Avoiding injury to the abducens nerve during expanded endonasal endoscopic surgery: Anatomic and clinical case studies

Neurosurgery

Volumn 67, Issue 1, 2010, Pages 144-154

  Barges Coll, Juan ^a   Fernandez Miranda, Juan Carlos ^a   Prevedello, Daniel M ^b   Gardner, Paul ^a   Morera, Victor ^a   Madhok, Ricky ^a   Carrau, Ricardo L ^c   Snyderman, Carl H ^a   Rhoton Jr , Albert L ^d   Kassam, Amin B ^c  

^a UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE   (United States)

^b THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER   (United States)

^c JOHN WAYNE CANCER INSTITUTE   (United States)

^d UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE   (United States)

Author keywords

Abducens nerve; Endoscopic; Expanded endonasal approach; Suprapetrous; Transclival

Indexed keywords

ABDUCENS NERVE INJURY; ARTICLE; CADAVER; CAVERNOUS SINUS; CRANIAL NERVE; DURA MATER; ENDOSCOPE; ENDOSCOPIC SURGERY; HUMAN; INTERNAL CAROTID ARTERY; MICROSURGERY; NOSE SURGERY; PATHOLOGICAL ANATOMY; PRIORITY JOURNAL; QUALITATIVE ANALYSIS; QUANTITATIVE ANALYSIS; SURGICAL APPROACH; SURGICAL TECHNIQUE;

ABDUCENS NERVE; ABDUCENS NERVE INJURY; ADULT; CADAVER; CRANIAL FOSSA, MIDDLE; ENDOSCOPY; FEMALE; HUMANS; INTRAOPERATIVE COMPLICATIONS; MALE; SKULL BASE; YOUNG ADULT;

EID: 77954111513     PISSN: 0148396X     EISSN: None     Source Type: Journal    
DOI: 10.1227/01.NEU.0000370892.11284.EA     Document Type: Article

References (39)

