Your browser doesn't support javascript.
loading
Is endoscopic resection a useful technique for a cavernous sinus sellar cavernoma? A case report and literature review.
Rubino, Franco; Eichberg, Daniel G; Shah, Ashish H; Luther, Evan M; Lu, Victor M; Saad, Ali G; Komotar, Ricardo J; Ivan, Michael E.
Afiliação
  • Rubino F; Department of Neurological Surgery, Lois Pope Life Center, University of Miami Miller School of Medicine, Miami, FL, USA.
  • Eichberg DG; Department of Neurological Surgery, Lois Pope Life Center, University of Miami Miller School of Medicine, Miami, FL, USA.
  • Shah AH; Department of Neurological Surgery, Lois Pope Life Center, University of Miami Miller School of Medicine, Miami, FL, USA.
  • Luther EM; Department of Neurological Surgery, Lois Pope Life Center, University of Miami Miller School of Medicine, Miami, FL, USA.
  • Lu VM; Department of Neurological Surgery, Lois Pope Life Center, University of Miami Miller School of Medicine, Miami, FL, USA.
  • Saad AG; Department of Pathology, Lois Pope Life Center, University of Miami Miller School of Medicine, Miami, FL, USA.
  • Komotar RJ; Department of Neurological Surgery, Lois Pope Life Center, University of Miami Miller School of Medicine, Miami, FL, USA.
  • Ivan ME; Sylvester Comprehensive Cancer Center, Miami, FL, USA.
Br J Neurosurg ; : 1-8, 2021 Aug 18.
Article em En | MEDLINE | ID: mdl-34406095
BACKGROUND: Cavernous sinus cavernous malformations (CSCMs) is a vascular malformation of the cavernous sinus. Nowadays, there is an increasing preference to withhold using the terms cavernoma or cavernous hemangioma in order to stop considering these lesions as vascular neoplasms. These lesions are highly vascularized making surgical resection a challenge, mainly in endoscopic approaches. We present a case of this tumor treated in our institution with an endoscopic endonasal approach and incomplete resection. Because of the strenuous resection through this approach, we systematically reviewed the reported endoscopic cases of CSCMs to determine their intraoperative complications, results and tumor features. METHODS: Using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, one database (PubMed) and crossed references were queried for CSCMs from 1948 to 2020. Data regarding demographic features, clinical presentation, MRI features, surgical results and overall pathology features extracted. RESULTS: Eighteen patients were selected (including our case). The mean age was 50.4 ± 14 years. Pituitary dysfunction and cavernous sinus nerve compression were the most reported symptoms. Only five cases (27%) reported a gross total resection (GTR) through endoscopic endonasal approach. Intraoperative bleeding was the most frequent intraoperative complication. CONCLUSION: We present a comprehensive analysis of every reported CSCM treated through endoscopic approach. Partial or subtotal resection are the most used techniques because of the intraoperative bleeding and the adherence to surrounding structures. Radiotherapy is a very good option for patients with incomplete resections.
Palavras-chave

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Guideline Idioma: En Revista: Br J Neurosurg Assunto da revista: NEUROCIRURGIA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Guideline Idioma: En Revista: Br J Neurosurg Assunto da revista: NEUROCIRURGIA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Estados Unidos