A minimally invasive supraorbital keyhole approach
through superciliary arch for giant olfactory Groove
angiopericytoma: case report
Volume 2 - Issue 5
Pengxiang Yan, MD1#, Weiliang Zhao, MD2#, Sen Xie, MD2, Yanhui Sun, MD1 and Penglian Wang, MD, PhD3*
- 1Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
- 2Department of Neurosurgery, The Third Medical Centre, Chinese PLA (People’s Liberation Army) General Hospital, Beijing, China
- 3Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
Received: October 12, 2020; Published:November 02, 2020
*Corresponding author: Professor Penglian Wang, Department of Neurology, Beijing Tiantan Hospital, Capital Medical University,
Beijing, China, Tel: +86-10-59976505, Fax: +86-10-59976641
#The first two authors contributed equally to this work.
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Abstract
We sought to demonstrate a giant hemangiopericytoma within the olfactory groove resected by a minimally invasive
supraorbital keyhole approach through superciliary arch, which is commonly used to remove relatively small meningioma, pituitary
adenoma and craniopharyngioma. A 50-year-old female presented with a 1-year history of progressive headaches, anosmia,
hyposmia, and visual deterioration. Anosmia and visual impairment were found by physical examination. The magnetic resonance
imaging (MRI) scan demonstrated a large irregularly shaped intra-dural mass at bottom of right frontal lobe. A minimally invasive
supraorbital keyhole approach through superciliary arch is performed for resecting this giant tumor. Surgical complications and
degree of resection were recorded to evaluate the efficacy of this surgical method. Histological examination confirmed a diagnosis
of hemangiopericytoma originating from the olfactory groove. Gross total resection of the intracranial hemangiopericytoma was
possible with minimal brain retraction. Simpson grade I was achieved, and there were no presentation of new neurologic deficits,
postoperative hematomas, and cerebrospinal fluid leakage in patient. We suggested that it is worthwhile a try to remove giant
olfactory groove hemangiopericytoma by the minimally invasive supraorbital keyhole approach through superciliary arch, allowing
for minimal damage of normal brain parenchyma, and improving prognosis.
Keywords: Hemangiopericytoma; Invasive; Supraorbital keyhole approach; Superciliary arch; Olfactory groove
Abbrivations: CSF: Cerebro Spinal Fluid; CT: Computed Tomography; MRI: Magnetic Resonance image
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