Endoscopic endonasal approach for the treatment of a large clival giant cell tumor complicated by an intraoperative internal carotid artery rupture

Giant cell tumors (GCTs) are primary bone neoplasms that rarely involve the skull base. These lesions are usually locally aggressive and require complete removal, including the surrounding apparently healthy bone, to provide the best chance of cure. GCTs, as well as other lesions located in the cliv...

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Bibliographic Details
Published in:Cancer management and research 2013, Vol.5 (default), p.21-24
Main Authors: Iacoangeli, Maurizio, Di Rienzo, Alessandro, Re, Massimo, Alvaro, Lorenzo, Nocchi, Niccolò, Gladi, Maurizio, De Nicola, Maurizio, Scerrati, Massimo
Format: Article
Language:English
Subjects:
Arteries
Care and treatment
Carotid arteries
Case Report
Case studies
clival giant cell tumor
Diagnosis
endoscopic endonasal approach
Endoscopic surgery
Endoscopy
Giant cell tumors
Injuries
internal carotid artery injury
Methods
minimally invasive surgery
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Description
Summary:Giant cell tumors (GCTs) are primary bone neoplasms that rarely involve the skull base. These lesions are usually locally aggressive and require complete removal, including the surrounding apparently healthy bone, to provide the best chance of cure. GCTs, as well as other lesions located in the clivus, can nowadays be treated by a minimally invasive fully endoscopic extended endonasal approach. This approach ensures a more direct route to the craniovertebral junction than other possible approaches (transfacial, extended lateral, and posterolateral approaches). The case reported is a clival GCT operated on by an extended endonasal approach that provides another contribution on how to address one of the most feared complications attributed to this approach: a massive bleed due to an internal carotid artery injury.
ISSN:1179-1322
1179-1322
DOI:10.2147/CMAR.S38768