Endoscopic Resection of A Cavernous and Clinoidal Space-Invasive Prolactinoma

Journal of Neurological Surgery Part B Skull Base 2026

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Authors: Florencia Rodríguez Basili, Erik Burgos, Matei A. Banu, Jonathan Balquiedra Lamano, Peter H. Hwang, Vera Vigo, Juan Carlos Fernandez-Miranda
DOI: 10.1055/s-0046-1819437
Cited by: 0

Abstract

We present a 51-year-old female with a prolactin-secreting pituitary adenoma, refractory to cabergoline, with invasion of the cavernous and clinoidal spaces. She underwent endoscopic endonasal resection, including wide sphenoidotomy, exposure of the clinoidal carotid, and stepwise opening of the medial cavernous sinus wall with preservation of the pituitary and carotid artery. The tumor was successfully removed from the cavernous, clinoidal, and sellar compartments. This case highlights technical nuances for safe, maximal resection of invasive prolactinomas. Publication History Article published online: 27 February 2026 © 2026. Thieme. All rights reserved. Georg Thieme Verlag KG Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany

Fields of Study & Subjects

Pituitary Gland Disorders and Treatments Head and Neck Surgical Oncology Meningioma and schwannoma management

Publication details

Journal / source
Journal of Neurological Surgery Part B Skull Base
Volume
87
Issue
S 01
Pages
S1–S548
Publication date
27 February 2026
Language
EN