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Endoscopic repair of reconstruction at the craniocervical junction is sparsely described and remains a rather challenging procedure. The presented case details a unique case of a left vertebrobasilar artery de novo aneurysm that was successfully treated via an expanded endonasal transclival approach with a rhinopharyngeal flap. The rhinopharyngeal flap aids in both exposure and reconstruction at the craniocervical junction.
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http://dx.doi.org/10.1002/lary.70028 | DOI Listing |
J Neurosurg Case Lessons
September 2025
Department of Neurosciences and Reproductive and Odontostomatological Sciences, Division of Neurosurgery, University of Napoli "Federico II," Naples, Italy.
Background: Brainstem cavernous malformations (BSCMs) are rare vascular lesions, most frequently located in the pons. Their surgical management is particularly demanding due to the dense concentration within the brainstem of eloquent neural pathways and nuclei. Among various surgical routes, the endoscopic endonasal transclival approach (EETA) has been established as a valuable option for treating selected ventrally located lesions.
View Article and Find Full Text PDFReports (MDPI)
August 2025
Department of ENT, Medical University of Sofia, 1431 Sofia, Bulgaria.
: Petrous bone cholesteatoma is a rare and complex condition that poses significant challenges in terms of its diagnosis and treatment. This benign yet locally aggressive lesion can cause extensive destruction of the surrounding structures, potentially leading to serious complications. : We present a case of extensive petrous bone cholesteatoma involving nearly the entire skull base.
View Article and Find Full Text PDFLaryngoscope
August 2025
Northwell, New Hyde Park, NY, USA.
Endoscopic repair of reconstruction at the craniocervical junction is sparsely described and remains a rather challenging procedure. The presented case details a unique case of a left vertebrobasilar artery de novo aneurysm that was successfully treated via an expanded endonasal transclival approach with a rhinopharyngeal flap. The rhinopharyngeal flap aids in both exposure and reconstruction at the craniocervical junction.
View Article and Find Full Text PDFNeurooncol Adv
July 2025
Department of Neurological Surgery, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, Ohio, USA.
Expanded endoscopic endonasal approaches (EEAs) have significantly advanced the surgical management of invasive pituitary tumors that extend beyond the sella turcica. They are particularly important in functioning tumors to achieve biochemical remission. In this article, we review the classification and application of expanded EEAs in addressing tumors invading the anterior skull base, suprasellar cisterns, clivus, and cavernous sinus.
View Article and Find Full Text PDFNeurol India
January 2025
Department of Neurosurgery, Bombay Hospital Institute of Medical Sciences, Mumbai, Maharashtra, India.
A 47-year-old man presented with a large midline skull base lesion, with panclival erosion leading to a very rare event of CV junction instability causing severe neck pain and movement restriction as the predominant symptom presented. Sub-total excision of the lesion through the endonasal endoscopic transsphenoidal transclival approach followed by occiput-C2-C3 fixation was successfully performed as a one-stage procedure. Although the initial hormonal evaluation showed normal values, serial dilution confirmed very high prolactin levels.
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