دورية أكاديمية
Is endoscopic resection a useful technique for a cavernous sinus sellar cavernoma? A case report and literature review.
| العنوان: | Is endoscopic resection a useful technique for a cavernous sinus sellar cavernoma? A case report and literature review. |
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| المؤلفون: | Rubino F; Department of Neurological Surgery, Lois Pope Life Center, University of Miami Miller School of Medicine, Miami, FL, USA., Eichberg DG; Department of Neurological Surgery, Lois Pope Life Center, University of Miami Miller School of Medicine, Miami, FL, USA., Shah AH; Department of Neurological Surgery, Lois Pope Life Center, University of Miami Miller School of Medicine, Miami, FL, USA., Luther EM; Department of Neurological Surgery, Lois Pope Life Center, University of Miami Miller School of Medicine, Miami, FL, USA., Lu VM; Department of Neurological Surgery, Lois Pope Life Center, University of Miami Miller School of Medicine, Miami, FL, USA., Saad AG; Department of Pathology, Lois Pope Life Center, University of Miami Miller School of Medicine, Miami, FL, USA., Komotar RJ; Department of Neurological Surgery, Lois Pope Life Center, University of Miami Miller School of Medicine, Miami, FL, USA.; Sylvester Comprehensive Cancer Center, Miami, FL, USA., Ivan ME; Department of Neurological Surgery, Lois Pope Life Center, University of Miami Miller School of Medicine, Miami, FL, USA.; Sylvester Comprehensive Cancer Center, Miami, FL, USA. |
| المصدر: | British journal of neurosurgery [Br J Neurosurg] 2024 Jun; Vol. 38 (3), pp. 781-788. Date of Electronic Publication: 2021 Aug 18. |
| نوع المنشور: | Journal Article; Case Reports; Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: Taylor & Francis Country of Publication: England NLM ID: 8800054 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1360-046X (Electronic) Linking ISSN: 02688697 NLM ISO Abbreviation: Br J Neurosurg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2015-: Abingdon, Oxfordshire : Taylor & Francis Original Publication: Abingdon, Oxfordshire : Carfax Pub. Co., c1987- |
| مواضيع طبية MeSH: | Cavernous Sinus*/surgery , Cavernous Sinus*/pathology , Cavernous Sinus*/diagnostic imaging , Hemangioma, Cavernous, Central Nervous System*/surgery , Hemangioma, Cavernous, Central Nervous System*/diagnostic imaging , Hemangioma, Cavernous, Central Nervous System*/pathology, Humans ; Middle Aged ; Male ; Adult ; Female ; Neuroendoscopy/methods ; Aged ; Pituitary Neoplasms/surgery ; Pituitary Neoplasms/diagnostic imaging ; Pituitary Neoplasms/pathology ; Hemangioma, Cavernous/surgery ; Hemangioma, Cavernous/diagnostic imaging ; Hemangioma, Cavernous/pathology ; Neurosurgical Procedures/methods |
| مستخلص: | Background: Cavernous sinus cavernous malformations (CSCMs) is a vascular malformation of the cavernous sinus. Nowadays, there is an increasing preference to withhold using the terms cavernoma or cavernous hemangioma in order to stop considering these lesions as vascular neoplasms. These lesions are highly vascularized making surgical resection a challenge, mainly in endoscopic approaches. We present a case of this tumor treated in our institution with an endoscopic endonasal approach and incomplete resection. Because of the strenuous resection through this approach, we systematically reviewed the reported endoscopic cases of CSCMs to determine their intraoperative complications, results and tumor features. Methods: Using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, one database (PubMed) and crossed references were queried for CSCMs from 1948 to 2020. Data regarding demographic features, clinical presentation, MRI features, surgical results and overall pathology features extracted. Results: Eighteen patients were selected (including our case). The mean age was 50.4 ± 14 years. Pituitary dysfunction and cavernous sinus nerve compression were the most reported symptoms. Only five cases (27%) reported a gross total resection (GTR) through endoscopic endonasal approach. Intraoperative bleeding was the most frequent intraoperative complication. Conclusion: We present a comprehensive analysis of every reported CSCM treated through endoscopic approach. Partial or subtotal resection are the most used techniques because of the intraoperative bleeding and the adherence to surrounding structures. Radiotherapy is a very good option for patients with incomplete resections. |
| فهرسة مساهمة: | Keywords: Cavernous sinus hemangioma; cavernous sinus cavernous malformation; endoscopic approach; radiotherapy; subtotal resection |
| تواريخ الأحداث: | Date Created: 20210818 Date Completed: 20240528 Latest Revision: 20240531 |
| رمز التحديث: | 20240601 |
| DOI: | 10.1080/02688697.2021.1958154 |
| PMID: | 34406095 |
| قاعدة البيانات: | MEDLINE |
PDF full text from Publisher | تدمد: | 1360-046X |
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| DOI: | 10.1080/02688697.2021.1958154 |