2025 Proffered Presentations
V129: ENDOSCOPIC ENDONASAL TRANSCLIVAL APPROACH WITH PITUITARY GLAND TRANSPOSITION FOR PETROCLIVAL MENINGIOMA RESECTION
Alejandra Rodas, MD; Leonardo Tariciotti, MD; Roberto M Soriano, MD; Youssef M Zohdy, MD; Juan M Revuelta-Barbero, MD, PhD; Edoardo Porto, MD; Emily Barrow, MD; Tomas Garzon-Muvdi, MD; C. Arturo Solares, MD; Gustavo Pradilla, MD; Emory University
A 58-year-old patient presented with progressive balance difficulties, unsteady gate, slurred speech, right-sided weakness, left facial hypoesthesia, and intermittent diplopia consistent with partial 6th nerve palsy. On MRI, a lesion was identified arising at the level of the upper clivus and displacing the basilar artery to the right. An expanded endoscopic endonasal approach with pituitary gland transposition was performed. Cranial nerve VI was easily identified. Pathology reported the lesion was consistent with meningioma.