Skip to main content
SpringerLink
Log in

Microsurgical Resection of Tumors Involving the Cavernous Sinus: Possibilities and Limitations

  • Conference paper
Head Injuries

Part of the book series: Advances in Neurosurgery ((NEURO,volume 17))

Abstract

Thanks to the deeper insight into the topography of the cavernous sinus (CS) and sellar region provided by modern diagnostic procedures [2,12,24,35,38], antä on the basis of our growing experience in the operative management of pathological lesions in the region of the tentorial notch [6–9,31,33,39], we were encouraged to treat 28 tumors invading the CS more aggressively by a direct microsurgical approach from different sides, in some cases via combined approaches in two stages.

Dedicated to Prof. Dr. J. Lang on the occasion of his 65th birthday.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Beck DW, Menezes AH (1987) Lesions in Meckel’s cave: variable presentation and pathology, J. Neurosurg 67: 684–689

    Article  PubMed  CAS  Google Scholar 

  2. Brassier G, Lasjaunias P, Guegan Yf Pecker J (1987) Mircosurgical anatomy of collateral branches of the intracavernous internal carotid artery. In: Dolenc W (eds) The cavernous sinus, Springer, Wien New York, pp 81–103

    Chapter  Google Scholar 

  3. Butti G, Gaetani P, Giordana MT, Paoletti P (1983) Meningiomas of Meckel’s cave. Surg Neurol 20: 305–309

    Article  PubMed  CAS  Google Scholar 

  4. Carella RJ, Ransohoff J, Newall J (1982) Role of radiation therapy in the management of meningioma. Neurosurgery 10: 332–339

    Article  PubMed  CAS  Google Scholar 

  5. Cioffi FA, Bernini FP, Punzo A, Natale M, Muras I (1987) Cavernous sinus meningiomas. Neurochirurgia 30: 40–47

    PubMed  CAS  Google Scholar 

  6. Dolenc W (1979) Microsurgical removal of large sphenoidal bone meningiomas. Acta Neurochir Suppl. 28: 393–401

    Google Scholar 

  7. Dolenc W (1983) Direct microsurgical repair of intracavernous vascular lesions. J Neurosurg 58: 824–831

    Article  PubMed  CAS  Google Scholar 

  8. Dolenc W (1985) A combined epi-and subdural direct approach to carotidophthalmic artery aneurysms. J Neurosurg 62: 667–672

    Article  PubMed  CAS  Google Scholar 

  9. Dolenc VV, Skrap M, Sustersic J, Skrbec M, Morina A (1987) A transcavernous-transsellar approach to the basilar tip aneurysms. Br J Neurosurg 1: 251–259

    Article  PubMed  CAS  Google Scholar 

  10. Dolenc VV, Kregar T, Ferluga M, Fettich M, Morina A (1987) Treatment of tumors invading the cavernous sinus. In: Dolenc W (eds) The cavernous sinus. Springer, Wien New York, pp 377–391

    Chapter  Google Scholar 

  11. Effenterre R van, Bataini JP, Cabanis EA, Iba-Zizen MT (1979) High energy radiotherapy in the treatment of meningiomas of the cavernous sinus. Acta Neurochir 28: 464–467

    Google Scholar 

  12. Fujii K, Chambers SM, Rhoton AL (1979) Neurovascular relationships of the sphenoid sinus. J Neurosurg 50: 31–39

    Article  PubMed  CAS  Google Scholar 

  13. Fukui M, Kitamura K, Nakagaki H, Yamakawa Y, Kinoshita K, Hayabuchi N, Jingu K, Numaguchi Y, Matsuura K, Watanabe K (1980) Irradiated meningiomas: a clinical evaluation. Acta Neurochir 54: 33–43

    Article  CAS  Google Scholar 

  14. Gilsbach JM (1983) Intraoperative Doppler sonography in neurosurgery. Springer, Wien New York

    Google Scholar 

  15. Grisoli F, Vincentelli F, Henry JF, Thomassin JM (1982) Anatomical bases for the transsphenoidal approach to the pituitary gland. Anat Clin 3: 207–220

    Article  Google Scholar 

  16. Guiot G, Derome P (1976) Surgical problems of pituitary adenomas. In: Krayenbühl H. et al (eds) Advances and technical standards in neurosurgery vol. 3. Springer, Wien New York, pp 1–33

