Background: Keyhole approaches have lately sparked strong interest because these approaches address skull base pathologies as reported by Eroglu et al. (World Neurosurg, 2019); Hickmann, Gaida, and Reisch (Acta Neurochir (Wien) 159:881–887, 2017); Jallo and Bognar (Neurosurgery, 2006); and Poblete et al. (J Neurosurg 122:1274–1282, 2015), minimizing brain retraction and improving cosmetic results. We describe the step-by-step surgical technique to drain a suprasellar arachnoid cyst by a supraorbital approach. Method: The eyebrow incision is a direct route to expose the supraorbital corridor and even if it is smaller than a pterional approach, it permits to open the cisterns and to visualize neurovascular structures. The arachnoid cyst could be safely drained and a T-tube is placed. Conclusion: This technique represents a suitable option for suprasellar arachnoid cyst, avoiding more extended and invasive approaches.
CITATION STYLE
Venier, A., Reinert, M., & Robert, T. (2019). Supraorbital keyhole approach for suprasellar arachnoid cyst: how I do it. Acta Neurochirurgica, 161(8), 1709–1713. https://doi.org/10.1007/s00701-019-03965-7
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