Interdisciplinary Neurosurgery: Advanced Techniques and Case Management最新文献

{"title":"Upper cervical spine trauma in Niamey: A 3-Year retrospective analysis of 27 cases","authors":"Roméo Bujiriri Murhega ,&nbsp;Assoumane Issa Ibrahim ,&nbsp;IBN HALID Nana Rachida ,&nbsp;Aminath Kelani","doi":"10.1016/j.inat.2025.102055","DOIUrl":"10.1016/j.inat.2025.102055","url":null,"abstract":"<div><h3>Background</h3><div>Traumatic injuries of the upper cervical spine are complex and often life-threatening. This study presents novel insights into the clinical, radiological, and therapeutic characteristics of upper cervical trauma cases managed in Niamey, Republic of Niger.</div></div><div><h3>Methods</h3><div>We conducted a retrospective descriptive study involving 27 patients admitted for upper cervical spine trauma between January 1, 2020, and March 31, 2023. All patients underwent CT imaging, and MRI was used selectively. Fracture classification was validated by two independent neurosurgeons. Statistical analyses were performed using JAMOVI 2.3.28.0.</div></div><div><h3>Results</h3><div>The cohort had a mean age of 33.9 ± 15.4 years; 51.9 % were under 30 years old. Motorcycle accidents were the leading cause (55.6 %). Neurological deficits were observed in 33.3 %, and 66.6 % were ASIA grade E. C2 injuries predominated (70.4 %), primarily odontoid fractures (81.8 %) with 33.3 % being Anderson and Alonzo type II with a horizontal fracture line. Surgical treatment was indicated in 74.1 % of cases. The Harms technique was the most used method (30 %).</div></div><div><h3>Conclusion</h3><div>C2 Type II odontoid fractures are the most frequent pattern in upper cervical trauma in Niamey. Despite limited resources, surgical stabilization is feasible and necessary. These findings highlight the need for strengthened road safety and improved diagnostic access in sub-Saharan settings.</div></div>","PeriodicalId":38138,"journal":{"name":"Interdisciplinary Neurosurgery: Advanced Techniques and Case Management","volume":"40 ","pages":"Article 102055"},"PeriodicalIF":0.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144189431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cryptogenic pituitary abscess: Two case reports from Indonesia highlighting diagnostic challenges and atypical clinical-radiological features","authors":"Donny Wisnu Wardhana ,&nbsp;Farhad Balafif ,&nbsp;Tommy Alfandy Nazwar ,&nbsp;Fachriy Balafif ,&nbsp;Ibrahim Yusuf Nasution ,&nbsp;Saddam Husein Saputra ,&nbsp;Koernia Hezkia Yonathan ,&nbsp;Anisa Nur Kholipah","doi":"10.1016/j.inat.2025.102057","DOIUrl":"10.1016/j.inat.2025.102057","url":null,"abstract":"<div><h3>Background</h3><div>Pituitary abscess is a rare and diagnostically challenging condition, as it often resembles pituitary adenoma in clinical, laboratory, and radiological features. Unlike typical adenomas, abscesses may present with mild and nonspecific signs of infection or hormonal disturbances. This report aims to analyse the clinical manifestations, diagnosis, risk factors for abscess formation, and management of this condition in our two patients, as well as cases reviewed from the literature.</div></div><div><h3>Case presentation</h3><div>Both patients were female, presenting with complaints of headache and visual disturbances, including bitemporal hemianopia caused by optic chiasm compression. Laboratory tests revealed elevated FT4 in patient 1 and hyperprolactinemia in patient 2, without systemic signs of infection such as leukocytosis (white blood cell count normal). MRI demonstrated rim-enhancing sellar lesions with central hypointensity and optic chiasm compression, findings highly suggestive of abscess rather than typical pituitary adenoma. Both patients underwent endonasal transsphenoidal hypophysectomy and received antibiotic therapy. The surgical procedure successfully removed the abscess with minimal complications, although the underlying infectious cause remained unidentified. Metronidazole and ceftriaxone therapy proved effective in improving the patients’ prognosis. The results demonstrated a favourable short-term prognosis; however, follow-up evaluation at three months revealed challenges in long-term management.