Abstract
Introduction: The transorbital approach to the anterior skull base has been previously described. Its use for tumor diagnosis and resection, however, has yet to be reported. We present its implementation in two cases: An 84 year-old male was referred to neurosurgery for recurrent left orbital meningioma that had been previously treated with stereotactic radiosurgery twice in the past 9 years. He presented with a 10-month history of progressive vision loss, ptosis, ophthalmoplegia and contralateral facial numbness. The second patient was an 85 year-old female with a 5-month history of left sided cranial nerve 6 palsy, trigeminal neuralgia, and progressive vision loss. Imaging revealed a mass involving the left cavernous sinus, orbital apex, medial orbital wall, ethmoid sinuses, and lateral sphenoid. The aim of this report is to present how the transorbital approach can be successfully used for tumor diagnosis, debulking, and resection.
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Schedule a callMore From: Journal of Neurological Surgery Part B: Skull Base
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