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A skull base extradural hypoglossal neurilemmoma resected via an extended posterolateral approach

Published online by Cambridge University Press:  29 June 2007

H. M. Myatt ,
N. J. Holland  and
A. D. Cheesman
H. M. Myatt*
Affiliation:
The Royal National Throat, Nose and Ear Hospital, Gray's Inn Road, LondonUK
N. J. Holland
Affiliation:
The Royal National Throat, Nose and Ear Hospital, Gray's Inn Road, LondonUK
A. D. Cheesman
Affiliation:
The Royal National Throat, Nose and Ear Hospital, Gray's Inn Road, LondonUK
*
Address for correspondence: Miss H. M. Myatt, 18 Cambridge Street, Rozelle 2039, N.S.W., Australia
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Abstract

The case of a 43-year-old man with a right skull base hypoglossal neurilemmoma excised via the extended posterolateral approach is presented. There is only one previous case of hypoglossal neurilemmoma in the literature. The surgical technique described is a new approach to the posterior skull base involving a suboccipital craniectomy, mastoidectomy and the removal of the lateral process of the atlas. It provides an inferior approach to the jugular foramen and hypoglossal canal that allows the lower cranial nerves to be identified as they exit from their skull base foraminae. In the discussion we compare this technique to other surgical approaches previously described for access to the region of the jugular foramen.

Keywords

Hypoglossal nerveNeurilemmomaSurgery, operative
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 112 , Issue 11 , November 1998 , pp. 1052 - 1057
Copyright
Copyright © JLO (1984) Limited 1998

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