Ultra-Early Treatment of Neurosurgical Emergencies with Endoscopic Endonasal Approach: Experience from Three Italian Referral Centers

Pier Paolo Mattogno, Matteo Zoli, Quintino Giorgio D'Alessandris, Daniele Bongetta, Valerio Maria Caccavella, Mario Rigante, Giuseppe Maria Della Pepa, Diego Mazzatenta, Liverana Lauretti, Alessandro Olivi, Giannantonio Spena, Cesare Zoia

Risultato della ricerca: Contributo in rivistaArticolo in rivista

Abstract

Purpose: the aim of this multicenter study is to preliminarily assess the role of the Endoscopic Endonasal Approach (EEA) in ultra-early (i.e., within 12 h) management of selected neurosurgical emergencies in terms of clinical and radiological outcomes. Methods: 26 patients affected by sellar/parasellar pathologies with rapid progression of symptoms were managed with EEA within 12 h from diagnosis in three Italian tertiary referral Centers from January 2016 to December 2019. Both clinical and radiological data have been collected preoperatively as well as post-operatively in order to perform retrospective analysis. Results: The average time from admission to the operating room was 5.5 h (±2.3). The extent of resection was gross-total in 20 (76.9%), subtotal in 6 (23.1%) patients. One patient experienced re-bleeding after a subtotal removal of a hemorrhagic lesion. Patients with a longer time from admission (>4 h) to the operatory room (OR) experienced stable impairment of the visual acuity (p = 0.033) and visual field (p = 0.029) in the post-operative setting. Conclusions: The Endoscopic Endonasal Approach represents a safe, effective technique that can be efficiently used with good results in the management of selected neurosurgical emergencies in centers with adequate experience.
Lingua originaleEnglish
pagine (da-a)5471-5471
Numero di pagine1
RivistaJournal of Clinical Medicine
Volume12
DOI
Stato di pubblicazionePubblicato - 2023

Keywords

  • endoscopic technique
  • transnasal endoscopy
  • pituitary apoplexy
  • neurosurgical emergencies

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