</div></div><div><h3>Conclusion</h3><div>This finding differs from previous literature reports, none of which documented recurrence. We emphasize the importance of a thorough medical history and a multidisciplinary approach to optimize outcomes. Long-term radiological and clinical monitoring is essential for detecting potential recurrence or complications.</div></div>","PeriodicalId":38138,"journal":{"name":"Interdisciplinary Neurosurgery: Advanced Techniques and Case Management","volume":"40 ","pages":"Article 102057"},"PeriodicalIF":0.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144222469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Laminoplasty versus laminectomy for treatment of cervical spondylotic myelopathy: A randomized controlled Trial","authors":"Mohamed Salah Mohamed Ahmed Metwaly,&nbsp;Ahmed Mohamed Ezzat Abdel Fattah Mostafa,&nbsp;Ahmed Mohammed AlaaEldin Abd Elfattah Shalaby,&nbsp;Essam M. Youssef","doi":"10.1016/j.inat.2025.102069","DOIUrl":"10.1016/j.inat.2025.102069","url":null,"abstract":"<div><h3>Background</h3><div>Cervical spondylotic myelopathy (CSM) is a prevalent cause of spinal cord dysfunction in older adults, often requiring surgical intervention for relief of spinal cord compression. This study aimed to compare the outcomes of two common surgical techniques, laminoplasty and laminectomy, in the treatment of multilevel CSM.</div></div><div><h3>Methods</h3><div>In a prospective cohort study, 30 patients with symptomatic multilevel CSM were randomly assigned to undergo either laminectomy or laminoplasty. Preoperative and postoperative evaluations included clinical assessments using the Visual Analog Scale (VAS), Nurick grade, Neck Disability Index (NDI), Japanese Orthopaedic Association (JOA) score, as well as radiological evaluations (MRI, X-ray). Surgical outcomes, complications, and long-term recovery were also assessed.</div></div><div><h3>Results</h3><div>Both groups showed significant postoperative improvements in clinical measures, including VAS, Nurick, and NDI scores. However, the laminoplasty group demonstrated greater improvements in NDI scores (p &lt; 0.001) and lower postoperative VAS scores (p = 0.003). Radiologically, laminectomy provided greater decompression, as evidenced by a larger increase in the dural sac cross-sectional area (p &lt; 0.001). Both groups exhibited similar complication rates, but the laminectomy group had a higher incidence of C5 radiculopathy and axial neck pain (p = 0.003 for both).</div></div><div><h3>Conclusion</h3><div>Overall, both procedures demonstrated significant clinical benefits, and the choice of technique should be tailored to individual patient needs based on factors such as cervical alignment and risk of complications. Further studies with larger cohorts are needed to refine surgical decision-making in CSM treatment.</div></div>","PeriodicalId":38138,"journal":{"name":"Interdisciplinary Neurosurgery: Advanced Techniques and Case Management","volume":"41 ","pages":"Article 102069"},"PeriodicalIF":0.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144242531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of a historical giant craniopharyngioma in a child: Technical note","authors":"Oumar Coulibaly,&nbsp;Mahamadou Dama,&nbsp;Daouda Sissoko,&nbsp;Kandjoura Sylla,&nbsp;Youssouf Traoré,&nbsp;Souleymane Sidibé,&nbsp;Mamadou Salia Diarra,&nbsp;Youssouf Sogoba,&nbsp;Moussa Diallo,&nbsp;Drissa Kanikomo,&nbsp;Oumar Diallo","doi":"10.1016/j.inat.2025.102048","DOIUrl":"10.1016/j.inat.2025.102048","url":null,"abstract":"<div><h3>Introduction</h3><div>Craniopharyngioma are rare histologically benign epithelial tumor originating from the pituitary stalk or the hypophysis. We report here the case of an 8-year-old girl treated for a giant craniopharyngioma revealed by neuropsychiatric disorders.