Acta Neurochirurgica

, Volume 161, Issue 10, pp 2123–2127 | Cite as

Transcavernous sinus pituitary gland transposition: how I do it

  • Eugenio Cárdenas Ruiz-ValdepeñasEmail author
  • Ariel Kaen
  • Jorge Tirado Caballero
How I Do it - Neurosurgical technique evaluation
Part of the following topical collections:
  1. Neurosurgical technique evaluation



Pituitary transposition preserving gland function is possible when approaching superior clival region tumors. Clinical experience along with detailed anatomical knowledge makes this technique safe and effective.


We present a step by step description of our technique based on the most recent anatomical references to get a pituitary transposition through the different compartments of the cavernous sinus. By this technique, we achieve minor gland manipulation and a better surgical view of this area. We support this technique with an anatomical analysis on cadaveric specimens and clarifying dissection images.


Transcavernous sinus pituitary gland transposition is an easily feasible technique and allows gland shifting preserving pituitary function.


Pituitary gland transposition Hypophysis Transcavernous transposition Pituitary function Superior clivus approach 


Compliance with ethical standards

The study with cadaveric specimens was approved by the Research Ethics board in our hospital.

Conflict of interest

The authors declare that they have no conflict of interest.


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Copyright information

© Springer-Verlag GmbH Austria, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Neurological SurgeryHospital Virgen Del RocíoSevillaSpain

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