Microscopic and Endoscopic Combined Resection of Recurrent Left Cavernous Sinus Meningioma

Journal of Neurological Surgery Part B Skull Base 2026

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Authors: Maohua Ding, Vera Vigo, Yuanzhi Xu, Byron Hontiveros, Matei A. Banu, Collin Liu, Jonathan Balquiedra Lamano, Erik Burgos-Sosa, Noel Ayoub, Juan Carlos Fernandez-Miranda
DOI: 10.1055/s-0046-1819468
Cited by: 0

Abstract

We report a 72 year old woman with recurrent left cavernous sinus meningioma causing diplopia and trigeminal numbness after previous sphenoid meningioma resection and radiotherapy. Preoperative ICA balloon test occlusion and embolization of the left middle meningeal and accessory middle meningeal arteries reduced tumor vascularity. Microsurgical resection using a left orbitozygomatic craniotomy and middle fossa approach was combined with endoscopic endonasal transpterygoid removal of residual skull base tumor, achieving gross total resection and symptomatic improvement. 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

Meningioma and schwannoma management Head and Neck Surgical Oncology Neurosurgical Procedures and Complications

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