Endoscope-assisted anterolateral approach for a craniovertebral junction chordoma.

Autor: Jiang T; Department of Human Neurosciences, Neurosurgery, Sapienza University of Rome, Rome, Italy; Department of Neurosurgery, Lariboisière Hospital, University of Paris Diderot, Paris, France. Electronic address: tingting.jiang03@gmail.com., Justo J; Department of Neurosurgery, The Medical City, Manila, Philippines; Department of Neurosurgery, Lariboisière Hospital, University of Paris Diderot, Paris, France., Alcantara T; Neurosurgery and Neurology Department, Santa Casa BH, Belo Horizonte, Brazil; Department of Neurosurgery, Lariboisière Hospital, University of Paris Diderot, Paris, France., Guillaumet G; Department of Neurosurgery, Lariboisière Hospital, University of Paris Diderot, Paris, France., Froelich S; Department of Neurosurgery, Lariboisière Hospital, University of Paris Diderot, Paris, France.
Jazyk: angličtina
Zdroj: Clinical neurology and neurosurgery [Clin Neurol Neurosurg] 2023 May; Vol. 228, pp. 107706. Date of Electronic Publication: 2023 Mar 30.
DOI: 10.1016/j.clineuro.2023.107706
Abstrakt: Chordomas of craniovertebral junction represent a challenging pathology for neurosurgeons, due to their deep location, proximity with critical neurovascular structures and local aggressiveness. Several surgical options are available for these tumors: both endoscopic extended approaches and open approaches. We present the case of a 24 years old female with a craniovertebral junction chordoma with anterior and right lateral extension. For this case, an anterolateral approach with endoscopic assistance was chosen. Key surgical steps are presented. In the postoperative course the neurological symptoms improved and there were no complications. Unfortunately, she had an early recurrence of tumor two months later, prior the beginning of radiotherapy. After multidisciplinary consultation, we performed a second surgical removal and a posterior cervical spine arthrodesis. The anterolateral approach is a valuable option for craniovertebral junction chordomas with lateral extension and the endoscope assistance allowed to reach the narrowest and furthermost points. The patients must be referred to multidisciplinary skull base surgery centers and be addressed to early adjuvant radiation therapy.
Competing Interests: Conflict of interest The authors declare that there are no conflicts of interest regarding the publication of this paper.
(Copyright © 2023 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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