Characteristics of 15 Dutch patients
| No | Age/sex | Location | Pathology | Size | Symtoms/signs |
|---|---|---|---|---|---|
| 1 | 31/M | PS; extension in pons and in Scav; destruction of Ssph | Grade I | 2½×3 cm | Headache 2 y; 1 y diplopia; sensory disturbance OD. Ptosis / VI dysfunction OD; cornea reflex R<L; sensory disturbance V branch 1 and 2 R |
| 2 | 26/F | FM; SS | Grade I | Pain face 1 y; paraesthesias. V dysfunction L; possibly VII dysfunction L | |
| 3 | 18/F | PS; extension in clivus and SCav; petroclival junction | Grade II | 1×2 cm | Several months diplopia on looking L; headache. VI dysfunction L |
| 4 | 15/F | PS; extension in SSph | Grade I | 3×2×2 cm | 1 y Diplopia; headache. Dysfunction III L |
| 5 | 23/M | PS; Clivus; SCav | Grade II | 1 y Intermittent frontoparietal headache; diplopia horizontally. VI dysfunction R | |
| 6 | 72/M | Grade II | |||
| 7 | 38/M | Pontomedullary angle | Grade I | Dysfunction VII - XII R | |
| 8 | 33/M | Os petrosum | Grade II | 3×2×2 cm | 12 y Strabism; later unsteady gait and decreased hearing AD. Sensory disturbance V branch 2 R; paresis m trapezius and sternocleïdom. R; tongue deviating to R; dysdiadochokinesis and ataxia R |
| 9 | 47/F | Behind os petrosum; extension to PS | Grade I | 4×4×4 cm | |
| 10 | 64/F | Cranial clivus; SS up to Monro | Grade I | 4×4×6 cm | Hemiparesis R; disorder of speech; memory disturbance |
| 11 | 72/F | Clivus; PS; Sphenoïd and SCav | Grade I | 3½ y Decreased visual acuity OD; 3 months amaurosis OD and decreased visual acuity OS. Quadrant-anopsia and L VI dysfunction | |
| 12 | 45/M | FM and FP | |||
| 13 | 60/M | Petroclival | |||
| 14 | 44/M | Foramen jugulare and in tympanic cavity; Clivus and SCav | Grade II | 2 Months pain R neck/ear; dizziness; nausea; decreased hearing and tinnitus AD; diplopia. Sensory disturbance R mouth, VII dysfunction R and hearing AD<AS | |
| 15 | 16/M | FM; Petrosal bone | Grade II | 2 y Diplopia when looking R; paraesthesias maxillar and mandibular R, diplopia. No cornea reflex R; hypaesthesia V branch 1-2-3 R | |
| Invasion | Postoperative course |
|---|---|
| Dural and cerebral | Epilepsy and persisting VI dysfunction R; no recurrence after 10 y |
| Pain maxillar and mandibular L, decreased hearing AS; recurrence after 2 y (operated) | |
| Mild III/VI dysfunction; twice reoperated on; recurrence after 3 y: proton radiotherapy | |
| Dural | Persistent III dysfunction L |
| 1 y After operation proton radiotherapy; no recurrence 3 y after operation | |
| Dural | Dysarthria, L hemiparesis and abscess cerebral, epilepsy; 4 months later recurrence |
| Recurrence after 8 y | |
| Recurrence after 2 y; death 19 y after diagnosis | |
| Three times reoperated on; postoperative V, VII, IX, and XI dysfunction; epilepsy | |
| Increased paresis and dysphasia | |
| Dural and cerebral | No surgical treatment |
| Reoperation 1 y later, death 11 y after diagnosis | |
| Total hearing loss AD and VII dysfunction R; later stereotactical radiotherapy | |
| Dural | Decreased visual acuity OD and hearing AD; hypaesthesia R face; no recurrence 3 y after operation |
PS = parasellar; FM = fossa media; FP = fossa posterior; SS = suprasellar; SCav = sinus cavernosus; SSph = sinus sphenoïdalis.