</div></div><div><h3>Clinical observation</h3><div>An 8-year-old girl, 2nd in a family of 5, with no medical history, was admitted to our department for 6 months story of progressive behavioral disorders complicated by headaches with few episodes of vomiting taken as malaria’ s symptoms. Her clinical examination found a jovial girl, hyperactive, humorous with a Glasgow Coma Scale of 15, sub-stiff neck without sensorimotor deficit. The ophthalmological examination found a blind child in both eyes with bilateral papillary pallor. Brain CT scan revealed a large extra-axial, intra and suprasellar bilocular cystic process, with obvious bifrontal development and presenting fine circumferential parietal calcifications and measuring 156 mm × 101 mm × 152 mm in its large diameters. Under general anesthesia and in supine position, this cyst was punctured by subtraction of 230 cc of “engine oil-like” liquid through the Cushing trocar followed by the placement of an Ommaya reservoir. The postoperative course was simple and the control CT scan was satisfactory.</div></div><div><h3>Conclusion</h3><div>Craniopharyngioma is a benign but serious tumor, especially in children. The treatment of choice remains surgery, which is incomplete in the majority of cases.</div></div>","PeriodicalId":38138,"journal":{"name":"Interdisciplinary Neurosurgery: Advanced Techniques and Case Management","volume":"41 ","pages":"Article 102048"},"PeriodicalIF":0.4,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144480165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A case of dural arteriovenous fistula showing high uptake on methionine positron emission tomography and mimicking diffuse intrinsic pontine glioma","authors":"Yuki Sunohara,&nbsp;Kinya Yokoyama,&nbsp;Kai Takayanagi,&nbsp;Kazuki Ishii,&nbsp;Fumiaki Kanamori,&nbsp;Kojiro Ishikawa,&nbsp;Masahiro Nishihori,&nbsp;Takashi Izumi,&nbsp;Ryuta Saito","doi":"10.1016/j.inat.2025.102053","DOIUrl":"10.1016/j.inat.2025.102053","url":null,"abstract":"<div><h3>Background</h3><div>Intracranial dural arteriovenous fistula (dAVF) and gliomas sometimes present with similar imaging findings. Methionine positron emission tomography (MET-PET) is used to diagnose gliomas; however, the findings for dAVF are unknown.</div></div><div><h3>Case report</h3><div>We report the case of a 59-year-old man who presented with headaches and diplopia. Magnetic resonance imaging showed edema and dilated blood vessels in the pons. The same area had a gadolinium contrast enhancement effect, and MET-PET showed high uptake. Imaging findings suggested diffuse intrinsic pontine glioma with a developmental venous anomaly. However, cerebral angiography revealed a dAVF on the posterior surface of the left petrous bone that had flowed back into the transpontine vein. A shunt ligation was performed. Postoperatively, the symptoms disappeared, and the transpontine vein was thrombosed.</div></div><div><h3>Conclusion</h3><div>dAVF can cause high MET-PET uptake; therefore, treatment for patients with suspected diffuse intrinsic pontine gliomas should also consider the vasculature surrounding the lesion. In our case, the characteristic imaging finding of a dilated transpontine vein was observed; however, the prognosis was good without requiring postoperative anticoagulants.</div></div>","PeriodicalId":38138,"journal":{"name":"Interdisciplinary Neurosurgery: Advanced Techniques and Case Management","volume":"41 ","pages":"Article 102053"},"PeriodicalIF":0.4,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144230036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the Editor re: “Delayed presentation of giant cerebral hydatid cyst with epilepsy: A case report”","authors":"Almonzer Al-Qiami ,&nbsp;Abdulqadir J. Nashwan","doi":"10.1016/j.inat.2025.102052","DOIUrl":"10.1016/j.inat.2025.102052","url":null,"abstract":"","PeriodicalId":38138,"journal":{"name":"Interdisciplinary Neurosurgery: Advanced Techniques and Case Management","volume":"40 ","pages":"Article 102052"},"PeriodicalIF":0.4,"publicationDate":"2025-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144138215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparing the outcomes of traumatic cervical spinal cord injuries in patients presenting with fracture-dislocation versus those with cervical canal stenosis","authors":"Morteza Taheri,&nbsp;Abdolhadi Daneshi,&nbsp;Mohammad Hossein Ghazvini,&nbsp;Parisa Javadnia","doi":"10.1016/j.inat.2025.102051","DOIUrl":"10.1016/j.inat.2025.102051","url":null,"abstract":"<div><h3>Aim</h3><div>In this research, we evaluated the long-term outcomes of patients who experienced traumatic cervical spinal cord injuries resulting from fracture-dislocation or canal stenosis.