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Published in: Acta Neurochirurgica 11/2023

12-08-2023 | Chondrosarcoma | How I Do it

Combined and staged retrosigmoid, extended middle fossa, and endoscopic transnasal approach to a petroclival chondrosarcoma: how I do it

Authors: Robert C. Rennert, Karol P. Budohoski, Vance R. Mortimer, William T. Couldwell

Published in: Acta Neurochirurgica | Issue 11/2023

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Abstract

Background

Tumors of the petroclival region with multicompartment extension can be difficult to address with a single surgical approach.

Method

We present the case of a patient with a large chondrosarcoma centered at the right petroclival fissure with extension into the cavernous sinus, the region beneath the cavernous sinus, cerebellopontine angle with deformation of the pons, and prevertebral space. A staged complete resection was performed using a stage 1 single-incision combined right retrosigmoid craniotomy and extended middle fossa craniotomy, followed by a stage 2 endoscopic transnasal approach.

Conclusion

A combined approach to selected petroclival tumors can maximize safe resection.
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Metadata
Title
Combined and staged retrosigmoid, extended middle fossa, and endoscopic transnasal approach to a petroclival chondrosarcoma: how I do it
Authors
Robert C. Rennert
Karol P. Budohoski
Vance R. Mortimer
William T. Couldwell
Publication date
12-08-2023
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 11/2023
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-023-05749-6

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