1. Snyderman C, Carrau R, Kassam A. Who is the skull base surgeon of the future? Skull Base. 2007;17(6):353-355.
2. Kassam A, Snyderman CH, Mintz A, Gardner P, Carrau RL. Expanded endonasal approach: the rostrocaudal axis. Part II. Posterior clinoids to the foramen magnum. Neurosurg Focus. 2005;19(1):E4.
3. Kassam A, Snyderman CH, Mintz A, Gardner P, Carrau RL. Expanded endonasal approach: the rostrocaudal axis. Part I. Crista galli to the sella turcica. Neurosurg Focus. 2005;19(1):E3.
4. Kassam A, Thomas AJ, Snyderman C, et al. Fully endoscopic expanded endonasal approach treating skull base lesions in pediatric patients. J Neurosurg. 2007;106(2 suppl):75-86.
5. Catapano D, Sloffer CA, Frank G, Pasquini E, D'Angelo VA, Lanzino G. Comparison between the microscope and endoscope in the direct endonasal extended transsphenoidal approach: anatomical study. J Neurosurg. 2006;104(3):419-425.
6. Snyderman CH, Carrau RL, Kassam AB, et al. Endoscopic skull base surgery: principles of endonasal oncological surgery. J Surg Oncol. 2008;97(8):658-664.
7. Dolenc V V. Anatomy and Surgery of the Cavernous Sinus. New York, NY: Springer-Verlag; 1989.
8. Destrieux C, Velut S, Kakou MK, Lefrancq T, Arbeille B, Santini JJ. A new concept in Dorello's canal microanatomy: the petroclival venous confluence. J Neurosurg. 1997;87(1):67-72.
9. Umansky F, Valarezo A, Elidan J. The microsurgical anatomy of the abducens nerve in its intracranial course. Laryngoscope. 1992;102(11):1285-1292.
10. Yasuda A, Campero A, Martins C, Rhoton AL Jr, de Oliveira E, Ribas GC. Microsurgical anatomy and approaches to the cavernous sinus. Neurosurgery. 2008;62(6 suppl 3):1240-1263.
11. Iaconetta G, Fusco M, Cavallo LM, Cappabianca P, Samii M, Tschabitscher M. The abducens nerve: microanatomic and endoscopic study. Neurosurgery. 2007;61(3 suppl):7-14; discussion 14.
12. Cavallo LM, Iaconetta G. The abducens nerve: microanatomic and endoscopic study. Neurosurgery. 2008;63(4):E820.
13. Cappabianca P, Cavallo LM, Esposito F, De Divitiis O, Messina A, De Divitiis E. Extended endoscopic endonasal approach to the midline skull base: the evolving role of transsphenoidal surgery. Adv Tech Stand Neurosurg. 2008;33:151-199.
14. Cappabianca P, Cavallo LM, Esposito F, de Divitiis E. Endoscopic endonasal transsphenoidal surgery: procedure, endoscopic equipment and instrumentation. Childs Nerv Syst. 2004;20(11-12):796-801. (Pubitemid 39462373)
15. de Divitiis E, Cavallo LM, Cappabianca P, Esposito F. Extended endoscopic endonasal transsphenoidal approach for the removal of suprasellar tumors: Part 2. Neurosurgery. 2007;60(1):46-58; discussion 58-49. (Pubitemid 46102907)
16. Frank G, Pasquini E, Doglietto F, et al. The endoscopic extended transsphenoidal approach for craniopharyngiomas. Neurosurgery. 2006;59(1 suppl 1):ONS75-83; discussion ONS75-83.
17. Rhoton AL Jr. The cavernous sinus, the cavernous venous plexus, and the carotid collar. Neurosurgery. 2002;51(4 suppl):S375-S410.
18. Kim HD, Lim SC. Transient abducens nerve palsy during endoscopic sinus surgery: report of three cases. Auris Nasus Larynx. 2007;34(2):237-239.
19. Katsuno M, Yokota H, Yamamoto Y, Teramoto A. Bilateral traumatic abducens nerve palsy associated with skull base fracture-case report. Neurol Med Chir (Tokyo). 2007;47(7):307-309.
20. Kassam AB, Gardner P, Snyderman C, Mintz A, Carrau R. Expanded endonasal approach: fully endoscopic, completely transnasal approach to the middle third of the clivus, petrous bone, middle cranial fossa, and infratemporal fossa. Neurosurg Focus. 2005;19(1):E6.
21. Kassam AB, Prevedello DM, Carrau RL, et al. The front door to Meckel's cave: an anteromedial corridor via expanded endoscopic endonasal approach- technical considerations and clinical series. Neurosurgery. 2009;64(3 suppl):71-82; discussion 82-73.
22. Umansky F, Elidan J, Valarezo A. Dorello's canal: a microanatomical study. J Neurosurg. 1991;75(2):294-298.
23. Iaconetta G, Fusco M, Samii M. The sphenopetroclival venous gulf: a microanatomical study. J Neurosurg. 2003;99(2):366-375.
24. Tsitsopoulos PD, Tsonidis CA, Petsas G P, Hadjiioannou PN, Njau SN, Anagnostopoulos I V. Microsurgical study of the Dorello's canal. Skull Base Surg. 1996;6(3):181-185.
25. Ziyal IM, Salas E, Wright DC, Sekhar LN. The petrolingual ligament: the anatomy and surgical exposure of the posterolateral landmark of the cavernous sinus. Acta Neurochir (Wien). 1998;140(3):201-204; discussion 204-205.
26. Doglietto F, Lauretti L, Frank G, et al. Microscopic and endoscopic extracranial approaches to the cavernous sinus: anatomic study. Neurosurgery. 2009;64(5 suppl 2):413-421; discussion 421-412.
27. Fraser JF, Mass AY, Brown S, Anand VK, Schwartz TH. Transnasal endoscopic resection of a cavernous sinus hemangioma: technical note and review of the literature. Skull Base. 2008;18(5):309-315.
28. Hirao M, Oku H, Sugasawa J, Utsumi T, Ikeda T. Three cases of abducens nerve palsy accompanied by Horner syndrome [in Japanese]. Nippon Ganka Gakkai Zasshi. 2006;110(7):520-524.
29. Magrini S, Pasquini E, Mazzatenta D, Mascari C, Galassi E, Frank G. Endoscopic endonasal odontoidectomy in a patient affected by Down syndrome: technical case report. Neurosurgery. 2008;63(2):E373-E374; discussion E374.
30. Goksu E, Akyuz M, Gurkanlar D, Tuncer R. Bilateral abducens nerve palsy following ruptured anterior communicating artery aneurysm: report of 2 cases. Neurocirugia (Astur). 2007;18(5):420-422.
31. Brinar V V, Habek M, Ozretic D, Djakovic V, Matijevic V. Isolated nontraumatic abducens nerve palsy. Acta Neurol Belg. 2007;107(4):126-130.
32. Fatemi N, Dusick JR, Gorgulho AA, et al. Endonasal microscopic removal of cli-val chordomas. Surg Neurol. 2008;69(4):331-338.
33. Esposito F, Becker D P, Villablanca J P, Kelly D F. Endonasal transsphenoidal tran-sclival removal of prepontine epidermoid tumors: technical note. Neurosurgery. 2005;56(2 suppl):E443; discussion E443.
34. Rhoton AL Jr. Operative techniques and instrumentation for neurosurgery. Neurosurgery. 2003;53(4):907-934; discussion 934.
35. Kurihara T. Abducens nerve palsy and ipsilateral incomplete Horner syndrome: a significant sign of locating the lesion in the posterior cavernous sinus. Intern Med. 2006;45(17):993-994.
36. Tsuda H, Ishikawa H, Asayama K, Saito T, Endo S, Mizutani T. Abducens nerve palsy and Horner syndrome due to metastatic tumor in the cavernous sinus. Intern Med. 2005;44(6):644-646.
37. Kong YX, Wright G, Pesudovs K, O'Day J, Wainer Z, Weisinger HS. Horner syndrome. Clin Exp Optom. 2007;90(5):336-344.
38. Maitland CG, Black JL, Smith WA. Abducens nerve palsy due to spontaneous dissection of the internal carotid artery. Arch Neurol. 1983;40(7):448-449.
39. Conti M, Prevedello DM, Madhok R, et al. The antero-medial triangle: the risk for cranial nerves ischemia at the cavernous sinus lateral wall. Anatomic cadaveric study. Clin Neurol Neurosurg. 2008;110(7):682-686.