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Transorbital endoscopic approach for repair of a lateral sphenoid sinus cerebrospinal fluid leak. 经眶内窥镜入路修复外侧蝶窦脑脊液漏。
Neurosurgical focus: Video Pub Date : 2025-04-01 DOI: 10.3171/2025.1.FOCVID24207
Nader Delavari, Jesse D Lawrence, Jonathan Tangsrivimol, Mattia Testa, Kyle J Godfrey, Theodore H Schwartz
{"title":"Transorbital endoscopic approach for repair of a lateral sphenoid sinus cerebrospinal fluid leak.","authors":"Nader Delavari, Jesse D Lawrence, Jonathan Tangsrivimol, Mattia Testa, Kyle J Godfrey, Theodore H Schwartz","doi":"10.3171/2025.1.FOCVID24207","DOIUrl":"10.3171/2025.1.FOCVID24207","url":null,"abstract":"<p><p>The transorbital craniotomy represents a minimally invasive approach to the mesial structures of the middle fossa. This video depicts the approach to the lateral sphenoid recess in a patient with CSF rhinorrhea secondary to a lateral sphenoid encephalocele. The transorbital approach represents a unique advantage to repairing the lateral sphenoid sinus in comparison to the endoscopic endonasal approach, which requires traversing, and often transecting, the vidian nerve. Following identification of the skull base defect, repair is performed as an underlay with an abdominal fat graft. Following surgery, the patient had no recurrent rhinorrhea. The video can be found here: https://stream.cadmore.media/r10.3171/2025.1.FOCVID24207.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"12 2","pages":"V8"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068084/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Transorbital neuroendoscopic approach for recurrent sinonasal inverted papilloma. 经眶神经内镜入路治疗复发性鼻窦内翻性乳头状瘤。
Neurosurgical focus: Video Pub Date : 2025-04-01 DOI: 10.3171/2025.1.FOCVID24201
Jason R Crossley, Hussam Abou-Al-Shaar, S Tonya Stefko, Paul A Gardner, Garret Choby
{"title":"Transorbital neuroendoscopic approach for recurrent sinonasal inverted papilloma.","authors":"Jason R Crossley, Hussam Abou-Al-Shaar, S Tonya Stefko, Paul A Gardner, Garret Choby","doi":"10.3171/2025.1.FOCVID24201","DOIUrl":"10.3171/2025.1.FOCVID24201","url":null,"abstract":"<p><p>This surgical video demonstrates the case of a 38-year-old male with recurrent inverted papilloma involving the lamina papyracea and frontal sinus outflow tract. The frontal sinus was diminutive on the side of the tumor, and as such a combined endoscopic endonasal with endoscopic transorbital via transcaruncular route was advised for resection of the anterolateral tumor and contralateral margin. After endonasal resection, a transorbital approach was utilized to traverse the lamina papyracea from lateral to medial and resect tumor along the ethmoid roof and posterior table of the frontal sinus. The video can be found here: https://stream.cadmore.media/r10.3171/2025.1.FOCVID24201.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"12 2","pages":"V18"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068071/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Endoscopic transorbital amygdalohippocampectomy for the resection of an epileptogenic lesion. 内窥镜经眶杏仁核海马切除术切除致痫性病变。
Neurosurgical focus: Video Pub Date : 2025-04-01 DOI: 10.3171/2025.1.FOCVID24198
Sami Obaid, Tristan Martin, Benjamin S Kahozi, Guillaume Théaud, Béatrice Voizard, Pascal Lavergne
{"title":"Endoscopic transorbital amygdalohippocampectomy for the resection of an epileptogenic lesion.","authors":"Sami Obaid, Tristan Martin, Benjamin S Kahozi, Guillaume Théaud, Béatrice Voizard, Pascal Lavergne","doi":"10.3171/2025.1.FOCVID24198","DOIUrl":"10.3171/2025.1.FOCVID24198","url":null,"abstract":"<p><p>Anterior temporal lobectomy and selective amygdalohippocampectomy are standard treatments for refractory temporal lobe epilepsy. Yet, they carry risks of lateral temporal damage to both neocortical and white matter structures, including the optic radiations. This video details a case of endoscopic transorbital amygdalohippocampectomy performed to resect an epileptogenic lesion. This approach offers minimally invasive access to the medial temporal lobe along its longitudinal axis, while preserving the lateral temporal area. Postoperative MRI showed resection of most of the amygdala, including its superior portion, and the hippocampus up to the tectal plate. This minimally invasive technique provides a promising alternative to traditional open surgery. The video can be found here: https://stream.cadmore.media/r10.3171/2025.1.FOCVID24198.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"12 2","pages":"V13"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068081/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Endoscopic transorbital approach for left anterior clinoidectomy, optic canal decompression and spheno-orbital meningioma resection. 内镜下经眶入路左前斜突切除术、视神经管减压及蝶眶脑膜瘤切除术。
Neurosurgical focus: Video Pub Date : 2025-04-01 DOI: 10.3171/2025.1.FOCVID24199
Tristan Brunette-Clement, Evan Kalin-Hajdu, Pascal Lavergne
