Top

Published in:

01-04-2017 | Case Report

Preoperative simulation of the running course of the abducens nerve in a large petroclival meningioma: a case report and literature review

Authors: Kaichuang Yang, Fusao Ikawa, Shumpei Onishi, Manish Kolakshyapati, Masaaki Takeda, Satoshi Yamaguchi, Minoru Ishifuro, Yuji Akiyama, Mizuki Morishige, Kaoru Kurisu

Published in: Neurosurgical Review | Issue 2/2017

Abstract

One of the most important and useful pieces of information in the preoperative evaluation of a large petroclival meningioma is the running course of the abducens nerve. The abducens nerve is small and has a long intracranial course, making it prone to compression by the tumor at various anatomical points. In relatively large tumors, it is difficult to confirm the entire course of the abducens nerve, even by heavy T2-thin slice imaging. We report a case of successful preoperative estimation of the course of the abducens nerve that aided in its complete preservation during the resection of a large petroclival tumor.

Alkan A, Sigirci A, Ozveren MF et al (2004) The cisternal segment of the abducens nerve in man: three-dimensional MR imaging. Eur J Radiol 51(3):218–222CrossRefPubMed

Hodaie M, Quan J, Chen DQ (2010) In vivo visualization of cranial nerve pathways in humans using diffusion-based tractography. Neurosurgery 66(4):788–795CrossRefPubMed

Ichimura S, Kawase T, Onozuka S, Yoshida K, Ohira T (2008) Four subtypes of petroclival meningiomas: differences in symptoms and operative findings using the anterior transpetrosal approach. Acta Neurochir 150(7):637–645CrossRefPubMed

Jun M, Shaobo S, Shuyuan Y et al (2015) Preoperative visualization of cranial nerves in skull base tumor surgery using diffusion tensor imaging technology. Turk Neurosurg. doi:10.5137/1019-5149 PubMed

Kaspera W, Adamczyk P, Slaska-Kaspera A, Ladzinski P (2015) Usefulness of intraoperative monitoring of oculomotor and abducens nerves during surgical treatment of the cavernous sinus meningiomas. Adv Med Sci 60(1):25–30CrossRefPubMed

Li D, Hao SY, Wang L et al (2013) Surgical management and outcomes of petroclival meningiomas: a single-center case series of 259 patients. Acta Neurochir 155(8):1367–1383CrossRefPubMed

Lopez JR (2011) Neurophysiologic intraoperative monitoring of the oculomotor, trochlear, and abducens nerves. J Clin Neurophysiol 28(6):543–550CrossRefPubMed

Mamata Y, Muro I, Natsumae M et al (1998) Magnetic resonance cisternography for visualization of intracisternal fine structures. J Neurosurg 88:670–678CrossRefPubMed

Mathiesen T, Gerlich A, Kihlstrom L, Svensson M, Bagger-Sjoback D (2007) Effects of using combined transpetrosal surgical approaches to treat petroclival meningiomas. Neurosurgery 60(6):982–991CrossRefPubMed

10.

Mikami T, Minamida Y, Yamaki T, Koyanagi I, Nonaka T, Houkin K (2005) Cranial nerve assessment in posterior fossa tumors with fast imaging employing steady-state acquisition (FIESTA). Neurosurg Rev 28(4):261–266CrossRefPubMed

11.

Mitsuoka H, Tsunoda A, Okuda O, Sato K, Makita J (1998) Delineation of small nerves and blood vessels with three-dimensional fast spin-echo MR imaging: comparison of presurgical and surgical findings in patients with hemifacial spasm. Am J Neuroradiol 19(10):1823–1829PubMed

12.

Mori S, van Zijl PC (2002) Fiber tracking: principles and strategies—a technical review. NMR Biomed 15(7–8):468–480CrossRefPubMed

13.

Mukherjee P, Chung SW, Berman JI, Hess CP, Henry RG (2008) Diffusion tensor MR imaging and fiber tractography: technical considerations. AJNR Am J Neuroradiol 29(5):843–852CrossRefPubMed

14.

Natarajan SK, Sekhar LN, Schessel D, Morita A (2007) Petroclival meningiomas: multimodality treatment and outcomes at long-term follow-up. Neurosurgery 60(6):965–979CrossRefPubMed

15.

