Endoscopic–assisted surgery for cerebello pontine angle pathology: Technical note and surgical results in a series of patients

Authors

Jaime Jesus Martinez Anda, Neurosurgery Department, Toluca Medical Center of Social Security Institute of the State of Mexico and Provinces, State of Mexico, MexicoFollow
Pablo David Guerrero Suarez, Neurosurgery Department, Toluca Medical Center of Social Security Institute of the State of MexicoFollow
Diego Pineda Martínez, Human Biological Material Innovation Department, Faculty of Medicine, National Autonomous University of Mexico, Mexico City, MexicoFollow
Rafael Avendaño Pradel, Human Biological Material Innovation Department, Faculty of Medicine, National Autonomous University of Mexico, Mexico City, MexicoFollow
Ernesto Javier Jurado Delgado, Neurosurgery Department, Toluca Medical Center of Social Security Institute of the State of Mexico and Provinces, State of Mexico, MexicoFollow
Ricardo Santiago Villlagrana Sánchez, Neurosurgery Department, Toluca Medical Center of Social Security Institute of the State of Mexico and Provinces, State of Mexico, MexicoFollow
Juan Carlos Cisneros Lesser, Neurotology and cranial base surgery Department. National Institute of Rehabilitation, Mexico City, MexicoFollow
Carolina De la Llata Segura, Otolaringology Department, Medica Sur Medical Center, Mexico City, MexicoFollow
Rogelio Revuelta Gutiérrez, Neurosurgery Department, National Institute of Neurology and Neurosurgery, Mexico City, MexicoFollow

Corresponding Author

Jaime Jesús Martínez – Anda

Neurosurgery Department, Toluca Medical Center of Social Security Institute of the State of Mexico and Provinces, Baja Velocidad Avenue 57.5 Km, Mexico – Toluca Highway No.1519 Ote. Col. San Jerónimo Chicahualco, P.C. 52140, Metepec, State of Mexico, Mexico.

Mail: dr.martinezanda@gmail.com

Document Type

Original Research - Endoscopy

Abstract

Objectives: Endoscopic–assisted surgery combined with the operating microscope has been described for several surgical techniques and pathologies of the cerebellopontine angle (CPA). The use of an endoscope allows for a panoramic view of the CPA cistern and a high degree of maneuverability in narrow cisternal spaces that enable the surgeon to deal with most CPA lesions safely. We performed an observational study to describe the surgical anatomy and technique for endoscopic-assisted CPA surgery, describing our experience in a case series of patients with CPA pathology. Methods: Anatomical and surgical technique description of endoscopic-assisted surgery for CPA pathology, based on observations on a case series of patients surgically treated with an endoscopic–assisted keyhole retrosigmoid craniotomy. Results: Ten patients were treated with the following diagnosis: Trigeminal neuralgia (5 patients), epidermoid cyst (2 patients), hemifacial spasm (1 patient), vestibular paroxysms (1 patient), CPA neurocysticercosis (1 patient). The mean age was 48 years old, seven female and three male patients. All patients had resolution or improvement of their clinical symptoms. We describe the anatomic corridors for endoscopic–assisted surgery and surgical pearls. Conclusions: Endoscopic-assisted microsurgery of the CPA is a safe and efficient procedure that has demonstrated improved surgical results as compared to the full-microscopic technique.

Completion Checklist

COVER LETTER; TITLE PAGE; ABSTRACT; KEYWORDS; AUTHOR DISCLOSURES; MANUSCRIPT; BACKGROUND; OBJECTIVE; RESULTS; DISCUSSION; CONCLUSIONS; TABLE LEGENDS; FIGURE LEGENDS; REPORTING GUIDELINES CHECKLIST; AKNOWLEDGEMENTS DOCX; TABLES PPTX; FIGURES PPTX

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Recommended Citation

Martinez Anda, Jaime Jesus; Guerrero Suarez, Pablo David; Pineda Martínez, Diego; Avendaño Pradel, Rafael; Jurado Delgado, Ernesto Javier; Villlagrana Sánchez, Ricardo Santiago; Cisneros Lesser, Juan Carlos; De la Llata Segura, Carolina; and Revuelta Gutiérrez, Rogelio (2021) "Endoscopic–assisted surgery for cerebello pontine angle pathology: Technical note and surgical results in a series of patients," Archives of Neurosurgery: Vol. 1: Iss. 1, Article 5.
Available at: https://www.ansjournal.org/home/vol1/iss1/5