Abstract
Background
The retrosigmoid suprajugular approach provides a less-aggressive approach for a subset of tumors of the jugular foramen.
Method
We described the retrosigmoid suprajugular approach with its advantages, caveats, and indications. A Samii-B2 glossopharyngeal nerve schwannoma is shown to exemplify the procedure.
Conclusion
The retrosigmoid suprajugular approach provides an excellent option for tumors with a variable extension into the cerebellopontine cistern and limited extension into the jugular foramen. It is less destructive than the other approaches and allows a good exposure to the posterior part of the jugular foramen.
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Abbreviations
- CSF:
-
Cerebrospinal fluid
- 3D-CISS:
-
3-dimensional constructive interference steady state
References
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This article is part of the Topical Collection on Tumor - Schwannoma
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Video 1
Resection of a Left Samii-B2 glossopharyngeal nerve schwannoma through a left retrosigmoid suprajugular approach. (MP4 481,371 kb)
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Constanzo, F., Gerhardt, J. & Ramina, R. How I do it: retrosigmoid suprajugular approach to the jugular foramen. Acta Neurochir 161, 2271–2274 (2019). https://doi.org/10.1007/s00701-019-04030-z
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DOI: https://doi.org/10.1007/s00701-019-04030-z