Nishikawa T, Okamoto K, Matsuzawa H, Terumitsu M, Nakada T, Fujii Y (2014) Detectability of neural tracts and nuclei in the brainstem utilizing 3DAC-PROPELLER. J Neuroimaging 24(3):238–244CrossRefPubMed

16.

Ohtsuka K, Sone A, Igarashi Y, Akiba H, Sakata M (1996) Vascular compressive abducens nerve palsy disclosed by magnetic resonance imaging. Am J Ophthalmol 122(3):416–419CrossRefPubMed

17.

Ozgur A, Esen K, Kara E, Temel GO (2015) Visualization of the abducens nerve in its petroclival segment using contrast-enhanced FIESTA MRI: the size of the petroclival venous confluence affects detectability. Clin Neuroradiol. doi:10.1007/s00062-015-0415-x PubMed

18.

Pilyugina SA, Fischbein NJ, Liao YJ, McCulley TJ (2007) Isolated sixth cranial nerve aplasia visualized with fast imaging employing steady-state acquisition (FIESTA) MRI. J Neuroophthalmol 27(2):127–128CrossRefPubMed

19.

San-juan D, Barges-Coll J, Gómez Amador JL et al (2014) Intraoperative monitoring of the abducens nerve in extended endonasal endoscopic approach: a pilot study technical report. J Electromyogr Kinesiol 24(4):558–564CrossRefPubMed

20.

Taoka T, Hirabayashi H, Nakagawa H et al (2006) Displacement of the facial nerve course by vestibular schwannoma: preoperative visualization using diffusion tensor tractography. J Magn Reson Imaging 24(5):1005–1010CrossRefPubMed

21.

Wei PH, Qi ZG, Chen G et al (2016) Identification of cranial nerves around trigeminal schwannomas using diffusion tensor tractography: a technical note and report of 3 cases. Acta Neurochir 158(3):429–435CrossRefPubMed

22.

Yamasaki F, Akiyama Y, Tsumura R et al (2016) Post-traumatic unilateral avulsion of the abducens nerve with damage to cranial nerves VII and VII: case report. NMC Case Rep J 3(3):81–83CrossRef

23.

Yoshino M, Abhinav K, Yeh FC et al (2016) Visualization of cranial nerves using high-definition fiber tractography. Neurosurgery 79(1):146–165CrossRefPubMed

24.

Yousry I, Camelio S, Wiesmann M et al (1999) Detailed magnetic resonance imaging anatomy of the cisternal segment of the abducent nerve: Dorello’s canal and neurovascular relationships and landmarks. J Neurosurg 91(2):276–283CrossRefPubMed

Title: Preoperative simulation of the running course of the abducens nerve in a large petroclival meningioma: a case report and literature review
Authors: Kaichuang Yang
Fusao Ikawa
Shumpei Onishi
Manish Kolakshyapati
Masaaki Takeda
Satoshi Yamaguchi
Minoru Ishifuro
Yuji Akiyama
Mizuki Morishige
Kaoru Kurisu
Publication date: 01-04-2017
Publisher: Springer Berlin Heidelberg
Published in: Neurosurgical Review / Issue 2/2017
Print ISSN: 0344-5607
Electronic ISSN: 1437-2320
DOI: https://doi.org/10.1007/s10143-017-0816-1

At a glance: The STEP trials

Springer Medicine

Preoperative simulation of the running course of the abducens nerve in a large petroclival meningioma: a case report and literature review

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 2/2017

Posterior fossa decompression with and without duraplasty for the treatment of Chiari malformation type I—a systematic review and meta-analysis

Detailed anatomy knowledge: first step to approach petroclival meningiomas through the petrous apex. Anatomy lab experience and surgical series

Assessment of the cortical artery using computed tomography angiography for bypass surgery in moyamoya disease

Brain tumors in eloquent areas: A European multicenter survey of intraoperative mapping techniques, intraoperative seizures occurrence, and antiepileptic drug prophylaxis

Retrograde suction decompression of a large internal carotid aneurysm using a balloon guide catheter combined with a blood-returning circuit and STA-MCA bypass: a technical note

Surgical safety of cervical pedicle screw placement with computer navigation system