Ενδοσκοπική ανατομία της περιεφιππιακής χώρας του εγκεφάλου

Abstract

Introduction: Modern Neurosurgery requires implementing less invasive techniques, with greater efficiency and lower mortality. The endoscopic technique is an evolution of Neurosurgery in this direction. The parasellar area is a region of the brain where the endoscopic technique may be preferable. Aim: Study the anatomy of parasellar area with the endoscopic technique. Material - Methods: In specially prepared dead bodies with special silicone pigments, parasellar area was studied through the rigid endoscope of Aesculap. In eight (8) bodies was applied the fronto - temporal Key hole endoscopic access and to other eight (8), the endoscopic transnasal transphenoidal technique. Results / Conclusions: The anatomy of the middle cranial fossa revealed adequately with both endoscopic approaches. The transnasal transphenoidal technique is accessed choice for the treatment of pathology in the pituitary gland while fronto-temporal technique is most appropriate for the pathology of the base of the skull, the supra- and para- sellar area.