Cavernous Sinus Disconnection and Orbital Exenteration for Resection of a Breast Metastasis with Perineural Invasion

Journal of Neurological Surgery Part B Skull Base 2026

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Authors: J. Manuel Revuelta Barbero, Alejandra Rodas, Leonardo Tariciotti, Edoardo Porto, Youssef M. Zohdy, Jackson Ross Vuncannon, Erion De Andrade, Arturo Solares, Gustavo Pradilla
DOI: 10.1055/s-0046-1819506
Cited by: 0

Abstract

Anterior skull base diseases involving the orbital region and perineural invasion into the cavernous region are rare, necessitating multidisciplinary management. A surgical case of a 71-year-old patient with recurrence of breast lobular carcinoma involving the left orbital, with preseptal, conal/extraconal extension, and perineural invasion of the cavernous sinus, requiring cavernous sinus disconnection and orbital exenteration via a crani-orbitozygomatic craniotomy and anterior clinoidectomy, is presented. Anatomical landmarks, surgical approach selection, and critical steps are discussed. 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

Head and Neck Surgical Oncology Ocular Oncology and Treatments Pituitary Gland Disorders and Treatments

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