How I do it: cerebellopontine angle epidermoid cyst removal with endoscopic assistance

Acta Neurochir (Wien). 2023 Jul;165(7):1761-1765. doi: 10.1007/s00701-022-05296-6. Epub 2022 Jul 9.

Abstract

Background: Epidermoid cyst in the cerebellopontine angle (CPA) can involve numerous critical structures. Endoscopic assistance following microscopic removal via a retrosigmoid approach can expand the surgical corridor, allowing for more complete resection.

Method: We describe in a stepwise fashion the surgical steps for the microscopic removal of an epidermoid cyst of the CPA with endoscopic assistance.

Conclusion: Endoscopically assisted microscopic removal for CPA epidermoid cysts provides wide access to the CPA and its adjacent structures and shows to be an effective option in selected cases.

Keywords: Cerebellopontine angle; Endoscopically assisted; Epidermoid cyst; Skull base surgery.

MeSH terms

  • Cerebellopontine Angle / diagnostic imaging
  • Cerebellopontine Angle / surgery
  • Endoscopy
  • Epidermal Cyst* / diagnostic imaging
  • Epidermal Cyst* / surgery
  • Humans
  • Microsurgery
  • Neurosurgical Procedures