UPMC: Minimally Invasive Brain Surgery

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Endoscopic Endonasal Approach (EEA)

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EEA Clinical Case Studies

Trigeminal Schwannoma 360° Surgery

The Patient

A 17-year-old girl came to the hospital with headaches after a fall. The CT scan and MRI showed a large trigeminal schwannoma at the base of the skull.

The Challenge

The tumor had two portions, separated by the petrous bone and the brain covering. The petrous bone contains many important structures, including critical, cranial nerves and the carotid artery.

  1. Trigeminal Schwannoma CT scan

    Pre-surgical scan shows large tumor at the base of the skull.

  2. Trigeminal Schwannoma CT scan

    Scan after first surgical procedure shows front half of tumor has been removed using EEA surgery.

  3. Trigeminal Schwannoma CT scan

    Scan after second surgical procedure shows complete tumor removal.

The Solution

To avoid any damage to the nerves in and around the petrous bone and the carotid artery, the UPMC surgeons used their 360° Approach to perform two separate surgeries from different angles to remove the tumor.

The Result

Surgeons were able to completely remove the tumor. The girl temporarily had double vision that completely resolved over time, and some mild numbness related to the nerve from which the tumor originated.

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Meet the Surgeons

Meet the Surgeons:

Our Surgical Team

Our neurosurgeons are among the most experienced in the world in performing minimally invasive brain surgery.

Read about the members of our surgical team »