Expanded Endoscopic Endonasal Approach for Removal of a Tuberculum Sella Meningioma.


Journal

World neurosurgery
ISSN: 1878-8769
Titre abrégé: World Neurosurg
Pays: United States
ID NLM: 101528275

Informations de publication

Date de publication:
10 2020
Historique:
received: 04 03 2020
revised: 05 06 2020
accepted: 07 06 2020
pubmed: 21 6 2020
medline: 7 1 2021
entrez: 21 6 2020
Statut: ppublish

Résumé

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.

Identifiants

pubmed: 32561487
pii: S1878-8750(20)31325-5
doi: 10.1016/j.wneu.2020.06.067
pii:
doi:

Types de publication

Case Reports Video-Audio Media

Langues

eng

Sous-ensembles de citation

IM

Pagination

62

Informations de copyright

Copyright © 2020 Elsevier Inc. All rights reserved.

Auteurs

Aristotelis Kalyvas (A)

Division of Neurosurgery, Toronto Western Hospital/University Health Network, University of Toronto, Toronto, Canada. Electronic address: aristoteliskalyvas@gmail.com.

João Paulo Almeida (JP)

Division of Neurosurgery, Toronto Western Hospital/University Health Network, University of Toronto, Toronto, Canada; Department of Neurosurgery, Neurological Institute, Cleveland Clinic, Cleveland, Ohio, USA.

Nilesh Mohan (N)

Division of Neurosurgery, Toronto Western Hospital/University Health Network, University of Toronto, Toronto, Canada.

Philip J O'Halloran (PJ)

Division of Neurosurgery, Toronto Western Hospital/University Health Network, University of Toronto, Toronto, Canada.

Allan Vescan (A)

Department of Otolaryngology, Head and Neck Surgery, Mount Sinai Hospital, University of Toronto, Toronto, Canada.

Fred Gentili (F)

Division of Neurosurgery, Toronto Western Hospital/University Health Network, University of Toronto, Toronto, Canada.

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Classifications MeSH