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Results for “Skull Neoplasms”

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At least 19 recordsLinked to original sources
PubMed1979

Usefulness of vascular examinations in diagnosis and treatment of the face-skull neoplasms.

Arteriography of external carotid artery and sporadically orbitophlebography were performed in 52 patients of both sexes, aged 10-74 years. Indications for arteriography and orbitography stemmed from cases in which routine clinical-radiological examinations failed to determine the extent of neoplastic changes. The technique of transdermic puncture of the common carotid artery of the supraorbital vein was applied in the studies. Uropolin 75% was used as control material. The studies confirmed usefulness of arteriography both in the diagnosis and surgical treatment of neoplasms of the jaws as well as the face facilitating the determination of topography of the tumor and the direction of growth.

Adolescent↗
PubMed1996

Slow-flow phenomena in magnetic resonance imaging of the jugular bulb masquerading as skull base neoplasms.

Enhancement in the region of the jugular foramen on magnetic resonance imaging (MRI) is highly sensitive to the presence of a skull base neoplasm. Unfortunately, this imaging method lacks the specificity to be the sole criterion in the diagnosis of a lesion of the jugular foramen. Although well described in the radiological literature, the phenomenon of gadolinium enhancement of the relatively static blood in the jugular system continues to be erroneously diagnosed as glomus jugulare tumor. Instances of this phenomenon present in patients referred to our practice for surgical opinions before radiation therapy and/or definitive resection will be presented. The purpose of this communication is to bring this potential treatment pitfall to the attention of the neurotology community. Treatment planning for lesions of the lateral skull base cannot singularly be based on MRI findings but requires a healthy skepticism satisfied only by more complete evaluation.

Adult↗
PubMed1992

Combined orbito-frontal, sub- and infratemporal fossa approach to skull base neoplasms. Surgical technique and clinical application.

Neoplasms located along the antero-lateral skull base, with probable involvement of the orbit and with extension into the pterygoid and/or infratemporal fossa can usually not be sufficiently exposed using standard neurosurgical or otosurgical approaches, which is why combined approaches to these skull base targets have been developed in the recent past. In this report we describe our experience, using a combined orbito-frontal, sub- and infratemporal fossa approach which, starting with a pre-auricular incision and a standard pterional craniotomy, is extended to an extensive osteoplastic enbloc resection of the orbito-zygomatic area allowing for direct visualisation of the antero-temporo-lateral skull base from the orbital cavity to the depth of the infratemporal and pterygoid fossa. The surgical technique as well as the clinical experiences accumulated with this approach are described.

Chordoma↗
PubMed1995

Midfacial degloving for the management of nasal, sinus, and skull-base neoplasms.

The midfacial degloving approach to the midfacial orbital and anterior skull base structures is very versatile. It provides excellent access to a wide range of resections, such as medial maxillectomy, radical maxillectomy with and without orbital exenteration, anterior skull base cranifacial resection, and partial rhinectomy. This technique is useful for removal of benign and malignant lesions. The postoperative complications are rare. Because of absence of external skin incisions the cosmetic results are excellent.

Adult↗
PubMed1996

Image-guided surgery for skull base neoplasms using the ISG viewing wand. Anatomic and technical considerations.

Image-guided surgery of the cranial base requires a knowledge of both surgical anatomy and the technical aspects of the particular system being used. The authors report on their experience using the ISG Viewing Wand over the last two years, concentrating on the technical considerations for the use of the system and lessons learned. Image-guided surgical systems may well replace the current forms of intraoperative imaging used for anatomic orientation and localization and are considered a valuable addition to the armamentarium of the skull base surgeon.

Brain Neoplasms↗
PubMed1985

Intratemporal carotid artery bypass in resection of a base of skull tumor.

Tumors of the skull base with carotid artery involvement have heretofore required carotid ligation or been deemed inoperable. Two case reports are presented in which en bloc resection of malignant base of skull tumors included removal of a portion of the internal carotid artery. In the first case, the tumor was primarily in the parapharyngeal space and extended to the base of skull. Partial temporal bone resection was carried out to obtain exposure for carotid reconstruction. The second case involved an en bloc temporal bone resection for a recurrent, malignant, mixed tumor that had invaded the carotid canal. Revascularization was achieved in both cases by an autogenous, saphenous vein graft. The patients suffered no postoperative ischemic neurologic sequelae. These are the first known cases of a carotid bypass with distal anastomosis to the intratemporal portion of the internal carotid artery for a malignant base of skull neoplasm. The authors propose this procedure as an alternative to carotid ligation during surgery of tumors of the skull base requiring carotid resection.

Adenocarcinoma↗
PubMed1987

Facial numbness and dysesthesia. New features of carotid artery dissection.

Facial numbness and dysesthesia have not been emphasized as presenting features in spontaneous internal carotid artery dissection. Progressive facial pain, accompanied by oculosympathetic paresis, altered taste, and facial numbness suggest the possibility of basal skull neoplasm. We describe a patient, with previously undiscovered fibromuscular dysplasia, who presented with severe neck and face pain, dysgeusia, oculosympathetic paresis, and markedly reduced facial sensation due to a spontaneous vascular dissection. Altered facial sensation should now be included in the symptomatology of internal carotid artery dissection.

Aortic Dissection↗
PubMed1975

Clinicopathologic case reports: Optic nerve head metastasis.

A case of tumor metastasis from carcinoma of the lung directly to the cribriform plate is described. Retina and optic nerve were involved, but there was no evidence of tumor invasion of the choroid. It is postulated that the original tumor embolus lodged in a cribriform branch of the arterial circle of Zinn or in the central retinal vessels.

Carcinoma, Squamous Cell↗
PubMed1976

Occult tumors of the infratemporal fossa: report of seven cases appearing as preauricular facial pain.

Seven patients had occult malignant neoplasms either originating in or extending to the infratemporal fossa. Common symptoms were facial pain centered over the temporomandibular joint and facial numbness. These symptoms were sometimes associated with middle ear effusion and trismus. Multiple biopsies are often necessary to establish the diagnosis. The average delay in diagnosis from first symptom was 14 months. Infratemporal fossa neoplasia belongs in the differential diagnosis of facial pain.

Aged↗