{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T09:56:07Z","timestamp":1774605367234,"version":"3.50.1"},"reference-count":10,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n Background:<\/jats:title>\n Spheno-orbital meningiomas (SOMs) are rare intracranial tumors arising predominantly from the greater wing of the sphenoid and extending through the middle cranial fossa into adjacent neurovascular corridors, including the cavernous sinus, superior orbital fissure, and optic canal. These lesions often cause significant morbidity due to hyperostotic bone proliferation and compression of orbital contents, resulting in proptosis, cranial neuropathies, and visual impairment. We report the first Brazilian case of a spheno-orbital lesion managed through a superior eyelid endoscopic transorbital approach (ETOA).<\/jats:p>\n <\/jats:sec>\n \n Case description:<\/jats:title>\n A 41-year-old woman presented with complete visual loss in the left eye and progressive oculomotor dysfunction. Imaging revealed a large hyperostotic mass invading the orbit, cavernous sinus, and skull base. Orbital decompression and tumor biopsy were performed using ETOA through the upper eyelid crease. The approach provided safe extradural access to the lateral skull base with minimal brain manipulation. Postoperative imaging confirmed adequate decompression, and longitudinal follow-up confirmed a favorable prognosis. Histopathological analysis revealed a World Health Organization Grade I meningothelial meningioma.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n This case highlights the feasibility and safety of ETOA for orbital decompression and lesion sampling in complex SOMs and represents the first reported use of this technique in a Brazilian public hospital.<\/jats:p>\n <\/jats:sec>","DOI":"10.25259\/sni_1055_2025","type":"journal-article","created":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T09:11:46Z","timestamp":1774602706000},"page":"172","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Superior eyelid endoscopic transorbital approach for spheno-orbital tumor: First reported case in Brazil"],"prefix":"10.25259","volume":"17","author":[{"given":"Eduardo Varj\u00e3o","family":"Vieira","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M\u00e1rcio C\u00e9sar de Mello","family":"Brand\u00e3o","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luciano Espinheira","family":"Fonseca","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leonardo Fraga","family":"Lima","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thiago de Oliveira","family":"Carneiro","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2026,3,27]]},"reference":[{"key":"10.25259\/SNI_1055_2025\/ref-1","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1007\/s00701-025-06667-5","article-title":"The 4 F (Fat, Fascia, Fibrin, and Fat) technique for skull base reconstruction in endoscopic transorbital surgery","volume":"167","author":"Corvino","year":"2025","journal-title":"Acta Neurochir (Wien)"},{"key":"10.25259\/SNI_1055_2025\/ref-2","doi-asserted-by":"crossref","first-page":"E7","DOI":"10.3171\/2024.1.FOCUS23838","article-title":"Open-door extended endoscopic transorbital technique to the paramedian anterior and middle cranial fossae: Technical notes, anatomomorphometric quantitative analysis, and illustrative case","volume":"56","author":"Corvino","year":"2024","journal-title":"Neurosurg Focus"},{"key":"10.25259\/SNI_1055_2025\/ref-3","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1007\/s10143-022-01926-w","article-title":"Functional and clinical outcomes after superior eyelid transorbital endoscopic approach for spheno-orbital meningiomas: Illustrative case and literature review","volume":"46","author":"Corvino","year":"2022","journal-title":"Neurosurg Rev"},{"key":"10.25259\/SNI_1055_2025\/ref-4","doi-asserted-by":"crossref","first-page":"696","DOI":"10.1007\/s10143-025-03840-3","article-title":"Transorbital management of selected spheno-orbital meningiomas: Insights from a multicentric retrospective Italian study of 52 cases","volume":"48","author":"Dallan","year":"2025","journal-title":"Neurosurg Rev"},{"key":"10.25259\/SNI_1055_2025\/ref-5","doi-asserted-by":"crossref","first-page":"6484","DOI":"10.3390\/jcm12206484","article-title":"The transorbital approach, a game-changer in neurosurgery: A guide to safe and reliable surgery based on anatomical principles","volume":"12","author":"De Notaris","year":"2023","journal-title":"J Clin Med"},{"key":"10.25259\/SNI_1055_2025\/ref-6","doi-asserted-by":"crossref","first-page":"1203","DOI":"10.3171\/2017.4.JNS162749","article-title":"Endoscopic transorbital superior eyelid approach: Anatomical study from a neurosurgical perspective","volume":"129","author":"Di Somma","year":"2017","journal-title":"J Neurosurg"},{"key":"10.25259\/SNI_1055_2025\/ref-7","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1016\/j.wneu.2023.03.126","article-title":"Endoscopic transorbital approach for the management of spheno-orbital meningiomas: Literature review and preliminary experience","volume":"176","author":"Di Somma","year":"2023","journal-title":"World Neurosurg"},{"key":"10.25259\/SNI_1055_2025\/ref-8","doi-asserted-by":"crossref","first-page":"412","DOI":"10.3171\/2023.5.JNS2326","article-title":"Feasibility and efficacy of endoscopic transorbital optic canal decompression for meningiomas causing compressive optic neuropathy","volume":"140","author":"Kim","year":"2024","journal-title":"J Neurosurg"},{"key":"10.25259\/SNI_1055_2025\/ref-9","doi-asserted-by":"crossref","first-page":"2857","DOI":"10.1007\/s10143-020-01470-5","article-title":"Transorbital endoscopic approaches to the skull base: A systematic literature review and anatomical description","volume":"44","author":"Vural","year":"2021","journal-title":"Neurosurg Rev"},{"key":"10.25259\/SNI_1055_2025\/ref-10","doi-asserted-by":"crossref","first-page":"e239","DOI":"10.1016\/j.wneu.2023.06.026","article-title":"Endoscopic transorbital approach for spheno-orbital tumors: Case series and systematic review of literature","volume":"177","author":"Zoli","year":"2023","journal-title":"World Neurosurg"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/superior-eyelid-endoscopic-transorbital-approach-for-spheno-orbital-tumor-first-reported-case-in-brazil\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/superior-eyelid-endoscopic-transorbital-approach-for-spheno-orbital-tumor-first-reported-case-in-brazil\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T09:11:47Z","timestamp":1774602707000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/superior-eyelid-endoscopic-transorbital-approach-for-spheno-orbital-tumor-first-reported-case-in-brazil\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,27]]},"references-count":10,"alternative-id":["10.25259\/SNI_1055_2025"],"URL":"https:\/\/doi.org\/10.25259\/sni_1055_2025","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"value":"2152-7806","type":"electronic"},{"value":"2229-5097","type":"print"}],"subject":[],"published":{"date-parts":[[2026,3,27]]},"article-number":"172"}}