经鼻内镜入路切除侵犯脑干的斜坡脊索瘤：技术要点。

IF 1.9 4区医学 Q3 CLINICAL NEUROLOGY

World neurosurgery Pub Date : 2025-05-16 DOI:10.1016/j.wneu.2025.124101

Guenther C. Feigl , Roman Bosnjak , Daniel Staribacher , Gavin Britz , Vlado Stolevski , Dzmitry Kuzmin

{"title":"经鼻内镜入路切除侵犯脑干的斜坡脊索瘤：技术要点。","authors":"Guenther C. Feigl , Roman Bosnjak , Daniel Staribacher , Gavin Britz , Vlado Stolevski , Dzmitry Kuzmin","doi":"10.1016/j.wneu.2025.124101","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>Clival chordomas with brainstem invasion are extremely rare; only 5 cases have been reported in the literature. In such cases total tumor resection is associated with high intraoperative risks and is a notable challenge for the neurosurgeon. However, it is the quality of surgical treatment that influences the future prognosis, despite the efficacy of proton therapy.</div></div><div><h3>Methods</h3><div>We describe the clinical case of a 39-year-old male patient with the sudden onset of double vision and left trochlear nerve paresis, who was diagnosed with a clival chordoma with brainstem invasion.</div></div><div><h3>Results</h3><div>The tumor was successfully resected via unilateral left mononostril endoscopic transnasal approach. The patient had a mild paresis of the left abducens nerve that improved during the postoperative period.</div></div><div><h3>Conclusions</h3><div>Clival chordomas with brainstem invasion are extremely rare. In some circumstances, total tumor resection can be achieved.</div></div>","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":"199 ","pages":"Article 124101"},"PeriodicalIF":1.9000,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Total Resection of Clival Chordoma with Brainstem Invasion via Endoscopic Transnasal Approach: Technical Note\",\"authors\":\"Guenther C. Feigl , Roman Bosnjak , Daniel Staribacher , Gavin Britz , Vlado Stolevski , Dzmitry Kuzmin\",\"doi\":\"10.1016/j.wneu.2025.124101\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><div>Clival chordomas with brainstem invasion are extremely rare; only 5 cases have been reported in the literature. In such cases total tumor resection is associated with high intraoperative risks and is a notable challenge for the neurosurgeon. However, it is the quality of surgical treatment that influences the future prognosis, despite the efficacy of proton therapy.</div></div><div><h3>Methods</h3><div>We describe the clinical case of a 39-year-old male patient with the sudden onset of double vision and left trochlear nerve paresis, who was diagnosed with a clival chordoma with brainstem invasion.</div></div><div><h3>Results</h3><div>The tumor was successfully resected via unilateral left mononostril endoscopic transnasal approach. The patient had a mild paresis of the left abducens nerve that improved during the postoperative period.</div></div><div><h3>Conclusions</h3><div>Clival chordomas with brainstem invasion are extremely rare. In some circumstances, total tumor resection can be achieved.</div></div>\",\"PeriodicalId\":23906,\"journal\":{\"name\":\"World neurosurgery\",\"volume\":\"199 \",\"pages\":\"Article 124101\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2025-05-16\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"World neurosurgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1878875025004577\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"World neurosurgery","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1878875025004577","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}

引用次数: 0

摘要

背景及重要性：侵犯脑干的斜坡脊索瘤极为罕见，文献中仅报道了5例。在这种情况下，全肿瘤切除术中风险高，对神经外科医生来说是一个巨大的挑战。然而，尽管质子治疗有效，但影响未来预后的是手术治疗的质量。临床表现：我们报告一名39岁男性患者突发性重视并左滑车神经麻痹，诊断为斜坡脊索瘤伴脑干侵犯。经单侧左鼻孔内镜经鼻入路成功切除肿瘤。患者左展神经轻度麻痹，术后有所改善。结论：斜坡脊索瘤伴脑干侵犯极为罕见。在某些情况下，可以实现肿瘤全切除。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Total Resection of Clival Chordoma with Brainstem Invasion via Endoscopic Transnasal Approach: Technical Note

Objective

Clival chordomas with brainstem invasion are extremely rare; only 5 cases have been reported in the literature. In such cases total tumor resection is associated with high intraoperative risks and is a notable challenge for the neurosurgeon. However, it is the quality of surgical treatment that influences the future prognosis, despite the efficacy of proton therapy.

Methods

We describe the clinical case of a 39-year-old male patient with the sudden onset of double vision and left trochlear nerve paresis, who was diagnosed with a clival chordoma with brainstem invasion.

Results

The tumor was successfully resected via unilateral left mononostril endoscopic transnasal approach. The patient had a mild paresis of the left abducens nerve that improved during the postoperative period.

Conclusions

Clival chordomas with brainstem invasion are extremely rare. In some circumstances, total tumor resection can be achieved.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

World neurosurgery CLINICAL NEUROLOGY-SURGERY

CiteScore

3.90

自引率

15.00%

发文量

1765

审稿时长

47 days

期刊介绍： World Neurosurgery has an open access mirror journal World Neurosurgery: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. The journal''s mission is to: -To provide a first-class international forum and a 2-way conduit for dialogue that is relevant to neurosurgeons and providers who care for neurosurgery patients. The categories of the exchanged information include clinical and basic science, as well as global information that provide social, political, educational, economic, cultural or societal insights and knowledge that are of significance and relevance to worldwide neurosurgery patient care. -To act as a primary intellectual catalyst for the stimulation of creativity, the creation of new knowledge, and the enhancement of quality neurosurgical care worldwide. -To provide a forum for communication that enriches the lives of all neurosurgeons and their colleagues; and, in so doing, enriches the lives of their patients. Topics to be addressed in World Neurosurgery include: EDUCATION, ECONOMICS, RESEARCH, POLITICS, HISTORY, CULTURE, CLINICAL SCIENCE, LABORATORY SCIENCE, TECHNOLOGY, OPERATIVE TECHNIQUES, CLINICAL IMAGES, VIDEOS