Dual approach for Difficult Intracranial Lesions and their Outcome in BSMMU: Experience of Two Cases

  • Vijay Kumar Raut Resident, Dept. of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
  • Md Samsul Arifin Resident, Dept. of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
  • Md Nafaur Rahman Resident, Dept. of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
  • Abu Saleh Mohammad Abu Obaida Medical Officer, Dept. of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
  • Asifur Rahman Associate Professor, Dept. of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Dhaka , Bangladesh
  • Akhlaque Hossain Khan Professor, Dept. of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
Keywords: left petroclival meningioma

Abstract

Some lesions in the brain are difficult to approach through a single common route / trajectory. For those, dual approach combined together may ensure easier safe removal with better outcome as we had lesions like left petroclival meningioma & large craniopharyngioma. Methods Two patients, one left petroclival meningioma and one suprasellar craniopharyngioma with intraventricular extension underwent surgery with dual approach at the Neurosurgery department, BSMMU. After detailed clinical and radiological evaluation, the left petroclival meningioma patient was planned for a combined pre and post sigmoid petrosectomy and retromastoid retrosigmoid route. These were accomplished in two stages, three months apart. The craniopharyngioma patient with intraventricular extension underwent surgery through pterional transsylvian and frontal anterior trans-callosal approach in a single sitting.

Bang. J Neurosurgery 2020; 10(1): 111-118

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Abstract
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Published
2020-09-15
How to Cite
Raut, V. K., Arifin, M. S., Rahman, M. N., Obaida, A. S., Rahman, A., & Khan, A. H. (2020). Dual approach for Difficult Intracranial Lesions and their Outcome in BSMMU: Experience of Two Cases. Bangladesh Journal of Neurosurgery, 10(1), 111-118. https://doi.org/10.3329/bjns.v10i1.49173
Section
Case Reports