Combined Transconjunctival and Endonasal Approach

May 16, 2019 by in NEUROSURGERY Comments Off on Combined Transconjunctival and Endonasal Approach

Introduction • Transconjunctival and endonasal approaches provide direct access to the anterior skull base and can be employed in the surgical treatment of various pathologies. • The combined transconjunctival and…

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Combined Subfrontal and Endonasal Approach

May 16, 2019 by in NEUROSURGERY Comments Off on Combined Subfrontal and Endonasal Approach

Indications • The major advantages of this approach include broad exposure to the anterior cranial base with minimal brain retraction. • The approach can facilitate the access to the anterior…

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Surgical Treatment of Craniopharyngiomas

May 16, 2019 by in NEUROSURGERY Comments Off on Surgical Treatment of Craniopharyngiomas

Preoperative Considerations • Craniopharyngiomas are tumors with solid-cystic components that originate from embryological remnants of the Rathke’s pouch. They represent 1–3% of lifetime intracranial tumors and up to 5–10% occurring…

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Retrosigmoid Versus Extended Retrosigmoid Approach

May 16, 2019 by in NEUROSURGERY Comments Off on Retrosigmoid Versus Extended Retrosigmoid Approach

Preoperative Considerations • The standard retrosigmoid approach allows for expeditious access to the posterior fossa, specifically to the cerebellopontine angle (CPA). • The extended retrosigmoid approach includes the skeletonization of…

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The Far Lateral Approach

May 16, 2019 by in NEUROSURGERY Comments Off on The Far Lateral Approach

Preoperative Considerations • The far lateral provides wide access to the dorsolateral compartment yet allowing exposure to the lateral aspect of the ventromedial compartment of the posterior fossa (270° visualization…

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Pituitary Adenomas

May 16, 2019 by in NEUROSURGERY Comments Off on Pituitary Adenomas

Preoperative Considerations • Pituitary adenomas are the most prevalent intrasellar lesions and the third most prevalent primary intracranial tumors. These lesions can lead to significant neurologic and/or endocrine-related morbidity secondary…

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