Endoscopic Endonasal Surgery for Tumors of the Cavernous Sinus: a Series of 234 Patients

Abstract Background Cavernous sinus (CS) tumors are often considered inoperable. We present our experience with endoscopic endonasal surgery (EES) and compare the outcomes for different tumor. Methods EES (medial or lateral approach) was used in 234 patients with CS tumors. The cohort included 175 (...

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Veröffentlicht in:	World neurosurgery 2017-07, Vol.103, p.713-732
Hauptverfasser:	Koutourousiou, Maria, M.D, Vaz Guimaraes Filho, Francisco, M.D, Fernandez-Miranda, Juan C., M.D, Wang, Eric W., M.D, Stefko, S. Tonya, M.D, Snyderman, Carl H., M.D., M.B.A, Gardner, Paul A., M.D
Format:	Artikel
Sprache:	eng
Schlagworte:	Adenoma - pathology Adenoma - surgery Adolescent Adult Aged Aged, 80 and over Cavernous sinus Cavernous Sinus - surgery Chordoma - pathology Chordoma - surgery Cranial Nerve Diseases - epidemiology Craniopharyngioma - pathology Craniopharyngioma - surgery Endoscopic endonasal approach Endoscopic skull base surgery Female Growth Hormone-Secreting Pituitary Adenoma - pathology Growth Hormone-Secreting Pituitary Adenoma - surgery Humans Intracavernous tumors Male Meningeal Neoplasms - pathology Meningeal Neoplasms - surgery Meningioma - pathology Meningioma - surgery Middle Aged Natural Orifice Endoscopic Surgery - methods Neoplasm Invasiveness Neoplasm, Residual Neuroendoscopy - methods Neurosurgery Pituitary ACTH Hypersecretion - pathology Pituitary ACTH Hypersecretion - surgery Pituitary Irradiation Pituitary Neoplasms - pathology Pituitary Neoplasms - surgery Postoperative Complications - epidemiology Prolactinoma - pathology Prolactinoma - surgery Radiotherapy, Adjuvant Treatment Outcome Young Adult
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Zusammenfassung:	Abstract Background Cavernous sinus (CS) tumors are often considered inoperable. We present our experience with endoscopic endonasal surgery (EES) and compare the outcomes for different tumor. Methods EES (medial or lateral approach) was used in 234 patients with CS tumors. The cohort included 175 (75%) pituitary adenomas and 59 (25%) non-adenomatous lesions. Results Presenting symptoms were significantly different between the two groups, with cranial neuropathies occurring mainly in non-adenomas (p
ISSN:	1878-8750 1878-8769
DOI:	10.1016/j.wneu.2017.04.096