgeons.


2021 ◽  
Author(s):  
Kunal V Vakharia ◽  
Ryan M Naylor ◽  
Ashley M Nassiri ◽  
Colin L W Driscoll ◽  
Michael J Link

Abstract Epidermoid cysts are rare, benign lesions that result from inclusion of ectodermal elements during neural tube closure.1 Cysts are composed of desquamated epithelial cells and restrict diffusion on magnetic resonance imaging (MRI).2,3 Symptoms are attributable to anatomic location.4,5 In this video, we illustrate the surgical treatment of an epidermoid cyst located in the right cerebellopontine angle, petrous apex, and Meckel's cave. The patient, a 33-yr-old female with right-sided V1 trigeminal hypoesthesia, underwent surveillance imaging for 2 yr. However, she developed progressive V1 and V2 trigeminal hypoesthesia and imaging revealed enlargement of the lesion. Therefore, surgical resection was pursued. The patient consented to the procedure. The patient underwent a right middle fossa craniotomy and anterior petrosectomy. After identifying the greater superficial petrosal nerve and cutting the middle meningeal artery as it exited foramen spinosum, Kawase's triangle was drilled, and the dura over Meckel's cave and the subtemporal dura were opened. The lesion was resected, taking care to preserve the trigeminal nerve and the basilar artery. A retrosigmoid craniotomy was then fashioned. The cyst and its capsule were dissected off the brainstem and cranial nerves utilizing natural corridors between the trigeminal and vestibulocochlear nerves as well as between the facial and lower cranial nerves. Gross total resection was confirmed on postoperative MRI, and she was discharged home on postoperative day 5. Three months after surgery, she underwent formal pinprick testing, which revealed 95% loss of sensation in V1, 20% loss in V2, and normal sensation in V3. Three-month postoperative MRI showed no residual tumor.


2012 ◽  
Vol 3 (9) ◽  
pp. 437-440
Author(s):  
Debasish Debnath ◽  
Savita Taribagil ◽  
Khalid J.S. Al-Janabi ◽  
Reggie Inwang

2012 ◽  
Vol 18 (1) ◽  
pp. 34 ◽  
Author(s):  
Shrutal Deshmukh ◽  
AlkaM Dive ◽  
Shughangi Khandekar ◽  
Rohit Moharil

2010 ◽  
Vol 53 (04) ◽  
pp. 191-193 ◽  
Author(s):  
M. K. Kasliwal ◽  
V. K. Anand ◽  
E. Lavi ◽  
T. H. Schwartz

1991 ◽  
Vol 35 (4) ◽  
pp. 317-320 ◽  
Author(s):  
Hideo Kimura ◽  
Kazunari Oka ◽  
Yoshiya Nakayama ◽  
Masamichi Tomonaga

2013 ◽  
Vol 2013 (jan08 1) ◽  
pp. bcr2012007907-bcr2012007907 ◽  
Author(s):  
M. R. Sahoo ◽  
M. S. Gowda ◽  
S. S. Behera

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