Comparison of Endoscopic Endonasal Approach and Lateral Microsurgical Infratemporal Fossa Approach to the Jugular Foramen: An Anatomical Study
Conclusion The EEA to the jugular foramen is anatomically feasible but requires mobilization of the ICA to provide access to the anterior and medial aspects of the jugular foramen. The lateral infratemporal approach requires facial nerve transposition to provide access to the lateral and posterior parts of the jugular foramen. A deep understanding of the complex anatomy of this region is paramount for safe and effective surgery of the jugular foramen. Both techniques may be complementary considering the different regions of the jugular foramen accessed with each approach. [...] Georg Thieme Verlag KG Rüdigerstraße 14, ...
Source: Journal of Neurological Surgery Part B: Skull Base - July 5, 2021 Category: Neurosurgery Authors: Liu, Jianfeng Pinheiro-Neto, Carlos D. Yang, Dazhang Wang, Eric Gardner, Paul A. Hirsch, Barry E. Snyderman, Carl H. Fernandez-Miranda, Juan C. Tags: Original Article Source Type: research

The Asterion-to-Transverse Process of the Atlas Line as a Surgical Landmark
Conclusion The A-TPC1 line is a helpful landmark reliably found posterior to the sigmoid sinus in cadaveric specimens and radiographic CT scans. It can corroborate the accuracy of neuronavigation, assist in minimizing the risk of sigmoid sinus injury, and is a useful tool in planning surgical approaches to the posterolateral skull base, both preoperatively and intraoperatively. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part B: Skull Base)
Source: Journal of Neurological Surgery Part B: Skull Base - July 5, 2021 Category: Neurosurgery Authors: Basma, Jaafar Mahoney, Dom E. Anagnostopoulos, Christos Michael, L. Madison Sorenson, Jeffrey M. Porter, David G. Pichierri, Angelo Tags: Original Article Source Type: research

History, Variations, and Extensions of the Retrosigmoid Approach: Anatomical and Literature Review
J Neurol Surg B Skull Base DOI: 10.1055/s-0041-1729177The retrosigmoid approach is the workhorse for posterior fossa surgery. It gives a versatile corridor to tackle different types of lesions in and around the cerebellopontine angle. The term “extended” has been used interchangeably in the literature, sometimes creating confusion. Our aim was to present a thorough analysis of the approach, its history, and its potential extensions. Releasing cerebrospinal fluid from the subarachnoid spaces and meticulous microsurgical techniques allowed for the emergence of the retrosigmoid approach as a unilateral variation of the tr...
Source: Journal of Neurological Surgery Part B: Skull Base - July 5, 2021 Category: Neurosurgery Authors: Basma, Jaafar Anagnostopoulos, Christos Tudose, Andrei Harty, Mikhail Michael, L. Madison Teo, Mario Porter, David G. Tags: Original Article Source Type: research

A Volumetric Study of the Corpus Callosum in the Turkish Population
Conclusion The results suggest that compared with females/males, females have a faster decline in the volume of all volumes of the CC. We think that quantitative structural magnetic resonance data of the brain is vital in understanding human brain function and development. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part B: Skull Base)
Source: Journal of Neurological Surgery Part B: Skull Base - June 30, 2021 Category: Neurosurgery Authors: Soysal, Handan Acer, Niyazi Özdemir, Meltem Eraslan, Önder Tags: Original Article Source Type: research

Extended Middle Fossa Approach for Trigeminal Schwannoma Resection
J Neurol Surg B Skull Base DOI: 10.1055/s-0041-1727108Trigeminal schwannomas are rare benign tumors, it is second most common intracranial schwannomas after vestibular schwannomas. The management includes not limited to observation, stereotactic radiosurgery/radiotherapy, and/or surgical resection. Tumor size and patient clinical status are the most important factors in management.In this video, we describe the technical nuances of an extended middle fossa approach for large trigeminal schwannoma with cavernous sinus extension resection. A 44-year-old right-handed female with several months' history of progressive right fa...
Source: Journal of Neurological Surgery Part B: Skull Base - June 22, 2021 Category: Neurosurgery Authors: Muhsen, Baha'eddin A. Najera, Edinson Borghei-Razavi, Hamid Adada, Badih Tags: Skull Base: Operative Videos Source Type: research

