Abstract
Background
Skull base chondrosarcomas are rare tumors often invading the petrous apex and cavernous sinus, and many surgical approaches have been described. For most of them, these tumors grow slowly and their partial removal can be a first option before complementary radiotherapy. We described herein a minimally invasive approach that could be useful for soft non-calcified chondrosarcomas.
Method and results
We report a case of right parasellar chondrosarcoma, for which an extra-intradural extracavernous subtemporal approach allowed a safe effective partial removal.
Conclusion
This surgical approach is indicated in selected cases to obtain good decompression or partial removal of lesions involving the parasellar space and the petrous apex.
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Abbreviations
- GG:
-
Gasser ganglion
- GeG:
-
Geniculate ganglion
- FO:
-
Foramen ovale
- FR:
-
Foramen rotundum
- FS:
-
Foramen spinosum
- GSPN:
-
Greater superficial petrosal nerves
- ICA:
-
Internal carotid artery
References
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Acknowledgments
We thank P. Robinson for English editing.
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This article is part of the Topical Collection on Tumor - Other
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The following video shows the management of a chondrosarcoma, with preoperative imaging, surgical technique, intraoperative findings and post surgical results. (MP4 353,804 kb)
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Chiaramonte, C., Jacquesson, T. & Jouanneau, E. Extra-intradural extracavernous subtemporal approach for chondrosarcomas: technical note and case report. Acta Neurochir 161, 2349–2352 (2019). https://doi.org/10.1007/s00701-019-03989-z
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DOI: https://doi.org/10.1007/s00701-019-03989-z