The surgical approach, led by neurosurgeon Jorge Herrería, is a rare technique that allows the removal of skull base tumors without the need for lateral craniotomy, a much more aggressive method. The patient, who had undergone surgery a decade ago, suffered a tumor recurrence that caused severe epileptic seizures and put pressure on his eye, worsening his family life quality.
“"In this case, we opted for direct access through a natural corridor, the eye orbit, which allows us to reduce significant neurological risks. Usually, these tumors are approached by opening the skull laterally, with a craniotomy, but that is a much more aggressive surgery."
Preparation for the surgery required months of study by the skull base unit at Parc Taulí. Furthermore, they collaborated with the Lab3D of the I3PT (Institute for Research and Innovation) to create a precise three-dimensional model of the patient's skull and tumor. This planning was crucial, as closing the skull base is the “most delicate” moment to prevent cerebrospinal fluid leaks.
“"This approach has opened a door for us to offer other options in skull base lesions."
The success of the intervention is due to the multidisciplinary work of specialists in neurosurgery, otolaryngology, anesthesia, and neurophysiology. The patient has shown a “favorable” neurological recovery, with the complete disappearance of epileptic seizures. Currently, recovery is focused on the eye, as the corneal tissue heals slowly.
