Keyhole Supraorbital-Eyebrow Approach for Resection of an Olfactory Groove Meningioma with Intraoperative Endoscopic Assistance

World Neurosurg. 2022 Jan:157:160-161. doi: 10.1016/j.wneu.2021.10.118. Epub 2021 Oct 22.

Abstract

The authors present the case of a 52-year-old male with a history of new-onset seizures who presented in status epilepticus. Computed tomography and magnetic resonance imaging demonstrated an olfactory groove mass. A keyhole supraorbital-eyebrow approach assisted with a microinspection tool was performed for tumor resection.1-5 A Simpson grade 2 tumor resection was achieved, and histopathology revealed a World Health Organization grade I olfactory groove meningioma. Postoperative and follow-up course has been unremarkable, with early postoperative imaging demonstrating no residual tumoral mass. The operative video highlights the advantages of using the microinspection tool for the visualization of deep lesions.

Keywords: Eyebrow approach; Minimally invasive approach; Olfactory groove meningioma; Supraorbital approach.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Cranial Fossa, Anterior / surgery
  • Eyebrows
  • Humans
  • Male
  • Meningeal Neoplasms / surgery*
  • Meningioma / surgery*
  • Middle Aged
  • Minimally Invasive Surgical Procedures / instrumentation
  • Minimally Invasive Surgical Procedures / methods*
  • Neuroendoscopy / instrumentation
  • Neuroendoscopy / methods*