Summary
Four patients underwent a far lateral-combined craniotomy procedure for extensive tumors of the clivus and craniocervical junction. Their presentation, operative, and clinical course are discussed. All patients had improved at their follow-up examination (mean follow-up, 10.7 months). This approach can now be applied to extensive tumors of the petroclival region and craniocervicai junction to decrease morbidity.
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References
Al-Mefty O (1990) Surgical exposure of petroclival tumors. In: Wilkins RH, Rengachary SS (eds) Neurosurgery update I. Diagnosis, operative techniques and neuro-oncology. McGraw Hill, New York, pp 409–414
Baldwin HZ, Miller CG, van Loveren HR,et al (1994) The far lateral/combined supra- and infratentorial approach. A human cadaveric prosection model for routes of access to the petroclival region and ventral brain stem. J Neurosurg 81: 60–68
Bertalanffy H, Seeger W (1991) The dorsolateral, suboccipital, transcondylar approach to the lower clivus and anterior portion of the craniocervical junction. Neurosurgery 29: 815–821
Gardner G, Robertson JH, Clark WC (1988) Transtemporal approaches to the posterior cranial fossa. In: Schmidek HH, Sweet WH (eds) Operative neurosurgical techniques. Indications, methods and results, Vol 1, 2nd Ed. Grune and Stratton, Orlando, pp 665–672
Gilbard SM, Daspit CP (1991) Reanimation of the paretic eyelid using gold weight implantation. A new approach and prospective evaluation. Ophthal Plast Reconstr Surg 7: 93–103
Glasscock ME III, Miller GW, Drake FD,et al (1978) Surgery of the skull base. Laryngoscope 88: 905–923
House WF, Hitselberger WE (1976) The transcochlear approach of the skull base. Arch Otolaryngol Head Neck Surg 102: 334–342
Sen CN, Sekhar LN (1990) An extreme lateral approach to intradural lesions of the cervical spine and foramen magnum. Neurosurgery 27: 197–204
Sen CN, Sekhar LN (1991) Surgical management of anteriorly placed lesions at the craniocervical junction-an alternative approach. Acta Neurochir (Wien) 108: 70–77
Spetzler RF, Daspit CP, Pappas CTE (1992) The combined supra- and infratentorial approach for lesions of the petrous and clival regions: experience with 46 cases. J Neurosurg 76: 588–599
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Baldwin, H.Z., Spetzler, R.F., Wascher, T.M. et al. The far lateral-combined supra- and infratentorial approach: Clinical experience. Acta neurochir 134, 155–158 (1995). https://doi.org/10.1007/BF01417683
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DOI: https://doi.org/10.1007/BF01417683