Transoral transclival removal of a schwannoma anterior to the craniocervical junction. Case report.
The transoral route was used to remove a schwannoma situated anteriorly at the craniocervical junction. By a relatively simple technique, a watertight closure of the dura and nasopharynx was obtained combined with continuous cerebrospinal fluid (CSF) diversion, first by lumbar drainage and then via a lumboperitoneal shunt. This modification of the standard procedure provides a useful method to prevent CSF fistula formation following transoral intradural surgery.
D002557:Cerebrospinal Fluid Shunts; D005402:Fistula / Q000517:prevention & control; D006801:Humans; D008297:Male; D008578:Meninges / Q000601:surgery; D008722:Methods; D008875:Middle Aged; D009442:Neurilemmoma / Q000601:surgery*; D010529:Peritoneal Cavity; D013116:Spinal Cord / Q000601:surgery; D013120:Spinal Cord Neoplasms / Q000601:surgery*