</div></div><div><h3>Methods</h3><div>Seventy-two patients with traumatic cervical spinal cord injuries, aged 18 to 72 months post-injury, were evaluated. Participants were categorized based on the etiological mechanism of injury, specifically canal stenosis versus fracture-dislocation. Comparative analyses were conducted between these two groups to assess differences and outcomes.</div></div><div><h3>Results</h3><div>The mean age of patients was 44.47 ± 15.32 years, with a male predominance at 81.9 %. Among the patients, 43 experienced cervical cord injuries attributed to fracture-dislocations of the cervical vertebrae, while 29 had injuries resulting from cervical canal stenosis. The predominant mechanism of trauma was falls, followed by motor vehicle accidents. The C5 vertebra was the most frequently fractured level, with C5/C6 and C6/C7 noted as the most common dislocation levels. The mean interval from injury to surgical decompression was 4.27 ± 6.98 days, with an average hospitalization duration of 22.83 ± 21.76 days. The mean follow-up period was 43.83 ± 14.43 months. Statistical analysis revealed significant differences between the two groups concerning age, hospitalization duration, trauma mechanism, clinical presentation, incomplete cord injury status, and in-hospital mortality. However, the outcomes—including post-discharge mortality and scores on SF12 PCS and SF12 MCS—showed no significant differences between the groups.</div></div><div><h3>Conclusion</h3><div>This study demonstrated that, while short-term outcomes, particularly in-hospital mortality, are elevated in patients presenting with fracture dislocation compared to those with cervical canal stenosis, long-term prognoses do not inherently indicate worse outcomes in terms of mortality or quality of life for the former group.</div></div>","PeriodicalId":38138,"journal":{"name":"Interdisciplinary Neurosurgery: Advanced Techniques and Case Management","volume":"40 ","pages":"Article 102051"},"PeriodicalIF":0.4,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144138126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preservation of nasal septal cartilage in endoscopic transsphenoidal approach surgery","authors":"Taishi Nakamura ,&nbsp;Yamato Oki ,&nbsp;Kenta Fukui ,&nbsp;Katsumi Sakata ,&nbsp;Hiromitsu Hatakeyama ,&nbsp;Tetsuya Yamamoto ,&nbsp;Nobuhiko Oridate","doi":"10.1016/j.inat.2025.102050","DOIUrl":"10.1016/j.inat.2025.102050","url":null,"abstract":"<div><h3>Background</h3><div>The transseptal approach is widely used in a range of cases in endoscopic transsphenoidal neurosurgery. However, dissecting the mucosa from the septum can lead to perforation in some cases, and the resultant postoperative mucosal perforation can cause symptoms of discomfort, such as recurrent epistaxis, nasal crusting, headache, and nasal obstruction. In this study, we analyzed a technique for preserving the nasal septal cartilage to reduce nasal septal mucosal perforation in terms of the size and frequency of the perforations as well as the symptoms caused by them. We also evaluated the technical complexity of this technique and its potential to cause obstruction of vision and manipulation.</div></div><div><h3>Materials and methods</h3><div>We enrolled a consecutive series of patients who underwent endoscopic transsphenoidal surgery using the nasal septal cartilage-preserving technique. Intraoperative and postoperative mucosal perforations of the nasal septum were confirmed.</div></div><div><h3>Results</h3><div>Eighteen patients underwent surgery using this technique. Surgery was previously performed in only one patient with a pituitary neuroendocrine tumor. Among the other 17 patients who underwent primary surgery, seven showed intraoperative perforation of some size during detachment of the nasal septal mucosa from the nasal septum. Three cases, including a reoperation case, showed nasal septal perforation on outpatient examination a few months later, and no symptoms were associated with postoperative perforation in these three patients.</div></div><div><h3>Conclusion</h3><div>Preserving the septal cartilage prevents perforation of the anterior component of the nasal septum and contributes to reducing the risk of postoperative perforation and its symptomatic occurrence without obstructing intraoperative manipulation.