Abstract
The cranial base is conventionally classified into anterior, middle and posterior parts that correspond to the respective cranial fossa. However, many pathologies straddle the middle and posterior skull base and can be considered under the region of central skull base (CSB). Though sporadic attempts at skull base surgery were made in the early 20th century, it was only in the 1960s that serious efforts of interdisciplinary cooperation among neurosurgeons, otorhinolaryngologists and maxillofacial surgeons were made to tackle skull base lesions [7]. The CSB, especially the cavernous sinus (CS) region was the last to be tackled directly. While Parkinson’s article describing the direct surgical attack on the cavernous sinus for the carotid-cavernous sinus fistula was the first of its kind, it was Dolenc’s extensive experience and his description of the combined epidural and subdural approach to the CSB that led many neurosurgeons to venture into cavernous sinus surgery [2]. In spite of the many advances and large experiences, debate still continues as to the best approach to the parasellar region — microsurgery, radiosurgery, combined modality or observation.
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References
Al-Mefty O (1991) Clinoidal meningiomas: In: Al-Mefty O (ed) Meningiomas. Raven Press Ltd., New York, pp 427–443
Dolenc VV, Skull and skull base tumors: overview (2004). In: Richard Winn H (ed) Youman’s neurological surgery 5th edn. Saunders, Pennsylvania, pp 1265–1281
Fukushima T, Day JD (1995) Surgical management of tumors involving the cavernous sinus. In: Schmidek HH, Sweet WH (eds.) Operative neurosurgical techniques, vol. 1, 3rd edn. W. B. Saunders, Philadelphia, pp 493–509
Hasegawa T, Kida Y, Yoshimoto M, Koike J, Lizuka H, Ishii D (2007) Long term outcomes of Gamma knife radiosurgery for cavernous sinus meningioma. J Neurosurg 107: 745–751
Kawase T, Shiobara R, Toya S (1991) Anterior transpetrosal — transtentorial approach for sphenopetroclival meningiomas: surgical method and results in 10 patients. Neurosurgery 28: 869–876
Misra BK (1999) Surgical approaches to petroclival region. Prog Clin Neurosci 14: 183–192
Samii M, Tatagiba M (2004) Basic principles of skull base surgery. In: Richard Winn H (ed.) Youman’s neurological surgery, 5th edn. Saunders, Pennsylvania, pp 909–929
Sekhar LN, Ross DA, Sen CN (1993) Cavernous sinus and sphenocavernous neoplasms: anatomy and surgery. In: Sekhar LN, Janecka IP (eds.) Surgery of cranial base tumors. Raven Press Ltd., New York, pp 521–604
Sindou M, Wydh E, Jouanneau M, Nebbal M, Lieutared T (2007) Long term follow up of meningiomas of the cavernous sinus after surgical treatment alone. J Neurosurg 107: 937–944
Yaşargil MG (1996) Microneurosurgery of CNS tumors: microneurosurgery IV B. Thieme Medical Publishers, New York, pp 1–52
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Misra, B.K. (2009). Management of Central Skull Base Tumors. In: Sindou, M. (eds) Practical Handbook of Neurosurgery. Springer, Vienna. https://doi.org/10.1007/978-3-211-84820-3_38
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DOI: https://doi.org/10.1007/978-3-211-84820-3_38
Publisher Name: Springer, Vienna
Print ISBN: 978-3-211-84819-7
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