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8 Clivus and Upper Cervical Spine

  • Moujahed Labidi
  • Shunya Hanakita
  • Kentaro Watanabe
  • Anne-Laure Bernat
  • Nouman Aldahak
  • Schahrazad Bouazza
  • Sébastien FroelichEmail author
Chapter

Abstract

Endoscopic techniques in neurosurgery have allowed an increasing number of skull base lesions to be treated through more limited exposures. In this chapter, we review the surgical anatomy of the craniocervical region and discuss the more recent advances in endoscopic endonasal and transcranial techniques as applied to lesions in this location. We will focus on the surgical treatment of chordomas, as these are the archetypal lesions encountered in this location.

Keywords

Clivus Craniocervical junction Chordoma Keyhole surgery Endoscopic endonasal surgery 

Abbreviations

CCJ

Craniocervical junction

CN

Cranial nerve

CSF

Cerebrospinal fluid

CT

Computed tomography

EEA

Endoscopic endonasal approach

EMG

Electromyographic

GTR

Gross total resection

HD

High definition

ICA

Internal carotid artery

MEP

Motor evoked potential

MRI

Magnetic resonance imaging

NSF

Nasoseptal flap

PPF

Pterygopalatine fossa

PPG

Pterygopalatine ganglion

PSA

Posterior septal artery

SSEP

Somatosensory evoked potential

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • Moujahed Labidi
    • 1
    • 2
  • Shunya Hanakita
    • 1
  • Kentaro Watanabe
    • 1
  • Anne-Laure Bernat
    • 1
  • Nouman Aldahak
    • 1
    • 3
  • Schahrazad Bouazza
    • 1
  • Sébastien Froelich
    • 1
    • 4
    Email author
  1. 1.Department of NeurosurgeryHôpital LariboisièreParisFrance
  2. 2.Division of NeurosurgeryCentre Hospitalier de l’Université de Montréal, MontréalQuébecCanada
  3. 3.Drexel Medical School, Department of NeurosurgeryPittsburghUSA
  4. 4.Université Paris VII—DiderotParisFrance

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