</div></div>","PeriodicalId":38138,"journal":{"name":"Interdisciplinary Neurosurgery: Advanced Techniques and Case Management","volume":"40 ","pages":"Article 102050"},"PeriodicalIF":0.4,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144138212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Delayed-onset recurrent spinal epidural hematoma: A case of unusual postoperative complications in a high-risk patient","authors":"Guive Sharifi ,&nbsp;Elham Paraandavaji ,&nbsp;Mohammad Mehdi Mousavi Nasab ,&nbsp;Bardia Hajikarimloo ,&nbsp;Esmaeil Mohammadi ,&nbsp;Mehdi Pourghazi","doi":"10.1016/j.inat.2025.102038","DOIUrl":"10.1016/j.inat.2025.102038","url":null,"abstract":"<div><h3>Background</h3><div>Recurrent postoperative spinal epidural hematoma (PSEH) following spinal surgery is an exceedingly rare condition, primarily affecting the lower cervical and upper thoracic regions. Delayed-onset PSEH, which occurs between three days and two weeks after surgery, poses distinct diagnostic and therapeutic challenges.</div></div><div><h3>Case presentation</h3><div>A patient in his 70 s, with multiple comorbidities including type 2 diabetes and chronic kidney disease, underwent a C1-C5 posterior neck laminectomy and fusion to address C1-C2 instability and significant canal stenosis. Ten days after the procedure, he developed right-sided hemiplegia, prompting an MRI that revealed spinal epidural hematoma. Remarkably, ten days following a second surgery to evacuate the hematoma, the patient experienced another recurrence, requiring yet another evacuation. Fortunately, he recovered fully without any lasting neurological deficits.</div></div><div><h3>Conclusion</h3><div>Recurrent delayed-onset PSEH, while rare, can lead to severe consequences if not diagnosed and treated accordingly. Increased awareness and early intervention are essential to mitigate the risk of permanent neurological impairment, particularly in high-risk patients.</div></div>","PeriodicalId":38138,"journal":{"name":"Interdisciplinary Neurosurgery: Advanced Techniques and Case Management","volume":"40 ","pages":"Article 102038"},"PeriodicalIF":0.4,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144138213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preserving of the sphenoid sinus mucosa at endoscopic supraorbital eyebrow approach for tuberculum sellae meningioma effectively prevents cerebrospinal fluid leakage: a case report","authors":"Hiroki Ohata ,&nbsp;Tsuyoshi Sasaki ,&nbsp;Bing Liu ,&nbsp;Chihiro Nakagawa ,&nbsp;Kenichi Ishibashi ,&nbsp;Yutaka Mitsuhashi ,&nbsp;Takeo Goto","doi":"10.1016/j.inat.2025.102045","DOIUrl":"10.1016/j.inat.2025.102045","url":null,"abstract":"<div><div>Tuberculum sellae meningiomas (TSMs) have generally been removed by a transcranial microscopic approach or a transsphenoidal endoscopic approach. A small craniotomy endoscopic tumor resection for TSMs has been reported in recent years, but prevention of cerebrospinal fluid leakage is still an issue of controversy in any surgical method. Herein, the authors describe the nuances and efficacy of preservation of the sphenoid sinus mucosa for preventing cerebrospinal fluid leakage after small craniotomy endoscopic tumor removal for tuberculum sellae meningioma.</div><div>A 64-year-old female presented with left optic nerve dysfunction. Imaging findings showed a tumor at the tuberculum sellae that extended to the left optic canal. The preoperative diagnosis was TSM. Tumor resection was performed by a small craniotomy endoscopic approach. Tumor was successfully observed and resected. Postoperative imaging findings showed the sphenoid sinus mucosa was fall down. Two weeks after surgery, however, the sphenoid sinus mucosa returned to its original position. Cerebrospinal fluid leakage or infection was not observed. We advocate that preservation of the sphenoid sinus mucosa was quite useful in preventing cerebrospinal fluid leakage during small craniotomy endoscopic tumor removal for TSM.</div></div>","PeriodicalId":38138,"journal":{"name":"Interdisciplinary Neurosurgery: Advanced Techniques and Case Management","volume":"40 ","pages":"Article 102045"},"PeriodicalIF":0.4,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143942189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}