We performed a consecutive case study of all patients treated endoscopically for tumors of the clivus, reviewing all patients who received operations via a transnasal endoscopic approach in our neurosurgical department between January 2009 and January 2020. We excluded patients suffering from skull base osteomyelitis or degenerative pathologies such as basilar invagination due to their distinct clinical outcome.
Pre- and postoperative data (with description of the surgical technique, EOR, and pre- and postoperative imaging) were retrieved from our records. We reviewed the preoperative goal of the operation (GTR, subtotal resection [STR], tumor debulking, and biopsy); clinical information included occurrence and side of cranial nerve palsy and duration of symptoms. The clinical status before and after operations and in follow-up was assessed according to the Karnofsky Performance Status Scale (KPSS).
If available, preoperative diagnostic imaging included pre- and postoperative computed tomography (CT) and magnetic resonance imaging (MRI) of the craniovertebral junction.
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