Alberto Di Somma, Alejandra Mosteiro, Lorena Gomez, Óscar Felguera, Joaquim Enseñat
{"title":"Transorbital approach for a Meckel's cave hybrid benign tumor: operative video and technical nuances.","authors":"Alberto Di Somma, Alejandra Mosteiro, Lorena Gomez, Óscar Felguera, Joaquim Enseñat","doi":"10.3171/2025.1.FOCVID24164","DOIUrl":null,"url":null,"abstract":"<p><p>This video presents the transorbital endoscopic resection of a Meckel's cave lesion, initially suspected as a trigeminal schwannoma. A 35-year-old woman with trigeminal hypoesthesia, pain, and gait instability underwent near-total tumor removal, with a transient cranial nerve III deficit that resolved completely. Histopathology identified the tumor as a hybrid benign lesion (trigeminal schwannoma/neurofibroma, WHO grade I). This minimally invasive technique offers effective tumor resection while preserving neurological function, making it a valuable option for select patients. Postoperative follow-up was recommended for ongoing assessment and care. The video can be found here: https://stream.cadmore.media/r10.3171/2025.1.FOCVID24164.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"12 2","pages":"V2"},"PeriodicalIF":0.0000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068082/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Neurosurgical focus: Video","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3171/2025.1.FOCVID24164","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
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Abstract
This video presents the transorbital endoscopic resection of a Meckel's cave lesion, initially suspected as a trigeminal schwannoma. A 35-year-old woman with trigeminal hypoesthesia, pain, and gait instability underwent near-total tumor removal, with a transient cranial nerve III deficit that resolved completely. Histopathology identified the tumor as a hybrid benign lesion (trigeminal schwannoma/neurofibroma, WHO grade I). This minimally invasive technique offers effective tumor resection while preserving neurological function, making it a valuable option for select patients. Postoperative follow-up was recommended for ongoing assessment and care. The video can be found here: https://stream.cadmore.media/r10.3171/2025.1.FOCVID24164.
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