Expanded Endoscopic Endonasal Approach for Removal of a Tuberculum Sella Meningioma.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 32561487.
- Also identified by DOI 10.1016/j.wneu.2020.06.067.
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Abstract
This 46-year-old female patient presented after a 6-month progressive right-sided visual loss, with a visual acuity of 20/60, a temporo/infranasal visual field deficit, and optic atrophy. The magnetic resonance imaging disclosed a tuberculum sella meningioma with minimal right medial canal invasion, however, no encasement of carotid arteries. Tuberculum sella meningiomas represent 5%-10% of intracranial meningiomas and are surgically challenging tumors that can severely hinder vision. The endoscopic approach allows for early coagulation of the tumor meningeal supply, and importantly, facilitates gross total removal without any manipulation of the optic nerve while preserving the superior hypophyseal arteries.<sup>1-9</sup>.
Medical subject headings
- Meningeal Neoplasms
- Meningioma
- Nasal Cavity
- Neuroendoscopy
- Sella Turcica
- Skull Base Neoplasms