An Integrated Management Paradigm for Skull Base Chordoma Based on Clinical and Molecular Characteristics
Conclusion Genotypic grouping by 1p36 and homozygous 9p21(p16) deletions can predict prognosis in SBC and guide management. GTR remains the cornerstone of SBC treatment and can be sufficient without AdjXRT in low and intermediate risk tumors. Low-risk tumors are associated with a less invasive phenotype, which makes them more amenable to GTR. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part B: Skull Base)
Source: Journal of Neurological Surgery Part B: Skull Base - June 22, 2021 Category: Neurosurgery Authors: Abdallah, Hussein M. Gersey, Zachary C. Muthiah, Nallammai McDowell, Michael M. Pearce, Thomas Costacou, Tina Snyderman, Carl H. Wang, Eric W. Gardner, Paul A. Zenonos, Georgios A. Tags: Original Article Source Type: research

Prognosis of Distant Metastatic Sites in Anterior Skull Base Malignancies
Conclusion Tumor histology, metastatic sites, and several disease factors affected prognosis in anterior skull base malignancies with DM. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part B: Skull Base)
Source: Journal of Neurological Surgery Part B: Skull Base - June 10, 2021 Category: Neurosurgery Authors: Kraft, Daniel O. Carey, Ryan M. Prasad, Aman Rajasekaran, Karthik Kohanski, Michael A. Kennedy, David W. Palmer, James N. Adappa, Nithin D. Newman, Jason G. Brant, Jason A. Tags: Original Article Source Type: research

Recurrent Sphenocavernous Meningioma
J Neurol Surg B Skull Base DOI: 10.1055/s-0041-1725941A case of a recurrent sphenocavernous meningioma is presented. The patient is a 42-year-old male who presented with an episode of transient right-sided numbness. A magnetic resonance imaging (MRI) revealed a large left sphenocavernous meningioma. The patient underwent a frontotemporal craniotomy for tumor resection. Near total resection was achieved with minimal residual in the left cavernous sinus (CS) and orbital apex. The pathology was consistent with meningioma, World Health Organization (WHO) grade I. A follow-up MRI was done 9 months after surgery and showed a gro...
Source: Journal of Neurological Surgery Part B: Skull Base - June 8, 2021 Category: Neurosurgery Authors: Inoue, Mizuho Labib, Mohamed Yang, Alexander Youssef, A. Samy Tags: Skull Base: Operative Videos Source Type: research

Cochlear Implantation in Vestibular Schwannoma: A Systematic Literature Review
Conclusions Categorization of hearing outcome into superior performance and inferior performance based on sentence recognition revealed a generally good hearing outcome regardless of treatment or patient population. Select patients with sporadic and NF2 VS may benefit from CI. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part B: Skull Base)
Source: Journal of Neurological Surgery Part B: Skull Base - June 8, 2021 Category: Neurosurgery Authors: Tadokoro, Kent Bartindale, Matthew Robert El-Kouri, Nadeem Moore, Dennis Britt, Christopher Kircher, Matthew Tags: Original Article Source Type: research

Direct Clipping of Paraclinoid Aneurysm in Conjunction with Extradural Anterior Clinoidectomy: Technical Nuance and Functional Outcome
Conclusion We can conclude that our surgical method is safe and can be considered an acceptable treatment. Although surgical stress can cause temporary executive dysfunction shortly after surgery, this decline is temporary. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part B: Skull Base)
Source: Journal of Neurological Surgery Part B: Skull Base - June 3, 2021 Category: Neurosurgery Authors: Tsunoda, Sho Inoue, Tomohiro Takeuchi, Naoko Akabane, Atsuya Saito, Nobuhito Tags: Original Article Source Type: research

