title: Endoscopic palliative decompression of the cavernous sinus in a rare case of a metastatic renal cell carcinoma to the clivus.
abstract: We present a rare case of acute cavernous sinus syndrome due to a renal cell carcinoma metastasis to the clivus. This case highlights the role of palliative endoscopic endonasal decompression of the cavernous sinus to relieve cranial neuropathies, obtain tissue diagnosis, and for cytoreduction in preparation for additional adjuvant therapy.
authors.affiliation: Department of Neurological Surgery, Rutgers New Jersey Medical School , Newark, NJ , USA.
authors.forename: Zachary S
authors.initials: ZS
authors.lastname: Mendelson
authors.forename: Amit A
authors.initials: AA
authors.lastname: Patel
authors.forename: Jean Anderson
authors.initials: JA
authors.lastname: Eloy
authors.forename: James K
authors.initials: JK
authors.lastname: Liu
mesh_terms: D002292:Carcinoma, Renal Cell / Q000175:diagnosis / Q000556:secondary / Q000601:surgery*; D002426:Cavernous Sinus / Q000601:surgery*; D003388:Cranial Fossa, Posterior / Q000601:surgery; D019299:Decompression, Surgical / Q000379:methods; D005260:Female; D006801:Humans; D007674:Kidney Diseases / Q000473:pathology*; D008875:Middle Aged; D044583:Neuroendoscopy; D010166:Palliative Care; D019292:Skull Base Neoplasms / Q000175:diagnosis / Q000556:secondary / Q000601:surgery*; D016896:Treatment Outcome
keywords: cavernous sinus syndrome; clival lesion; endoscopic skull base surgery; renal cell carcinoma; skull base tumor