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Transcavernous sinus pituitary gland transposition: how I do it

  • How I Do it - Neurosurgical technique evaluation
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Abstract

Background

Pituitary transposition preserving gland function is possible when approaching superior clival region tumors. Clinical experience along with detailed anatomical knowledge makes this technique safe and effective.

Method

We present a step by step description of our technique based on the most recent anatomical references to get a pituitary transposition through the different compartments of the cavernous sinus. By this technique, we achieve minor gland manipulation and a better surgical view of this area. We support this technique with an anatomical analysis on cadaveric specimens and clarifying dissection images.

Conclusions

Transcavernous sinus pituitary gland transposition is an easily feasible technique and allows gland shifting preserving pituitary function.

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References

  1. Cárdenas Ruiz-Valdepeñas E, Kaen A, Perez PG (2016) Endoscopic radical hypophysectomy: how I do it. Acta Neurochir 158(11):2159–2162

    Article  PubMed  Google Scholar 

  2. Cohen-Cohen S, Gardner PA, Alves-Belo JT, Truong HQ, Snyderman CH, Wang EW, Fernandez-Miranda JC (2018) The medial wall of the cavernous sinus. Part 2: selective medial wall resection in 50 pituitary adenoma patients. J Neurosurg 1:1–10

    Google Scholar 

  3. Fernandez-Miranda JC, Gardner PA, Rastelli MM Jr, Peris-Celda M, Koutourousiou M, Peace D, Snyderman CH, Rhoton AL Jr (2014) Endoscopic endonasal transcavernous posterior clinoidectomy with interdural pituitary transposition. J Neurosurg 121(1):91–99

    Article  PubMed  Google Scholar 

  4. Kassam AB, Prevedello DM, Thomas A, Gardner P, Mintz A, Snyderman C, Carrau R (2008) Endoscopic endonasal pituitary transposition for a transdorsum sellae approach to the interpeduncular cistern. Neurosurgery 62(3 Suppl 1):57–72 discussion 72–4

    PubMed  Google Scholar 

  5. Montaser AS, Revuelta Barbero JM, Todeschini A, Beer-Furlan A, Lonser RR, Carrau RL, Prevedello DM (2017) Endoscopic endonasal pituitary gland hemi-transposition for resection of a dorsum sellae meningioma. Neurosurg Focus 43(VideoSuppl2):V7

    Article  PubMed  Google Scholar 

  6. Peris-Celda M, Kucukyuruk B, Monroy-Sosa A, Funaki T, Valentine R, Rhoton AL Jr (2013) The recesses of the sellar wall of the sphenoid sinus and their intracranial relationships. Neurosurgery 73(2 Suppl Operative):ons117–ons131 discussion ons131

    PubMed  Google Scholar 

  7. Taussky P, Kalra R, Coppens J, Mohebali J, Jensen R, Couldwell WT (2011) Endocrinological outcome after pituitary transposition (hypophysopexy) and adjuvant radiotherapy for tumors involving the cavernous sinus. J Neurosurg 115(1):55–62

    Article  PubMed  Google Scholar 

  8. Truong HQ, Borghei-Razavi H, Najera E, Igami Nakassa AC, Wang EW, Snyderman CH, Gardner PA, Fernandez-Miranda JC (2018) Bilateral coagulation of inferior hypophyseal artery and pituitary transposition during endoscopic endonasal interdural posterior clinoidectomy: do they affect pituitary function? J Neurosurg 1:1–6

    Google Scholar 

  9. Truong HQ, Lieber S, Najera E, Alves-Belo JT, Gardner PA, Fernandez-Miranda JC (2018) The medial wall of the cavernous sinus. Part 1: surgical anatomy, ligaments, and surgical technique for its mobilization and/or resection. J Neurosurg 1:1–9

    Google Scholar 

  10. Yasuda A, Campero A, Martins C, Rhoton AL Jr, Ribas GC (2004) The medial wall of the cavernous sinus: microsurgical anatomy. NeurosurgerYl 55(1):179–189 discussion 189-90

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Neurological Surgery, Hospital Virgen Del Rocío, Avenida Manuel siurot s/n, 41013, Sevilla, Spain

    Eugenio Cárdenas Ruiz-Valdepeñas, Ariel Kaen & Jorge Tirado Caballero

Authors
  1. Eugenio Cárdenas Ruiz-Valdepeñas
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  2. Ariel Kaen
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  3. Jorge Tirado Caballero
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Corresponding author

Correspondence to Eugenio Cárdenas Ruiz-Valdepeñas.

Ethics declarations

The study with cadaveric specimens was approved by the Research Ethics board in our hospital.

Conflict of interest

The authors declare that they have no conflict of interest.

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Cárdenas Ruiz-Valdepeñas, E., Kaen, A. & Tirado Caballero, J. Transcavernous sinus pituitary gland transposition: how I do it. Acta Neurochir 161, 2123–2127 (2019). https://doi.org/10.1007/s00701-019-04012-1

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  • DOI: https://doi.org/10.1007/s00701-019-04012-1

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