{"title":"Endoscopic transorbital approach for left anterior clinoidectomy, optic canal decompression and spheno-orbital meningioma resection.","authors":"Tristan Brunette-Clement, Evan Kalin-Hajdu, Pascal Lavergne","doi":"10.3171/2025.1.FOCVID24199","DOIUrl":"10.3171/2025.1.FOCVID24199","url":null,"abstract":"<p><p>Endoscopic transorbital approaches have been increasingly used to treat lesions of the middle fossa, such as sphenoid wing meningiomas or cavernous sinus disease, eschewing the cosmetic and functional consequences of a frontotemporal craniotomy, as well as technical shortcomings of endoscopic endonasal approaches. In this video, the authors present a case of a spheno-orbital meningioma for which an endoscopic transorbital approach was used for tumor resection, optic canal decompression, and anterior clinoidectomy. The advantages of this approach are demonstrated, particularly the direct, shorter distance to target along the axis of the middle fossa, which avoids neurovascular structures, brain retraction, and temporal muscle manipulation. The video can be found here: https://stream.cadmore.media/r10.3171/2025.1.FOCVID24199.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"12 2","pages":"V6"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068070/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Lesser wing of sphenoid bone dermoid cyst resection: a pediatric transorbital neuroendoscopic approach. 小翼蝶骨皮样囊肿切除术：儿童经眶神经内镜入路。
Neurosurgical focus: Video Pub Date : 2025-04-01 DOI: 10.3171/2025.1.FOCVID24157
Michael G Brandel, Jeeho Kim, Jean-Paul J Abboud, Vijay A Patel, Michael L Levy
{"title":"Lesser wing of sphenoid bone dermoid cyst resection: a pediatric transorbital neuroendoscopic approach.","authors":"Michael G Brandel, Jeeho Kim, Jean-Paul J Abboud, Vijay A Patel, Michael L Levy","doi":"10.3171/2025.1.FOCVID24157","DOIUrl":"10.3171/2025.1.FOCVID24157","url":null,"abstract":"<p><p>A 3-year-old male presented with a history of a nasal dermoid cyst with intracranial extension as well as a concomitant isolated intracranial dermoid cyst of the middle cranial fossa. Initially, at 2 years of age, he underwent successful transnasal endoscopic resection of an anterior skull base dermoid cyst. He then presented for a staged dermoid cyst resection of the right sphenoid bone at the lesser wing because of interval growth between imaging studies. A right-sided transorbital neuroendoscopic approach (TONES) was utilized for lesion resection. A gross-total resection was achieved, with no complications. Excellent neurological and cosmetic outcome was achieved. The video can be found here: https://stream.cadmore.media/r10.3171/2025.1.FOCVID24157.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"12 2","pages":"V11"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068069/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Combined transorbital neuroendoscopic and endoscopic endonasal resection of orbital hemangioma. 经眶神经内窥镜与鼻内窥镜联合切除眼眶血管瘤。
Neurosurgical focus: Video Pub Date : 2025-04-01 DOI: 10.3171/2025.1.FOCVID24197
Christina Jackson, David Fernandes Cabral, S Tonya Stefko, Eric W Wang, Georgios A Zenonos, Carl H Snyderman, Paul A Gardner
{"title":"Combined transorbital neuroendoscopic and endoscopic endonasal resection of orbital hemangioma.","authors":"Christina Jackson, David Fernandes Cabral, S Tonya Stefko, Eric W Wang, Georgios A Zenonos, Carl H Snyderman, Paul A Gardner","doi":"10.3171/2025.1.FOCVID24197","DOIUrl":"10.3171/2025.1.FOCVID24197","url":null,"abstract":"<p><p>Orbital cavernous hemangiomas are the most common benign primary neoplasm of the orbit in adults and can lead to proptosis and optic neuropathy. Resection is the primary treatment for symptomatic cases. Choice of surgical approach depends on the lesion's size, location, and relation to intraorbital structures. The authors present the case of a 40-year-old male with a large symptomatic orbital hemangioma resected through a combined endoscopic transorbital and endonasal approach. This case highlights the advantages of the combined approach, enhancing visibility and minimizing disruption of orbital structures, allowing for en bloc resection of large orbital hemangiomas. The video can be found here: https://stream.cadmore.media/r10.3171/2025.1.FOCVID24197.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"12 2","pages":"V16"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068077/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Erratum: Introduction. Innovations in cortical and subcortical stimulation mapping. 错误:介绍。皮层和皮层下刺激图谱的创新。
Neurosurgical focus: Video Pub Date : 2025-04-01 DOI: 10.3171/2025.2.FOCVID24144a
Richard W Byrne
{"title":"Erratum: Introduction. Innovations in cortical and subcortical stimulation mapping.","authors":"Richard W Byrne","doi":"10.3171/2025.2.FOCVID24144a","DOIUrl":"https://doi.org/10.3171/2025.2.FOCVID24144a","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.3171/2024.10.FOCVID24144.].</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"12 2","pages":"V19"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068073/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Endoscopic transorbital transpalpebral approach for a sphenoid wing meningioma. 经眶经椎体入路治疗蝶翼脑膜瘤。
