Contralateral supraorbital eyebrow approach for tuberculum sellae meningioma.
Contralateral
Keyhole
Meningioma surgery
Optic nerve
Supra orbital approach
Tuberculum sella
Journal
Acta neurochirurgica
ISSN: 0942-0940
Titre abrégé: Acta Neurochir (Wien)
Pays: Austria
ID NLM: 0151000
Informations de publication
Date de publication:
10 2023
10 2023
Historique:
received:
15
05
2023
accepted:
02
07
2023
medline:
26
10
2023
pubmed:
15
7
2023
entrez:
15
7
2023
Statut:
ppublish
Résumé
The main challenge in tuberculum sellae meningioma (TSM) resection is the safe dissection of the optic nerves, which many a times are compressed and distorted by the tumor. While intuitive, an approach from the side of predominant tumor extension makes tumor dissection from the medial surface of the ipsilateral optic nerve rather blind. We describe here a contralateral supraorbital eyebrow approach (c-SEA) to address this "blind spot." c-SEA was performed using a 2 × 2 cm craniotomy. The patient improved after surgery and postoperative imaging confirmed the totality of the tumor resection. c-SEA can be an excellent minimally invasive option for asymmetric TSM.
Sections du résumé
BACKGROUND
The main challenge in tuberculum sellae meningioma (TSM) resection is the safe dissection of the optic nerves, which many a times are compressed and distorted by the tumor. While intuitive, an approach from the side of predominant tumor extension makes tumor dissection from the medial surface of the ipsilateral optic nerve rather blind. We describe here a contralateral supraorbital eyebrow approach (c-SEA) to address this "blind spot."
METHOD
c-SEA was performed using a 2 × 2 cm craniotomy. The patient improved after surgery and postoperative imaging confirmed the totality of the tumor resection.
CONCLUSION
c-SEA can be an excellent minimally invasive option for asymmetric TSM.
Identifiants
pubmed: 37452902
doi: 10.1007/s00701-023-05714-3
pii: 10.1007/s00701-023-05714-3
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2925-2929Informations de copyright
© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Austria, part of Springer Nature.
Références
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