Acta Scientific Neurology (ASNE) (ISSN: 2582-1121)

Case Report Volume 5 Issue 3

Supraorbital Keyhole Endoscopic Assisted Approach for Excision of Anterior Clinoidal Meningioma

Arun Reddy Marathi1*, Boyina Jagadeshwar Rajesh2 and Kartik Manoj Multani3

1Senior Resident, Department of Neurosurgery, Yashoda Hospital, Secunderabad, India
2Senior Consultant, Department of Neurosurgery, Yashoda Hospitals, Secunderabad, India
3Resident, Department of Neurosurgery, Yashoda Hospital, Secunderabad, India

*Corresponding Author: Arun Reddy Marathi, Senior Resident, Department of Neurosurgery, Yashoda Hospital, Secunderabad, India.

Received: December 28, 2021; Published: February 22, 2022


Advances in Neurosurgeon’s armamentarium in the form of navigation, high end microscope, rigid endoscope, and intra operative Magnetic resonance imaging (MRI) have encouraged them to develop or modify the surgical technique to minimize the exposure and dissection of normal anatomy of brain. These modifications led to development of “keyhole neurosurgery” which is based on principle of “minimal access” that leads to decreased post operative morbidity and facilitates patient’s recovery. Supra orbital keyhole approach through the eyebrow is one such technique to gain access to the anterior skull base. Further combining endoscopic assistance to standard microsurgical techniques improves illumination and vision at depth and reduces collateral damage to nearby brain parenchyma. We share our experience and technique for intoto excision of a right anterior clinoidal meningioma through endoscopic assisted supraorbital keyhole craniotomy and anterior sub frontal approach and conclude it to be a safe, minimally invasive technique for approaching the anterior cranial base lesions as well as approaching the aneurysms of anterior skull base with minimal damage of neighboring normal anatomy. It does involve learning curve to operate though this technique and one must have the conventional approach too in the back of the mind as a standby.

Keywords: Supra Orbital Keyhole Approach; Eyebrow Approach; Anterior Skull Base Lesions; Endoscope


  1. Delashaw JR JB., et al. “Modified supraorbital craniotomy: technical note”. Neurosurgery 30 (1992): 954-956.
  2. Jho HD. “Orbital roof craniotomy via an eyebrow incision: a simplified anterior skull base approach”. Minimally Invasive Neurosurgery 40 (1997): 91-97.
  3. Chen HC and Tzaan WC. “Microsurgical supraorbital keyhole approach to the anterior cranial base”. Journal of Clinical Neuroscience12 (2010): 1510-1514.
  4. Reisch R and Perneczky A. “Ten-year experience with the supraorbital subfrontal approach through an eyebrow skin incision”. Neurosurgery4 (2005): 242-253.
  5. Perneczky A. “Planning strategies for the suprasellar region: philosophy of approaches”. Neurosurgeon 11(1992): 343-348.
  6. Perneczky A., et al. “Keyhole Concept in Neurosurgery” (1999).
  7. Reisch R., et al. “Surgical technique of the supraorbital key-hole craniotomy”.  Surgical Neurology3 (2003): 223-227.
  8. Fries G and Perneczky A. “Endoscope-assisted brain surgery-part 2-analysis of 380 procedures”.  Neurosurgery 2 (1998): 226-232.
  9. Menovsky T., et al. “Endoscope-assisted supraorbital craniotomy for lesions of the interpeduncular fossa”.  Neurosurgery1 (1999): 106-112.
  10. Krause F. “Chirurgie des Gehirns und Rückenmarks nach eigenen Erfahrungen“. Berlin: Urban and Schwarzenberg (1908).
  11. . “Therapeutic exercise foundation and techniques”. 5th edition (2007).


Citation: Arun Reddy Marathi., et al. “Supraorbital Keyhole Endoscopic Assisted Approach for Excision of Anterior Clinoidal Meningioma". Acta Scientific Neurology 5.3 (2022): 19-22.


Copyright: © 2022 Arun Reddy Marathi., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Acceptance rate32%
Acceptance to publication20-30 days

Indexed In

News and Events

  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is May 30, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US