Endoscopic Transnasal Resection of Solitary Fibrous Tumor in the Optic Canal

World Neurosurgery
Seiei TorazawaNobuhito Saito

Abstract

Tumors extending into the optic canal can cause progressive visual impairment because of optic nerve compression. Prompt surgical resection is often necessary. When the tumor is located medially in the optic canal, endoscopic transnasal surgery provides a safer, less invasive alternative to a transcranial approach. We recently encountered a case of small solitary fibrous tumor in the optic canal causing rapid visual deterioration. The radiographic findings of preoperative imaging studies were compatible with those of meningioma; however, unlike meningioma, bleeding from the tumor was profuse during the operation. The endoscopic transnasal approach was effective for handling the highly vascularized tumor in this delicate region, and gross total removal was achieved with postoperative gradual improvement in his visual function. Nevertheless, the tumor recurred after 6 months, and re-resection was performed using the same surgical corridor, followed by adjuvant radiotherapy. Endoscopic transnasal surgery is a valuable option for aggressive lesions in the optic canal. Although the efficacy of radiotherapy for solitary fibrous tumor remains controversial, it should be considered when the tumor shows progressive features.

References

Jan 1, 1992·American Journal of Industrial Medicine·P Klemperer, B R Coleman
Sep 1, 1991·The American Journal of Surgical Pathology·G B Witkin, J Rosai
Jan 1, 1989·Ophthalmic Plastic and Reconstructive Surgery·D C FaucettD E Bullard
Jan 1, 1986·Ophthalmic Plastic and Reconstructive Surgery·N B Call
Aug 1, 1985·The British Journal of Radiology·P Butler, R A Metcalfe
Apr 1, 1984·Surgical Neurology·R C Chan, G B Thompson
Aug 1, 1980·The British Journal of Ophthalmology·J E WrightN B Call
Nov 1, 1994·Journal of Computer Assisted Tomography·K SatoR Kitai
Apr 1, 1994·American Journal of Clinical Pathology·J Cameselle-TeijeiroM Sobrinho-Simoes
Nov 1, 1993·Ophthalmology·J C KattahH Manz
Sep 1, 1996·Journal of Neuro-oncology·M Bondy, B L Ligon
Apr 1, 1999·Lung Cancer : Journal of the International Association for the Study of Lung Cancer·Y L ChangC T Wu
Aug 24, 2000·Acta neurochirurgica·H AraiH Ishii
Feb 26, 2003·Pediatric Neurosurgery·Uta Schick, Werner Hassler
Mar 12, 2004·Virchows Archiv : an International Journal of Pathology·Kumiko OgawaTomoyuki Shirai
Sep 1, 2004·Surgical Neurology·Gökhan AkdemirLevent Altin
May 28, 2005·Neurosurgery·Rebecca Gillian MacfarlaneDavid Glyndor Treharne Thomas
Jun 26, 2007·Neurologia Medico-chirurgica·Kohsuke TeranishiKentaro Mori
Sep 12, 2007·AJNR. American Journal of Neuroradiology·Y C WeonJ H Kim
Apr 22, 2008·Neurosurgery·Enrico de DivitiisOreste de Divitiis
Jun 10, 2010·Minimally Invasive Neurosurgery : MIN·K YoshimuraT Yoshimine
May 3, 2011·Neurosurgical Focus·Ahmed Nageeb M TahaOssama Al-Mefty
Dec 2, 2011·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Selcuk YilmazlarEnder Korfali
Jul 11, 2012·Neuroepidemiology·Lucía Cea-SorianoLuis A García Rodríguez
Oct 3, 2012·Journal of Neurological Surgery. Part A, Central European Neurosurgery·Ricardo J KomotarTheodore H Schwartz
Oct 31, 2012·ORL; Journal for Oto-rhino-laryngology and Its Related Specialties·Leif-Erik BohmanJohn Y K Lee
Dec 24, 2013·BMC Research Notes·Hiroshi TamaiNobuo Fuse
Jun 16, 2015·Neuro-Chirurgie·S ZouaouiUNKNOWN Association des neuro-oncologues d’expression française (ANOCEF)
Sep 28, 2016·American Journal of Ophthalmology·Yingbai ChenWencan Wu

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Citations

Dec 23, 2020·International Forum of Allergy & Rhinology·Aria JafariBenjamin S Bleier
Apr 1, 2021·Seminars in Ophthalmology·Edith R ReshefSuzanne K Freitag

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