Neurosurgery

Fig. 12.1. Coronal, sagittal and axial gadolinium-enhanced T1-weighted MR images of a 36-year-old female patient who presented with unsteady gait and cerebellar ataxia (upper left, upper middle and upper right). This large tumor, involving both the petroclival and cavernous sinus regions, was resected in two-staged operations. A small tumor nodule adherent on the intracavernous ICA was left (lower left, lower middle and lower right). Post-operatively, she developed hearing loss and mild hypesthesia in the left V2 and V3 distributions, but her extraocular motility was normal with resolution of her presenting unsteadiness and ataxia. This residual tumor is being observed closely, with plans of gamma knife radiosurgical intervention in the event that the tumor progresses in the future.

Fig. 12.1. Coronal, sagittal and axial gadolinium-enhanced T1-weighted MR images of a 36-year-old female patient who presented with unsteady gait and cerebellar ataxia (upper left, upper middle and upper right). This large tumor, involving both the petroclival and cavernous sinus regions, was resected in two-staged operations. A small tumor nodule adherent on the intracavernous ICA was left (lower left, lower middle and lower right). Post-operatively, she developed hearing loss and mild hypesthesia in the left V2 and V3 distributions, but her extraocular motility was normal with resolution of her presenting unsteadiness and ataxia. This residual tumor is being observed closely, with plans of gamma knife radiosurgical intervention in the event that the tumor progresses in the future.

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