How I do it: endoscopic endonasal resection of tuberculum sellae meningioma.
case_series · Level IV
Where this comes from
- Record sourced from PubMed, PMID 33665730.
- Also identified by DOI 10.1007/s00701-021-04784-5 and PMC identifier 8270812.
- Licence recorded as CC BY.
- The licence permits redistribution, so the abstract is shown in full and the full text is available from the publisher.
Abstract
Tuberculum sellae meningiomas (TSMs) adherent to neurovascular structures are particularly challenging lesions requiring delicate and precise microneurosurgery. There is an ongoing debate about the optimal surgical approach. We describe technical nuances and challenges in TSM resection using the endoscopic endonasal approach (EEA) in two cases of fibrous tumors with adherence to neurovascular structures. The cases are illustrated with a video (case 1) and figures (cases 1 and 2). A dedicated team approach and precise microsurgical technique facilitate safe resection of complex TSMs through the EEA.
Medical subject headings
- Meningeal Neoplasms
- Meningioma
- Neuroendoscopy
- Skull Base Neoplasms