Hostname: page-component-77f85d65b8-8wtlm Total loading time: 0 Render date: 2026-03-29T09:58:42.635Z Has data issue: false hasContentIssue false
  • English
  • Français

A skull base extradural hypoglossal neurilemmoma resected via an extended posterolateral approach

Published online by Cambridge University Press:  29 June 2007

H. M. Myatt ,
N. J. Holland  and
A. D. Cheesman
H. M. Myatt*
Affiliation:
The Royal National Throat, Nose and Ear Hospital, Gray's Inn Road, LondonUK
N. J. Holland
Affiliation:
The Royal National Throat, Nose and Ear Hospital, Gray's Inn Road, LondonUK
A. D. Cheesman
Affiliation:
The Royal National Throat, Nose and Ear Hospital, Gray's Inn Road, LondonUK
*
Address for correspondence: Miss H. M. Myatt, 18 Cambridge Street, Rozelle 2039, N.S.W., Australia
Get access Rights & Permissions [Opens in a new window]

Abstract

The case of a 43-year-old man with a right skull base hypoglossal neurilemmoma excised via the extended posterolateral approach is presented. There is only one previous case of hypoglossal neurilemmoma in the literature. The surgical technique described is a new approach to the posterior skull base involving a suboccipital craniectomy, mastoidectomy and the removal of the lateral process of the atlas. It provides an inferior approach to the jugular foramen and hypoglossal canal that allows the lower cranial nerves to be identified as they exit from their skull base foraminae. In the discussion we compare this technique to other surgical approaches previously described for access to the region of the jugular foramen.

Keywords

Hypoglossal nerveNeurilemmomaSurgery, operative

Information

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 112 , Issue 11 , November 1998 , pp. 1052 - 1057
Copyright
Copyright © JLO (1984) Limited 1998

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

References

Bordi, L. T., Cheesman, A. D., Symon, L. (1989) The surgical management of glomus jugulare tumours – description of a single stage posterolateral combined otoneurosurgical approach. British Journal of Neurosurgery 3: 21–30.CrossRefGoogle ScholarPubMed
Bradley, N., Bowerman, J. E. (1989) Parapharyngeal neurilemmomas. British Journal of Oral and Maxillofacial Surgery 27: 139–146.CrossRefGoogle ScholarPubMed
Call, W. H., Pulec, J. L. (1978) Neurilemmomas of the jugular foramen. Annals of Otology 87: 313–317.Google ScholarPubMed
Canalis, R. F., Martin, N., Black, K., Armmirati, M., Cheatham, M., Bloch, J., Becker, D. P. (1993) Lateral approach to tumours of the craniovertebral junction. Laryngoscope 103: 343–349.CrossRefGoogle ScholarPubMed
Crockard, H., Sen, C. (1991) The transoral approach for the management of intradural lesions at the craniocervical junction: a review of seven cases. Neurosurgery 28: 88–98.CrossRefGoogle Scholar
Fisch, U., Pilsbury, H. C. (1979) Infratemporal fossa approach to lesions in the temporal bone and base of skull. Archives of Otolaryngology 105: 99–107.CrossRefGoogle Scholar
Franklin, D. J., Moore, G. F., Fisch, U. (1989) Jugular foramen peripheral nerve tumours. Laryngoscope 99: 1081–1087.CrossRefGoogle Scholar
George, B., Dematons, C., Cophignon, J. (1988) Lateral approach to the anterior portion of the foramen magnum. Surgical Neurology 29: 484–490.CrossRefGoogle Scholar
Glassock, M. E., Jackson, C. G., Dickens, J. R. E., Wiet, R. J. (1979) Panel discussion: Glomus jugulare tumours of the temporal bone. Laryngoscope 89: 1640–1654.CrossRefGoogle ScholarPubMed
Gore, D. O., Rankow, R., Hanford, J. M. (1956) Parapharyngeal neurilemmomas. Surgery, Gynecology and Obstetrics 103: 193.Google Scholar
Hakuba, A., Hashi, K., Fugitani, K., Ikuno, H., Nakamura, T., Inoue, Y. (1979) Jugular foramen neurinomas. Surgical Neurology 11: 83–94.Google ScholarPubMed
Henry, A. K. (1966) Extensile exposure. E. and S. Livingstone Ltd, Edinburgh and London, pp 58–72.Google Scholar
Kinney, S. E., Dohn, D. F., Hahn, J. F., Wood, B. J. (1982) Neuromas of the jugular foramen. Surgery of the Ear and Skull Base. Raven Press, New York, pp 361–367.Google Scholar
Kratimenos, G., Crockard, A. H. (1993) The far lateral approach for ventrally placed foramen magnum and upper cervical spine tumours. British Journal of Neurosurgery 7: 129–140.CrossRefGoogle ScholarPubMed
Maniglia, A., Chandler, J., Goodwin, W., Parker, J. (1979) Schwannomas of the parapharyngeal space and jugular foramen. Laryngoscope 89: 1405–1414.CrossRefGoogle ScholarPubMed
Odake, G. (1989) Intracranial hypoglossal neurinoma with intracranial extension. Neurosurgery 24(4): 583–587.CrossRefGoogle Scholar
Seyfried, D. M., Rock, J. P. (1994) Transcondylar approach to the jugular foramen. Surgical Neurology 42: 265–271.CrossRefGoogle ScholarPubMed
Sen, C. N., Sekhar, L. M. (1990) An extreme lateral approach to intradural lesions of the cervical spine and foramen magnum. Neurosurgery 27: 197–204.CrossRefGoogle ScholarPubMed