Abstract
Surgical access to the clivus and petrous apex remains a formidable challenge. Intradural tumours at the clivus and petroclival area are superbly exposed via the petrosal approach described here. To date, we have operated on 33 patients having benign tumours using this approach. Total removal was achieved in all patients except 3 with meningiomas. There was no mortality, morbidity included 1 patient with hemiparesis and several with cranial nerve deficits.
MeSH terms
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Brain Neoplasms / pathology
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Brain Neoplasms / surgery*
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Carcinoma, Squamous Cell / pathology
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Carcinoma, Squamous Cell / surgery
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Cranial Nerves / pathology
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Cranial Nerves / surgery
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Craniotomy / methods*
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Follow-Up Studies
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Humans
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Magnetic Resonance Imaging
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Meningeal Neoplasms / pathology
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Meningeal Neoplasms / surgery
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Meningioma / pathology
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Meningioma / surgery
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Neurilemmoma / pathology
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Neurilemmoma / surgery
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Neurologic Examination
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Petrous Bone / pathology
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Petrous Bone / surgery*
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Postoperative Complications / diagnosis