• World Neurosurg · Oct 2020

    Supracerebellar approach for clival chordomas: A technical note.

    • Atul Goel, Tejas Vaja, Abhidha Shah, Survendra Rai, Akshay Hawaldar, and Aditya Lunawat.
    • Department of Neurosurgery, K.E.M. Hospital and Seth G.S. Medical College, Mumbai, India; Department of Neurosurgery, Lilavati Hospital and Research Centre, Mumbai, India. Electronic address: atulgoel62@hotmail.com.
    • World Neurosurg. 2020 Oct 1; 142: 379-384.

    BackgroundThe conventional retrosigmoid and lateral supracerebellar approach was used for surgery in 5 select cases of large chordomas.MethodsPatients were treated during 2011 and 2019. Location of the tumor in the depth from surface, wide tumor extensions, and intimate relationships with critical neural and vascular lesions made the approach selection a formidable challenge.ResultsThe discussed approach provided a satisfactory and wide exposure that permitted circumferential dissection of the tumor. Maneuvering the angulation of microscope provided access to the part of tumor that extended in the region of cavernous sinus.ConclusionsRadical resection of all the tumors was achieved.Copyright © 2020 Elsevier Inc. All rights reserved.

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