    Google Scholar 

  17. Hakuba A, Matsuoka Y, Suzuki T, Komiyama M, Jin TB, Inoue Y (1987) Direct approaches to vascular lesions in the cavernous sinus via the medial triangle. In Dolenc VV (eds) The cavernous sinus. Springer, Wien New York, pp 272–284

    Chapter  Google Scholar 

  18. Hardy J, Wigser SM (1965) Transsphenoidal surgery of pituitary fossa tumors with televised radiofluoroscopic control. J Neurosurg 23: 612–620

    Article  PubMed  CAS  Google Scholar 

  19. Harris FS, Rhoton AL (1976) Anatomy of the cavernous sinus. A microsurgical study. J Neurosurg 45: 169–180

    Article  PubMed  CAS  Google Scholar 

  20. Jefferson G (1955) The invasive adenomas of the anterior pituitary. Liverpool, University Press

    Google Scholar 

  21. Kaplan HA, Browder J, Krieger AJ (1976) Intercavernous connections of the carvernous sinuses. J Neurosurg 45: 166–168

    Article  PubMed  CAS  Google Scholar 

  22. Kawase T, Toya S, Shiobara R, Kimura C, Nakajima H (1987) Skull base approaches for meningiomas invading the cavernous sinus. In: Dolenc W (eds) The cavernous sinus. Springer, Wien New York, pp 346–354

    Chapter  Google Scholar 

  23. Knosp E, Müller G, Perneczky A (1987) The blood supply of the cranial nerves in the lateral wall of the cavernous sinus. In: Dolenc VV (eds) The cavernous sinus. Springer, Wien New York, pp 67–80

    Chapter  Google Scholar 

  24. Lang J (1985) Hypophyseal region — anatomy of the operative approaches. Neurosurg Rev 8: 93–124

    Article  PubMed  CAS  Google Scholar 

  25. Lesoin F, Jomin M, Bouchez B, Duret MH, Clarisse J, Arnott G, Pellerin P, Francois P (1985) Management of cavernous sinus meningiomas. Acta Neurochir 28: 195–198

    CAS  Google Scholar 

  26. Lesoin F Jomin M (1987) Direct microsurgical approach to intracavernous tumors. Surg Neurol 28: 17–2217

    Article  PubMed  CAS  Google Scholar 

  27. Lesoin F, Autricque A, Villette L, Franz K, Jomin M, Pellerin P (1987) The antero-external approach to the internal carotid artery at the base of the skull and intrapetrously. In: Dolenc W (eds) The cavernous sinus. Springer, Wien New York, pp 311–319

    Chapter  Google Scholar 

  28. Lesoin F, Pellerin P, Autricque A, Clarisse J, Jomin M (1987) The direct microsurgical approach to intracavernous tumors. In: Dolenc VV (eds) The cavernous sinus. Springer, Wien New York, pp 323–331

    Chapter  Google Scholar 

  29. Lesoin F, Franz K, Pellerin P, Villette L, Autricque A, Jomin M (1987) An orbitozygomaticomalar bone flap approach: a technical note. In: Dolenc VV (eds) The cavernous sinus. Springer, Wien New York, pp 341–345

    Chapter  Google Scholar 

  30. MacKay A, Hosobuchi Y (1978) Treatment of intracavernous extensions of pituitary adenomas. Surg Neurol 10: 377–383

    PubMed  CAS  Google Scholar 

  31. Ono M, Ono M, Rhoton AL, Barry M (1984) Microsurgical anatomy of the region of the tentorial incisura. J Neurosurg 60: 365–399

    Article  PubMed  CAS  Google Scholar 

  32. Parkinson D (1965) A surgical approach to the cavernous portion of the carotid artery. J Neurosurg 23: 474–483

    Article  CAS  Google Scholar 

  33. Parkinson D (1973) Carotid cavernous fistula: direct repair with preservation of the carotid artery. J Neurosurg 38: 99–106

    Article  PubMed  CAS  Google Scholar 

  34. Parkinson D (1987) Carotid cavernous fistula. History and anatomy. In: Dolenc VV (eds) The cavernous sinus. Springer, Wien New York, pp 3–29

    Chapter  Google Scholar 

  35. Paullus WS, Pait TG, Rhoton AL (1977) Microsurgical exposure of the petrous portion of the carotid artery. J Neurosurg 47: 713–726

