In:
Journal of Neurological Surgery Part B: Skull Base, Georg Thieme Verlag KG, Vol. 80, No. S 03 ( 2019-06), p. S325-S326
Abstract:
Objectives To describe the operative technique for treatment of epidermoid cysts in the cerebellopontine angle (CPA). Design The present video is a case report. Setting Patient is positioned in three-quarters prone. Retrosigmoid approach should be made under neurological monitoring and with neuronavegation to help achieve maximal safe resection. The skin incision is vertical, slightly curved, 5 mm medial to the mastoid notch. Craniectomy is superiorly limited by the transverse sinus and laterally limited by the sigmoid sinus. A C-shaped durotomy is made with its base protecting the sigmoid sinus. The lesion is removed in piecemeal fashion (Fig. 1). The neurological monitoring helps. Results The patient was discharged 2 days later without neurological deficits. Conclusions The surgical treatment associated with neurological monitoring and neuronavegation is a safe procedure to treat epidermoid cysts in the CPA. The link to the video can be found at: https://youtu.be/sEuFyq9c2sw.
Type of Medium:
Online Resource
ISSN:
2193-6331
,
2193-634X
DOI:
10.1055/s-0038-1676997
Language:
English
Publisher:
Georg Thieme Verlag KG
Publication Date:
2019
detail.hit.zdb_id:
2653367-4
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