Image-guided endonasal endoscopic excision of Meckel’s cave trigeminal schwannoma from cavernous and petrous carotid artery
| Autor: | Hesham Alsuqair, Ali Almomen, Abdulwahab Al Yahya, Ibrahim Al Yaeesh, Fadhel Almolani, Ahmed AlOmirin, Amal Alyousif, Zainab Ali |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Fossa AcademicSubjects/MED00910 Case Report infratemporal fossa Schwannoma 03 medical and health sciences Meckel’s cave 0302 clinical medicine otorhinolaryngologic diseases Medicine 030223 otorhinolaryngology biology business.industry Cranial nerves Infratemporal fossa Facial weakness trigeminal schwannoma Neurovascular bundle medicine.disease biology.organism_classification Dysphagia jscrep/070 Dissection medicine.anatomical_structure endoscopic dissection Surgery Radiology medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Journal of Surgical Case Reports |
| ISSN: | 2042-8812 |
| Popis: | Trigeminal schwannoma is the second most common schwannoma after vestibular schwannoma. Symptoms vary depending on the anatomical structures affected by the tumor, including facial pain, paresthesia, dizziness and ataxia. The primary goals are controlling the symptoms and the maintenance of cranial nerves’ integrity perioperatively. We report a 39-year-old lady who was complaining of mild right-sided headache, vision and hearing loss, right facial weakness and dysphagia. CT and MRI showed a large dumbbell-shaped tumor originating from the trigeminal fossa abutting the petrous and cavernous carotid artery and extending to the infratemporal fossa. An image-guided endonasal endoscopic removal was successfully done. Image-guided endonasal endoscopic removal of a trigeminal schwannoma abutting the petrous and cavernous carotid artery and extending to the infratemporal fossa is a safe, effective approach, as it offers excellent visualization, accurate localization and safe dissection of the tumor from the critical anatomical neurovascular structures surrounding it. |
| Databáze: | OpenAIRE |
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