    Article  PubMed  CAS  Google Scholar 

  36. Petty AM, Kun LE, Meyer GA (1985) Radiation therapy for incompletely resected meningiomas. J Neurosurg 62: 502–507

    Article  PubMed  CAS  Google Scholar 

  37. Renn WH, Rhoton AL (1975) Microsurgical anatomy of the sellar region. J Neurosurg 43: 288–298

    Article  PubMed  CAS  Google Scholar 

  38. Rhoton AL, Hardy DG, Chambers SM (1979) Microsurgical anatomy and dissection of the sphenoid bone, cavernous sinus and sellar region. Surg Neurol 12: 63–104

    PubMed  Google Scholar 

  39. Samii M, Wild v. K (1981) Operative treatment of lesions in the region of the tentorial notch. Neurosurg Rev 4: 3–10

    Article  PubMed  CAS  Google Scholar 

  40. Sekhar LN, Moller AR (1986) Operative management of tumors involving the cavernous sinus. J Neurosurg 64: 879–889

    Article  PubMed  CAS  Google Scholar 

  41. Sekhar LN, Schramm VL, Jones NF (1987) Subtemporal-preauricular infratemporal fossa approach to large lateral and posterior cranial base neoplasms. J Neurosurg 67: 488–499

    Article  PubMed  CAS  Google Scholar 

  42. Shibata S, Mori K (1987) Effect of radiation therapy on extra-cerebral cavernous hemangioma in the middle fossa. J Neurosurg 67: 919–922

    Article  PubMed  CAS  Google Scholar 

  43. Shiobara R, Ohira T, Kanzaki J, Toya S (1988) A modified extended middle cranial fossa approach for acoustic nerve tumors. J Neurosurg 68: 358–365

    Article  PubMed  CAS  Google Scholar 

  44. Symon L, Jakubowski (1979) Clinical features, technical problems, and results of treatment of anterior parasellar meningiomas. Acta Neurochir Suppl. 28: 367–370

    Google Scholar 

  45. Steiner L (1982) Radiosurgery in intracranial tumour and arteriovenous malformations in children. In: Voth D, Gutjahr P, Langmaid C (eds) Tumours of the central nervous system in infancy and childhood. Springer, Berlin Heidelberg, pp 315–324

    Google Scholar 

  46. Taptas JN (1982) The so-called cavernous sinus: a review of the controversy and its implications for neurosurgeons. Neurosurgery 11: 712–717

    Article  PubMed  CAS  Google Scholar 

  47. Taptas JN (1987) Must we still call cavernous sinus the parasellar vascular and nervous crossroads? The necessity of a definite topographical description of the region. In: Dolenc VV (eds) The cavernous sinus. Springer, Wien New York, pp 30–40

    Chapter  Google Scholar 

  48. Tsuha M, Aoki H, Okamura T (1987) Roentgenological investigation of cavernous sinus structure with special reference to paracaver-nous cranial nerves. Neuroradiology 29: 462–467

    Article  PubMed  CAS  Google Scholar 

  49. Umansky F, Nathan H (1982) The lateral wall of the cavernous sinus. J Neurosurg 56: 228–234

    Article  PubMed  CAS  Google Scholar 

  50. Yamashita J, Handa H, Iwaki K, Abe M (1980) Recurrence of intracranial meningiomas, with special reference to radiotherapy. Surg Neurol 14: 33–40

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Neurochirurgische Abteilung, Clemenshospital GmbH, Akademisches Lehrkrankenhaus der Westf. Wilhelms-Universität Münster, Düsbergweg 124, D-4400, Münster, Germany

    K. von Wild & N. Eskinja

Authors
  1. K. von Wild
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. N. Eskinja
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Neurochirurgische Universitätsklinik Köln, Joseph-Stelzmann-Straße 9, D-5000, Köln 41, Germany

    Reinhold A. Frowein

  2. Neurochirurgische Klinik und Poliklinik, Universitätsklinikum Steglitz, Freie Universität Berlin, Hindenburgdamm 30, D-1000, Berlin 45, Germany

    Mario Brock

  3. Neurochirurgische Klinik der Universität Erlangen-Nürnberg, Schwabachanlage 6 (Kopfklinikum), D-8520, Erlangen, Germany

    Margareta Klinger

Rights and permissions

Reprints and permissions

Copyright information

© 1989 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

von Wild, K., Eskinja, N. (1989). Microsurgical Resection of Tumors Involving the Cavernous Sinus: Possibilities and Limitations. In: Frowein, R.A., Brock, M., Klinger, M. (eds) Head Injuries. Advances in Neurosurgery, vol 17. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-74279-8_27

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-74279-8_27

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-50550-1

  • Online ISBN: 978-3-642-74279-8

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation