Balloon compression, neuroendoscopy and electrophysiological monitoring-assisted retrosigmoid approach for resection of cholesteatoma in the cerebellopontine angle-Meckel's cave: a technical description

We report a case of cholesteatoma that caused left facial pain with facial numbness. The tumour was located in the left cerebellopontine angle (CPA) and Meckel's cave. A balloon was first placed into Meckel's cave, and then, under electrophysiological monitoring, the tumour within the CPA...

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Bibliographic Details
Published in:British journal of neurosurgery 2023-10, Vol.ahead-of-print (ahead-of-print), p.1-4
Main Authors: Li, Ming-Wu, Jiang, Xiao-Feng, Niu, Chao-shi
Format: Article
Language:English
Subjects:
Cholesteatoma
electrophysiological monitoring
neuroendoscopy
percutaneous balloon compression
trigeminal neuralgia
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Summary:We report a case of cholesteatoma that caused left facial pain with facial numbness. The tumour was located in the left cerebellopontine angle (CPA) and Meckel's cave. A balloon was first placed into Meckel's cave, and then, under electrophysiological monitoring, the tumour within the CPA cistern was resected via the retrosigmoid approach. The balloon was inflated in Meckel's cave to push the tumour out of Meckel's cave, and then, the tumour was completely removed under endoscopy. The symptoms, including pain and numbness, subsided after surgery.
ISSN:0268-8697
1360-046X
DOI:10.1080/02688697.2020.1864290