How I do it: Optic nerve decompression in patient with osteopetrosis
Language English Country Austria Media electronic
Document type Journal Article, Case Reports, Research Support, Non-U.S. Gov't
PubMed
40202520
PubMed Central
PMC11982109
DOI
10.1007/s00701-025-06513-8
PII: 10.1007/s00701-025-06513-8
Knihovny.cz E-resources
- Keywords
- Anterior clinoidectomy, Decompression, Optic nerve, Osteopetrosis,
- MeSH
- Osteopetrosis * complications surgery pathology MeSH
- Decompression, Surgical * methods MeSH
- Adult MeSH
- Humans MeSH
- Optic Nerve Diseases * surgery etiology pathology MeSH
- Optic Nerve * surgery pathology MeSH
- Neurosurgical Procedures * methods MeSH
- Nerve Compression Syndromes * surgery etiology pathology MeSH
- Treatment Outcome MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Male MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Case Reports MeSH
- Research Support, Non-U.S. Gov't MeSH
BACKGROUND: Osteopetrosis is a rare genetic disorder causing excessive skeletal density, with a predilection to affect the skull base. This commonly leads to optic canal stenosis, optic nerve compression, and atrophy and vision loss. Timely optic nerve decompression can be an effective surgical intervention to preserve vision. METHODS: Pterional approach combining both extra- and intradural optic nerve decompression was performed. Intradural optic nerve identification proved a helpful and safe way to facilitate adequate decompression while dissecting in the region of hypertrophic anterior clinoid process. CONCLUSION: Precise surgical technique and anatomical awareness are crucial for minimizing complications and aiding recovery.
See more in PubMed
Al-Mefty O, Fox JL, Al-Rodhan N, Dew JH (1988) Optic nerve decompression in osteopetrosis. J Neurosurg 68(1):80–84. 10.3171/jns.1988.68.1.0080 PubMed
Hoyt CS (1979) Visual Loss in Osteopetrosis. Arch Pediatr Adolesc Med 133(9):955. 10.1001/archpedi.1979.02130090083017 PubMed
Hwang JM, Kim IO, Wang KC (2000) Complete Visual Recovery in Osteopetrosis by Early Optic Nerve Decompression. Pediatr Neurosurg 33(6):328–332. 10.1159/000055980 PubMed
Hwang JM, Kim IO, Wang KC (2000) Complete Visual Recovery in Osteopetrosis by Early Optic Nerve Decompression. Pediatr Neurosurg 33(6):328–332. 10.1159/000055980 PubMed
Kelly A, Younus A, Lekgwara P (2020) Neurosurgical considerations in osteopetrosis. Interdiscip Neurosurg 20:100679. 10.1016/j.inat.2020.100679
Rodriguez Rubio R, Chae R, Vigo V, Abla AA, McDermott M. Immersive Surgical Anatomy of the Pterional Approach. Cureus [Internet]. 2019 Jul 23 [cited 2025 Jan 12]; Available from: https://www.cureus.com/articles/21245-immersive-surgical-anatomy-of-the-pterional-approach PubMed PMC
Stark Z, Savarirayan R (2009) Osteopetrosis. Orphanet J Rare Dis 4(1):5. 10.1186/1750-1172-4-5 PubMed PMC
Steward CG (2003) Neurological aspects of osteopetrosis. Neuropathol Appl Neurobiol 29(2):87–97. 10.1046/j.1365-2990.2003.00474.x PubMed