Corridor surgery: the current paradigm for skull base surgery.

Stephen M Pirris; Ian F Pollack; Carl H Snyderman; Ricardo L Carrau; Richard M Spiro; Elizabeth Tyler-Kabara; Amin B Kassam

doi:10.1007/s00381-006-0281-6

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PubMed · 17226036

Corridor surgery: the current paradigm for skull base surgery.

Stephen M Pirris·Ian F Pollack·Carl H Snyderman·Ricardo L Carrau·Richard M Spiro·Elizabeth Tyler-Kabara·Amin B Kassam

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Abstract

INTRODUCTION: Clival chordomas are rare tumors, especially in the pediatric population. In this report, we present the case of a 3-year-old boy who was found to have a large posterior pharyngeal, clival, and posterior fossa tumor detected on a CT scan after a closed head injury. DISCUSSION: Further questioning revealed a history of ataxia and dysphagia. Imaging confirmed severe extrinsic brain stem compression. The tumor was resected in multiple stages utilizing a minimally invasive endoscopic endonasal technique along with open transfacetal, transcondylar approach through the carotid-vertebral window. The child suffered no permanent complications as a result of our treatment and his dysphagia significantly improved. Although a complete resection was not feasible due to vascular encasement by the tumor, extensive decompression was obtained with minimal morbidity. CONCLUSION: We present this case to illustrate a new paradigm of skull base surgical approaches for large clival lesions in pediatric patients that allows aggressive resection with minimal morbidity.

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Child, Preschool Chordoma Endoscopy Humans Infratentorial Neoplasms Magnetic Resonance Imaging Male Neurosurgical Procedures Skull Base Skull Base Neoplasms Tomography, X-Ray Computed Case Reports Journal Article

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Stephen M Pirris, Ian F Pollack, Carl H Snyderman, Ricardo L Carrau, Richard M Spiro, Elizabeth Tyler-Kabara, Amin B Kassam. 2007-01-17. Corridor surgery: the current paradigm for skull base surgery.. https://doi.org/10.1007/s00381-006-0281-6

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