내시경적 경비강 접근법을 통한 재발성 삼차신경초종의 제거

• 영문명: An Endoscopic Endonasal approach for Recurred Trigeminal Schwannoma
• 발행기관: 대한두개저학회
• 저자명: 김성권(Sung Kwon Kim) 김용휘(Yong Hwy Kim) 김동규(Dong Gyu Kim) 정희원(Hee-Won Jung)
• 간행물 정보: 『대한두개저학회지』제8권 제2호, 15~21쪽, 전체 7쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2013.12.30

영문 초록

Introduction : We report a case of repeatedly recurred trigeminal schwannoma after transcranial resection, operated via endoscopic endonasal approach. Case presentation : A 47-years-old female presented with intermittent headache, tinnitus, and hearing loss of right side. The magnetic resonance images showed the right cerebellopontine angle (CPA) mass consist of well enhancing solid and multiple cystic portions. The lesion was removed several times via transcranial approach. However, the residual lesion was consistently enlarged over the years and extended to prepontomedullary cistern, Meckel’s cave, and suprasellar area combined with related progression of symptoms. The recurred mass was removed via endoscopic endonasal combined transtubercular and trans-clival approach. We performed nearly total resection. There was no postoperative neurologic deficit and morbidity including the leakage of cerebrospinal fluid. Conclusion : The endoscopic endonasal combined trans-tubercular and trans-clival approach could be a safe and an alternative surgical option for the recurred trigeminal schwannoma extending to suprasellar area after repeatedly transcranial resection.

목차

Introduction

Case presentation

Discussion

Conclusion

키워드

trigeminal schwannoma endoscopy trans-tubercular trans-clival approach