Endoscopic pituitary gland transposition techniques to the interpeduncular and prepontine regions: an anatomical study
The extradural PG transposition is indicated for lesions of the upper clivus region that extend bilaterally and do not have a cranial extension beyond the MBs. The inter- and intradural PG transpositions are beneficial for unilateral lesions that extend cranially to the MBs. Both techniques require coagulation of the ipsilateral inferior hypophyseal artery. The intradural technique requires more manipulation of the PG, while the interdural technique requires opening and access to the cavernous sinus. If needed, the intra- and interdural techniques can also be performed bilaterally.
Authors
- Fábio Torregrossa
- Luciano Leonel (ORCID: https://orcid.org/0000-0002-8066-4055)
- Mariagrazia Nizzola
- Yuki Shinya (ORCID: https://orcid.org/0000-0003-0097-5804)
- Carlos Pinheiro‐Neto (ORCID: https://orcid.org/0000-0003-3921-4658)
- Stephen P. Graepel (ORCID: https://orcid.org/0009-0005-5364-7929)
- Michael J. Link (ORCID: https://orcid.org/0000-0002-2102-6897)
- María Peris Celda
- Yasaman Alam
Institutions
- Mayo Clinic (US)
- Vita-Salute San Raffaele University (IT)
- University of Alabama at Birmingham (US)
- Istituti di Ricovero e Cura a Carattere Scientifico (IT)
- University of Palermo (IT)
Publication Details
- Journal
- Journal of neurosurgery
- Published
- 2024-12-01
- DOI
- https://doi.org/10.3171/2024.7.jns24234
- Primary Topic
- Pituitary Gland Disorders and Treatments
- Type
- article
- Field-Weighted Citation Impact
- 0.00