{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T17:55:30Z","timestamp":1786125330000,"version":"build-2736575974"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND AND IMPORTANCE<\/jats:title>\n                    <jats:p>Unilateral inferior hypophyseal artery (IHA) sacrifice is routinely performed during endoscopic endonasal transcavernous interdural posterior clinoidectomy. However, unilateral IHA sacrifice presents the risk of temporary postoperative diabetes insipidus. We present a case demonstrating the feasibility of endoscopic endonasal transcavernous posterior clinoidectomy without IHA sacrifice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CLINICAL PRESENTATION:<\/jats:title>\n                    <jats:p>\n                      A 62-year-old man presented with progressive weakness of his left oculomotor and abducens nerves. MRI of the brain revealed a small lesion suspicious for hemangioma in the posterior compartment of the left cavernous sinus. Following an endoscopic endonasal transcavernous approach using the\n                      <jats:italic toggle=\"yes\">interdural peeling<\/jats:italic>\n                      technique, an IHA-sparing posterior clinoidectomy was performed to provide access to the tumor in the posterior cavernous sinus. After complete resection, the patient's symptoms improved and a diagnosis of cavernous sinus hemangioma was confirmed by histopathology.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>Unilateral IHA preservation may be performed safely when performing a transcavernous interdural posterior clinoidectomy. IHA preservation can be readily achieved if the artery is redundant, the lesion is small and located in the posterior cavernous sinus, and there is a short posterior clinoid, ultimately avoiding the risk of transient postoperative diabetes insipidus.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1227\/ons.0000000000000675","type":"journal-article","created":{"date-parts":[[2023,4,11]],"date-time":"2023-04-11T10:00:58Z","timestamp":1681207258000},"page":"e55-e59","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Endoscopic Endonasal Transcavernous Posterior Clinoidectomy With Inferior Hypophyseal Artery Preservation for a Cavernous Sinus Hemangioma: Technical Case Report"],"prefix":"10.1227","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4645-6911","authenticated-orcid":false,"given":"Jaskaran S.","family":"Gosal","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, All India Institute of Medical Sciences (AIIMS), Jodhpur, India;"},{"name":"Department of Neurological Surgery, The James Cancer Hospital at the Wexner Medical Center of the Ohio State University College of Medicine, Columbus, Ohio, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Govind S.","family":"Bhuskute","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head & Neck Surgery, The James Cancer Hospital at the Wexner Medical Center of the Ohio State University College of Medicine, Columbus, Ohio, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad Bilal","family":"Alsavaf","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head & Neck Surgery, The James Cancer Hospital at the Wexner Medical Center of the Ohio State University College of Medicine, Columbus, Ohio, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyle C.","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head & Neck Surgery, The James Cancer Hospital at the Wexner Medical Center of the Ohio State University College of Medicine, Columbus, Ohio, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eman H.","family":"Salem","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head & Neck Surgery, The James Cancer Hospital at the Wexner Medical Center of the Ohio State University College of Medicine, Columbus, Ohio, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Basit","family":"Jawad","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head & Neck Surgery, The James Cancer Hospital at the Wexner Medical Center of the Ohio State University College of Medicine, Columbus, Ohio, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen M.","family":"Kelly","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head & Neck Surgery, The James Cancer Hospital at the Wexner Medical Center of the Ohio State University College of Medicine, Columbus, Ohio, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ricardo L.","family":"Carrau","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head & Neck Surgery, The James Cancer Hospital at the Wexner Medical Center of the Ohio State University College of Medicine, Columbus, Ohio, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0214-2339","authenticated-orcid":false,"given":"Daniel M.","family":"Prevedello","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, The James Cancer Hospital at the Wexner Medical Center of the Ohio State University College of Medicine, Columbus, Ohio, USA;"},{"name":"Department of Otolaryngology-Head & Neck Surgery, The James Cancer Hospital at the Wexner Medical Center of the Ohio State University College of Medicine, Columbus, Ohio, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,4,11]]},"reference":[{"issue":"1","key":"R1-20250821","first-page":"1","article-title":"Expanded endonasal approach: the rostrocaudal axis. Part II. Posterior clinoids to the foramen magnum","volume":"19","author":"Kassam","year":"2005","journal-title":"Neurosurg Focus."