Primary Dural Repair Using Titanium Microclips Following Lateral Skull Base Surgery
Conclusion To our knowledge, this is the first report on the use of microclips in repairing dural defects following lateral skull base surgery. Surgical outcomes for this small case series suggest that dural repair of the later skull base with nonpenetrating titanium microclips is a useful adjunct in dural repair following lateral skull base surgery. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part B: Skull Base)
Source: Journal of Neurological Surgery Part B: Skull Base - June 3, 2021 Category: Neurosurgery Authors: Milton, Camille K. Bien, Alexander G. Krempl, Greg A. Sanclement, Jose A. Mhawej, Rachad Glenn, Chad A. Tags: Original Article Source Type: research

Operative Anatomy of the Skull Base: 3D Exploration with a Highly Detailed Interactive Atlas
Conclusion The skull base atlas provides an effective way to study essential surgical anatomy and to teach operative strategies in this complex region. Interactive 3D computer graphical environments are highly suitable for conveying complex anatomy and to train and review surgical concepts. They remain underutilized in clinical practice. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part B: Skull Base)
Source: Journal of Neurological Surgery Part B: Skull Base - June 3, 2021 Category: Neurosurgery Authors: Kockro, Ralf A. Schwandt, Eike Ringel, Florian Eisenring, Christian Valentin Nowinski, Wieslaw Lucjan Tags: Original Article Source Type: research

Clinical Efficacy of the Multilayered Skull Base Reconstruction Using In Situ Bone Flap in Endoscopic Endonasal Approach for Craniopharyngioma
Conclusion The multilayered reconstruction technique (especially using in situ bone flap, combined with vascularized pedicled nasoseptal flap) is a safe and effective method in achieving watertight closure after EEEA, and can significantly reduce the incidence of cerebrospinal fluid leaks, and facilitate rehabilitation in skull base reconstruction of craniopharyngiomas. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part B: Skull Base)
Source: Journal of Neurological Surgery Part B: Skull Base - May 31, 2021 Category: Neurosurgery Authors: Zhou, Yuefei Hei, Yue Soto, Jose M. Jin, Tao Jiang, Xiaofan Feng, Dongxia Liu, Weiping Gao, Dakuan Tags: Original Article Source Type: research

Cost-Effectiveness of Routine Type and Screens in Select Endonasal Skull Base Surgeries
Conclusion Routine preoperative T/S does not represent a cost-effective practice for these surgeries using nationally representative data. A selective T/S policy for high-risk patients may reduce costs. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part B: Skull Base)
Source: Journal of Neurological Surgery Part B: Skull Base - May 31, 2021 Category: Neurosurgery Authors: Spillinger, Aviv Allen, Meredith Karabon, Patrick Hojjat, Houmehr Shenouda, Kerolos Hussein, Inaya Hajj Jacob, Jeffrey T. Svider, Peter F. Folbe, Adam J. Tags: Original Article Source Type: research

Cerebrovascular Complications of Vestibular Schwannoma Surgery
Conclusion Although radiographic findings suggestive of CVC were unexpectedly common in this cohort, intraoperative vascular injury and postoperative clinical CVC were exceedingly rare. The association between unfavorable facial nerve outcome and clinical CVC is likely a marker for more difficult operations, predisposing to higher risk of complications. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Journal of Neurological Surgery Part B: Skull Base)
Source: Journal of Neurological Surgery Part B: Skull Base - May 31, 2021 Category: Neurosurgery Authors: Rayan, Tarek Helal, Ahmed Graffeo, Christopher S. Perry, Avital Carlstrom, Lucas P. Driscoll, Colin L. W. Link, Michael J. Tags: Original Article Source Type: research