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 SPECIAL NI FEATURE - OPERATIVE NUANCES: STEP BY STEP
Year : 2020  |  Volume : 68  |  Issue : 1  |  Page : 20--25

Anterior Transpetrosal Approach for Petroclival Meningioma: Operative Nuances


1 Department of Neurosurgery, Apollo Hospital, Seshadripuram, Bengaluru, Karnataka, India
2 Department of Neurosurgery, All India Institute for Medical Sciences, Bhopal, Madhya Pradesh, India

Correspondence Address:
Dr. Suresh Nair
AIIMS, Saket Nagar, Bhopal - 462 020, Madhya Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0028-3886.279689

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Petroclival meningiomas are unique neurosurgical challenges that require planning an approach to the retrosellar and upper and mid retroclival locations. The classical subtemporal-transtentorial approach went into disrepute due to excessive brain retraction. To resolve this challenge Buchenek and Kukwa introduced extradural approach with drilling of the petrous bone and called it the extended middle fossa approach. It was Kawase et al who modified the extended middle fossa approach initially for dealing with basilar trunk aneurysms. This anterior transpetrosal approach has been described below for dealing with the petroclival meningiomas.






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Online since 20th March '04
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