},{"issue":"1","key":"R2-20250821","doi-asserted-by":"crossref","first-page":"64","DOI":"10.4103\/2152-7806.97008","article-title":"Endoscopic endonasal posterior clinoidectomy","volume":"3","author":"Schwartz","year":"2012","journal-title":"Surg Neurol Int."},{"issue":"1","key":"R3-20250821","doi-asserted-by":"crossref","first-page":"135","DOI":"10.3171\/2019.2.JNS183278","article-title":"Surgical implementation and efficacy of endoscopic endonasal extradural posterior clinoidectomy","volume":"133","author":"Ohata","year":"2019","journal-title":"J Neurosurg."},{"issue":"1","key":"R4-20250821","doi-asserted-by":"crossref","first-page":"91","DOI":"10.3171\/2014.3.JNS131865","article-title":"Endoscopic endonasal transcavernous posterior clinoidectomy with interdural pituitary transposition","volume":"121","author":"Fernandez-Miranda","year":"2014","journal-title":"J Neurosurg."},{"issue":"2","key":"R5-20250821","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1007\/s00701-020-04590-5","article-title":"Surgical anatomy and nuances of the expanded endonasal transdorsum sellae and posterior clinoidectomy approach to the interpeduncular and prepontine cisterns: a stepwise cadaveric dissection of various pituitary gland transpositions","volume":"163","author":"Rejane-Heim","year":"2021","journal-title":"Acta Neurochir (Wien)."},{"key":"R6-20250821","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1016\/j.wneu.2020.06.221","article-title":"Arterial supply to the pituitary gland: a comprehensive review","volume":"142","author":"Cironi","year":"2020","journal-title":"World Neurosurg"},{"key":"R7-20250821","doi-asserted-by":"crossref","first-page":"e332","DOI":"10.1016\/j.wneu.2021.04.046","article-title":"Intracavernous branches of the internal carotid artery through an endoscopic endonasal approach: anatomical study and review of the literature","volume":"151","author":"Aibar-Dur\u00e1n","year":"2021","journal-title":"World Neurosurg."},{"issue":"1","key":"R8-20250821","doi-asserted-by":"crossref","first-page":"141","DOI":"10.3171\/2018.2.JNS173126","article-title":"Bilateral coagulation of inferior hypophyseal artery and pituitary transposition during endoscopic endonasal interdural posterior clinoidectomy: do they affect pituitary function?","volume":"131","author":"Truong","year":"2019","journal-title":"J Neurosurg."},{"issue":"2","key":"R9-20250821","first-page":"e2192","article-title":"Transcavernous approach to the basilar apex: a cadaveric prosection","volume":"10","author":"Sellin","year":"2018","journal-title":"Cureus."},{"issue":"2","key":"R10-20250821","doi-asserted-by":"crossref","first-page":"430","DOI":"10.3171\/2017.2.JNS162214","article-title":"Cavernous sinus compartments from the endoscopic endonasal approach: anatomical considerations and surgical relevance to adenoma surgery","volume":"129","author":"Fernandez-Miranda","year":"2018","journal-title":"J Neurosurg."},{"issue":"2","key":"R11-20250821","doi-asserted-by":"crossref","first-page":"V12","DOI":"10.3171\/2020.4.FocusVid.19942","article-title":"Endoscopic endonasal resection of a clival chordoma with massive brainstem compression","volume":"2","author":"Shahein","year":"2020","journal-title":"Neurosurg Focus."},{"issue":"4","key":"R12-20250821","doi-asserted-by":"crossref","first-page":"1891","DOI":"10.1210\/jc.2003-031608","article-title":"Idiopathic central diabetes insipidus is associated with abnormal blood supply to the posterior pituitary gland caused by vascular impairment of the inferior hypophyseal artery system","volume":"89","author":"Maghnie","year":"2004","journal-title":"J Clin Endocrinol Metab."},{"issue":"2","key":"R13-20250821","doi-asserted-by":"crossref","first-page":"124","DOI":"10.5115\/acb.21.255","article-title":"Discovery of a trans-sellar vascular supply for the pituitary gland","volume":"55","author":"Spinelli","year":"2022","journal-title":"Anat Cell Biol"},{"key":"R14-20250821","doi-asserted-by":"crossref","first-page":"843646","DOI":"10.3389\/fneur.2022.843646","article-title":"Predicting the need for desmopressin treatment during inpatient and after discharge following endoscopic sellar surgery","volume":"13","author":"Wong","year":"2022","journal-title":"Front Neurol."}],"container-title":["Operative Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.1227\/ons.0000000000000675","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T16:53:49Z","timestamp":1786121629000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.1227\/ons.0000000000000675"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,11]]},"references-count":14,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.1227\/ons.0000000000000675","relation":{},"ISSN":["2332-4252","2332-4260"],"issn-type":[{"value":"2332-4252","type":"print"},{"value":"2332-4260","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,4,11]]},"assertion":[{"value":"2022-12-10","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-01-11","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}