Leveron&Nexovas
Neurology India
menu-bar5 Open access journal indexed with Index Medicus
  Users online: 2909  
 Home | Login 
About Editorial board Articlesmenu-bullet NSI Publicationsmenu-bullet Search Instructions Online Submission Subscribe Videos Etcetera Contact
  Navigate Here 
 Search
 
  
 Resource Links
  »  Similar in PUBMED
 »  Search Pubmed for
 »  Search in Google Scholar for
  »  Article in PDF (638 KB)
  »  Citation Manager
  »  Access Statistics
  »  Reader Comments
  »  Email Alert *
  »  Add to My List *
* Registration required (free)  

 
  In this Article

 Article Access Statistics
    Viewed1265    
    Printed42    
    Emailed0    
    PDF Downloaded52    
    Comments [Add]    

Recommend this journal

 


 
Table of Contents    
NI FEATURE: THE FIRST IMPRESSION
Year : 2022  |  Volume : 70  |  Issue : 6  |  Page : 2339

The Pre-Sigmoid Posterior Petrosectomy Approach for Skull Base Meningiomas


Department of Neurosurgery, LSU Health Sciences, Shreveport, US

Date of Submission01-Dec-2022
Date of Decision01-Dec-2022
Date of Acceptance01-Dec-2022
Date of Web Publication19-Dec-2022

Correspondence Address:
Sandeep Kandregula
Department of Neurosurgery, LSU Health Sciences, Shreveport
US
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0028-3886.364082

Rights and Permissions



How to cite this article:
Kandregula S, Guthikonda B. The Pre-Sigmoid Posterior Petrosectomy Approach for Skull Base Meningiomas. Neurol India 2022;70:2339

How to cite this URL:
Kandregula S, Guthikonda B. The Pre-Sigmoid Posterior Petrosectomy Approach for Skull Base Meningiomas. Neurol India [serial online] 2022 [cited 2023 Jan 27];70:2339. Available from: https://www.neurologyindia.com/text.asp?2022/70/6/2339/364082




In the current era, Gamma Knife radiosurgery is being used increasingly due to the proximity of vital neurovascular structures. Extensive skull base approaches are confined to the lesions which are not amenable to radiosurgery. However, the skull base approaches are still the standard of treatment for larger meningiomas. In this illustrative case, Tyagi et al. demonstrated an excellent approach combining the sub-temporal and pre-sigmoid posterior petrosectomy for the resection of a large petroclival meningioma.

Placement of the lumbar drain helps in relaxation of the brain during retraction during the bone work. Safe maximal resection with the protection of the brain stem perforators and leaving the residual lesion if adherent to the vital structures is the key to prevent the morbidity of these approaches. In this illustration, we intend to the anatomy of the presigmoid posterior petrosectomy exposure.

Device: iPad pro-12.9

App: Procreate






 

Top
Print this article  Email this article
   
Online since 20th March '04
Published by Wolters Kluwer - Medknow