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The Pretemporal Transcavernous Approach to the Posterior Clinoid Process Chondrosarcoma with Intraoperative Neuromonitoring.

The Pretemporal Transcavernous Approach to the Posterior Clinoid Process Chondrosarcoma with Intraoperative Neuromonitoring.

期刊: Neurology India 日期: 2026-07-01 PMID: 42478387 DOI: 10.4103/neurol-india.Neurol-India-D-25-00930 浏览: 29
作者: Srivastava AK, Maurya VP, Das KK, Bhaisora KS, Kanaujia V, Yadav V, Singh N
AK, S., VP, M., KK, D., KS, B., V, K., V, Y., & N, S. (2026). The Pretemporal Transcavernous Approach to the Posterior Clinoid Process Chondrosarcoma with Intraoperative Neuromonitoring.. Neurology India. https://doi.org/10.4103/neurol-india.Neurol-India-D-25-00930
AK S, VP M, KK D, KS B, V K, V Y, et al. The Pretemporal Transcavernous Approach to the Posterior Clinoid Process Chondrosarcoma with Intraoperative Neuromonitoring.. Neurology India. 2026; doi: 10.4103/neurol-india.Neurol-India-D-25-00930
AK S, VP M, KK D, et al. The Pretemporal Transcavernous Approach to the Posterior Clinoid Process Chondrosarcoma with Intraoperative Neuromonitoring.[J]. Neurology India. 2026. DOI: 10.4103/neurol-india.Neurol-India-D-25-00930.
@article{ak2026,
  author = {Srivastava AK and Maurya VP and Das KK and Bhaisora KS and Kanaujia V and Yadav V and Singh N},
  title = {The Pretemporal Transcavernous Approach to the Posterior Clinoid Process Chondrosarcoma with Intraoperative Neuromonitoring.},
  journal = {Neurology India},
  year = {2026},
  doi = {10.4103/neurol-india.Neurol-India-D-25-00930},
  note = {PMID: 42478387},
}
TY  - JOUR
AU  - Srivastava AK
AU  - Maurya VP
AU  - Das KK
AU  - Bhaisora KS
AU  - Kanaujia V
AU  - Yadav V
AU  - Singh N
TI  - The Pretemporal Transcavernous Approach to the Posterior Clinoid Process Chondrosarcoma with Intraoperative Neuromonitoring.
T2  - Neurology India
PY  - 2026
DO  - 10.4103/neurol-india.Neurol-India-D-25-00930
AN  - PMID:42478387
ER  - 

摘要

The pretemporal transcavernous approach (PTTCA) is used for complex aneurysms and skull base tumors. Four levels of PTTCA have been described depending on the extent of exposure of the cavernous sinus. The unfolding of dural layers between the lateral cavernous sinus membrane and temporal dura propria is a crucial step of the PTTCA. In this video article, we intend to demonstrate the surgical technique of the PTTCA with integration of multimodal intraoperative neuromonitoring to excise posterior clinoid chondrosarcoma. In this case, right frontotemporal craniotomy and PTTCA were employed to excise posterior clinoid chondrosarcoma. The surgical safety is improved by using an operative manoeuvre of tailored antegrade dural unfolding and judicious use of multimodal intraoperative neuromonitoring. The patient had an uneventful recovery and was functionally independent at the 3-month follow-up. Hence, we can conclude that the PTTCA is a valuable surgical technique for the lesions of the posterior clinoid process.

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