Endoscopic Endonasal Resection of Meckel’s Cave Epidermoid Cysts: Case Discussion and Literature Review
Meckel’s cave (MC) epidermoid cysts are relatively uncommon lesions. In cases where surgical excision is indicated, resection is often carried out via a frontosphenotemporal craniotomy from an anterolateral approach or a temporal craniotomy with or without a petrosectomy for a lateral corridor; both...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Neurological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2020/7853279 |
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| author | Jehad Zakaria Pravesh Saini Mariya Yanovskaya John T. Tsiang Krishnan Ravindran Stephen Johans Chirag R. Patel Anand V. Germanwala |
| author_facet | Jehad Zakaria Pravesh Saini Mariya Yanovskaya John T. Tsiang Krishnan Ravindran Stephen Johans Chirag R. Patel Anand V. Germanwala |
| author_sort | Jehad Zakaria |
| collection | DOAJ |
| description | Meckel’s cave (MC) epidermoid cysts are relatively uncommon lesions. In cases where surgical excision is indicated, resection is often carried out via a frontosphenotemporal craniotomy from an anterolateral approach or a temporal craniotomy with or without a petrosectomy for a lateral corridor; both of these routes are associated with brain retraction and potential neurovascular injury. The anterior location of MC in the middle cranial fossa makes safe access via posterior fossa-based approaches—such as the retrosigmoid approach—challenging as well. Here, we present the cases of two patients diagnosed with epidermoid cysts in MC who underwent surgical resection via an endoscopic endonasal transpterygoid approach. Near-total resection was achieved in both cases, with only mild transient neurologic disturbances postoperatively. Radiographically, no evidence of residual disease was noted in either patient. We further review the nuances of an extended endoscopic endonasal approach to these lesions. |
| format | Article |
| id | doaj-art-37616e11515949d196386e4a7e93fe20 |
| institution | Kabale University |
| issn | 2090-6668 2090-6676 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Neurological Medicine |
| spelling | doaj-art-37616e11515949d196386e4a7e93fe202025-02-03T00:59:42ZengWileyCase Reports in Neurological Medicine2090-66682090-66762020-01-01202010.1155/2020/78532797853279Endoscopic Endonasal Resection of Meckel’s Cave Epidermoid Cysts: Case Discussion and Literature ReviewJehad Zakaria0Pravesh Saini1Mariya Yanovskaya2John T. Tsiang3Krishnan Ravindran4Stephen Johans5Chirag R. Patel6Anand V. Germanwala7Department of Neurological Surgery, Stritch School of Medicine, Loyola University Medical Center, Maywood, IL, USADepartment of Neurological Surgery, Stritch School of Medicine, Loyola University Medical Center, Maywood, IL, USADepartment of Neurological Surgery, Stritch School of Medicine, Loyola University Medical Center, Maywood, IL, USADepartment of Neurological Surgery, Stritch School of Medicine, Loyola University Medical Center, Maywood, IL, USADepartment of Neurological Surgery, Stritch School of Medicine, Loyola University Medical Center, Maywood, IL, USADepartment of Neurological Surgery, Stritch School of Medicine, Loyola University Medical Center, Maywood, IL, USADepartment of Otolaryngology-Head and Neck Surgery, Stritch School of Medicine, Loyola University Medical Center, Maywood, IL, USADepartment of Neurological Surgery, Stritch School of Medicine, Loyola University Medical Center, Maywood, IL, USAMeckel’s cave (MC) epidermoid cysts are relatively uncommon lesions. In cases where surgical excision is indicated, resection is often carried out via a frontosphenotemporal craniotomy from an anterolateral approach or a temporal craniotomy with or without a petrosectomy for a lateral corridor; both of these routes are associated with brain retraction and potential neurovascular injury. The anterior location of MC in the middle cranial fossa makes safe access via posterior fossa-based approaches—such as the retrosigmoid approach—challenging as well. Here, we present the cases of two patients diagnosed with epidermoid cysts in MC who underwent surgical resection via an endoscopic endonasal transpterygoid approach. Near-total resection was achieved in both cases, with only mild transient neurologic disturbances postoperatively. Radiographically, no evidence of residual disease was noted in either patient. We further review the nuances of an extended endoscopic endonasal approach to these lesions.http://dx.doi.org/10.1155/2020/7853279 |
| spellingShingle | Jehad Zakaria Pravesh Saini Mariya Yanovskaya John T. Tsiang Krishnan Ravindran Stephen Johans Chirag R. Patel Anand V. Germanwala Endoscopic Endonasal Resection of Meckel’s Cave Epidermoid Cysts: Case Discussion and Literature Review Case Reports in Neurological Medicine |
| title | Endoscopic Endonasal Resection of Meckel’s Cave Epidermoid Cysts: Case Discussion and Literature Review |
| title_full | Endoscopic Endonasal Resection of Meckel’s Cave Epidermoid Cysts: Case Discussion and Literature Review |
| title_fullStr | Endoscopic Endonasal Resection of Meckel’s Cave Epidermoid Cysts: Case Discussion and Literature Review |
| title_full_unstemmed | Endoscopic Endonasal Resection of Meckel’s Cave Epidermoid Cysts: Case Discussion and Literature Review |
| title_short | Endoscopic Endonasal Resection of Meckel’s Cave Epidermoid Cysts: Case Discussion and Literature Review |
| title_sort | endoscopic endonasal resection of meckel s cave epidermoid cysts case discussion and literature review |
| url | http://dx.doi.org/10.1155/2020/7853279 |
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