Neurosurgical focus: Video Pub Date : 2025-04-01 DOI: 10.3171/2025.1.FOCVID24179
Marcello Magnani, Alessandro Carretta, Giacomo Sollini, Arianna Rustici, Sofia Asioli, Ernesto Pasquini, Diego Mazzatenta, Matteo Zoli
{"title":"Endoscopic transorbital transpalpebral approach for a sphenoid wing meningioma.","authors":"Marcello Magnani, Alessandro Carretta, Giacomo Sollini, Arianna Rustici, Sofia Asioli, Ernesto Pasquini, Diego Mazzatenta, Matteo Zoli","doi":"10.3171/2025.1.FOCVID24179","DOIUrl":"10.3171/2025.1.FOCVID24179","url":null,"abstract":"<p><p>Sphenoid wing meningiomas are slow-growing tumors arising in a region crossed by crucial neurovascular structures, for which surgery poses significant challenges. In the last decade, several cadaveric and clinical studies have proven the effectiveness of endoscopic transorbital surgery for skull base pathologies in accordance with the principles of minimal invasiveness. The ventral surgical corridor offered by this approach allows the early devascularization of the lesion without brain retraction, temporal muscle mobilization, and limited neurovascular structure manipulation. This 2D operative video describes the removal of a sphenoid wing meningioma using an endoscopic transorbital transpalpebral approach with minimal morbidity and quick recovery. The video can be found here: https://stream.cadmore.media/r10.3171/2025.1.FOCVID24179.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"12 2","pages":"V5"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12070374/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Minimally invasive mastery: transorbital endoscopic excision of the paramedian epidermoid. 微创控制：经眶内窥镜切除旁位表皮样细胞。
Neurosurgical focus: Video Pub Date : 2025-04-01 DOI: 10.3171/2025.1.FOCVID24188
Ravi Sankar Manogaran, Abhishek Shukla, Kalyana Sundaram Chithambaram, Anant Mehrotra, Nidhin Das K, Sushila Jaiswal, Awadhesh Kumar Jaiswal
{"title":"Minimally invasive mastery: transorbital endoscopic excision of the paramedian epidermoid.","authors":"Ravi Sankar Manogaran, Abhishek Shukla, Kalyana Sundaram Chithambaram, Anant Mehrotra, Nidhin Das K, Sushila Jaiswal, Awadhesh Kumar Jaiswal","doi":"10.3171/2025.1.FOCVID24188","DOIUrl":"10.3171/2025.1.FOCVID24188","url":null,"abstract":"<p><p>Endoscopic minimally invasive skull base surgery using the transorbital neuroendoscopic technique for cavernous sinus epidermoid serves as a pivotal link to open transcranial surgeries. This method involves a minimally invasive transorbital approach, including lateral orbitotomy and drilling the greater sphenoid wing, followed by cutting the orbitomeningeal band, peeling the dura mater, and exposing the tumor. This approach is technically demanding and requires thorough knowledge of anatomy and familiarity with endoscopic instruments. The favorable clinical, cosmetic, and radiological outcomes underscore the effectiveness of this technique, highlighting the role of endoscopy in minimally invasive skull base paramedian pathologies. The video can be found here: https://stream.cadmore.media/r10.3171/2025.1.FOCVID24188.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"12 2","pages":"V10"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068080/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144065340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Endoscopic transorbital approach with electrocorticography for resection of anterior temporal lobe mass. 内窥镜经眶入路联合皮质电成像切除前颞叶肿块。
Neurosurgical focus: Video Pub Date : 2025-04-01 DOI: 10.3171/2025.1.FOCVID24196
Ruju Talati, Michael T Walsh, Alex Schneider, Stacy Scofield-Kaplan, Osaama Hassan Khan
{"title":"Endoscopic transorbital approach with electrocorticography for resection of anterior temporal lobe mass.","authors":"Ruju Talati, Michael T Walsh, Alex Schneider, Stacy Scofield-Kaplan, Osaama Hassan Khan","doi":"10.3171/2025.1.FOCVID24196","DOIUrl":"10.3171/2025.1.FOCVID24196","url":null,"abstract":"<p><p>The authors present the case illustration of a 32-year-old female with worsening seizures with slight right orbital proptosis of unclear etiology. Imaging revealed a growing right temporal pole mass concerning for a glial tumor. The patient was an ideal candidate for transorbital endoscopic resection given its location and her epilepsy history. The mass was completely removed with the aid of electrocorticography (ECOG) to ensure no additional perilesional epileptic focus. The patient has had a 6-month follow-up with no worsening seizures and favorable cosmetic outcome. The video can be found here: https://stream.cadmore.media/r10.3171/2025.1.FOCVID24196.</p>","PeriodicalId":74299,"journal":{"name":"Neurosurgical focus: Video","volume":"12 2","pages":"V12"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068074/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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