Application of anterior clinoid grinding in sellar region tumors and ophthalmic/superior clinoid process aneurysms of internal carotid artery
10.3760/cma.j.cn115455-20220414-00302
- VernacularTitle:前床突磨除术在鞍区肿瘤和颈内动脉眼段/床突上段动脉瘤中的应用
- Author:
Jie ZHANG
1
;
Zhongqing ZHOU
;
Xiang′en SHI
;
Yang YANG
;
Weimin NI
;
Zaitao YU
;
Yuming SUN
;
Fangjun LIU
;
Hai QIAN
Author Information
1. 首都医科大学三博脑科医院神经外科，北京 100093
- Keywords:
Sellar tumor;
Anterior clinoid process;
Aneurysm;
Internal carotid artery
- From:
Chinese Journal of Postgraduates of Medicine
2022;45(8):681-685
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the clinical effect of anterior clinoid process grinding in the treatment of ophthalmic / superior clinoid process aneurysms and sellar tumors.Methods:The clinical data of 16 patients who underwent anterior clinoid process grinding in Sanbo Brain Hospital, Capital Medical University from January 2015 to July 2021 were analyzed retrospectively. There were 1 patient with recurrent craniopharyngioma, 1 patient with recurrent pituitary adenoma, 13 patients with aneurysms, and 1 patient with suprasellar granulosa cell tumor combined with ophthalmic aneurysm of right internal carotid artery. The Modified Rankin Scale (mRS) score was used to evaluate the situation at discharge and in the medium-and-long term.Results:Sixteen patients underwent anterior clinoidprocess grinding. At discharge and the latest follow-up, the mRS scores of the patients were 0-2. A total of 15 aneurysms were treated, and there were no symptoms of visual loss or visual field defect after operation. No cerebrospinal fluid leakage occurred in all patients.Conclusions:The grinding of anterior clinoid process can effectively and fully stretch the optic nerve and internal carotid artery, and can observe the tumor neck at the lower end of pituitary stalk and the ocular segment/superior clinoid process of internal carotid artery under direct vision. It is one of the important auxiliary methods for the treatment of sellar lesions.
