Trans-septal sphenoidotomy approach for cystic lesions of the clivus.
Destructive lesions of the clivus produce symptoms related to adjacent anatomic structures. Radiographic evaluation of a patient presenting with cranial neuropathies revealed a cystic lesion of the clivus, and surgical and histologic findings established a diagnosis consistent with a mucocele. There have been no previous reports in the literature describing a primary mucocele of the clivus. Appropriate treatment for these fluid-filled structures is marsupialization or exteriorization into the sphenoid sinus. A trans-septal sphenoidal approach was used in this case and is advocated as an effective means of managing cystic lesions in this area.
Heller
E M
EM
Department of Otolaryngology, New York University School of Medicine, New York 10016.
Persky
M S
MS
D000328:Adult; D001847:Bone Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery; D003388:Cranial Fossa, Posterior; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D009078:Mucocele / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery*; D009300:Nasal Septum; D012886:Skull; D013101:Sphenoid Sinus / Q000601:surgery*; D014057:Tomography, X-Ray Computed