Tuberculum sellae meningioma remains a surgical challenge. Deep location of tumor, vascular and nerve encasement, and pituitary stalk involvement are the main technical issues. The frontopterional approach represents a natural, simple, and elegant approach to this area enabling surgeon to have a direct control on all anatomical structures. A 42-year-old woman was referred with a delayed diagnosis of tuberculum sellae meningioma due to the presence of HLA-B27-associated uveitis. She presented with 1/10 visual acuity in the left eye and no right visual function. A left frontopterional craniotomy was performed. Visual function improved postoperatively. The video illustrates the cisternal anatomy via pterional approach. The link to the video can be found at: https://youtu.be/Hmbf5bt7A64 .
Tuberculum Sellae Meningioma Resection: Technical Nuances on the Frontopterional Approach / Rustemi O, Scienza R, Della Puppa A.. - In: JOURNAL OF NEUROLOGICAL SURGERY. PART B, SKULL BASE. - ISSN 2193-634X. - ELETTRONICO. - (2018), pp. 225-226.
Tuberculum Sellae Meningioma Resection: Technical Nuances on the Frontopterional Approach.
Della Puppa A.
2018
Abstract
Tuberculum sellae meningioma remains a surgical challenge. Deep location of tumor, vascular and nerve encasement, and pituitary stalk involvement are the main technical issues. The frontopterional approach represents a natural, simple, and elegant approach to this area enabling surgeon to have a direct control on all anatomical structures. A 42-year-old woman was referred with a delayed diagnosis of tuberculum sellae meningioma due to the presence of HLA-B27-associated uveitis. She presented with 1/10 visual acuity in the left eye and no right visual function. A left frontopterional craniotomy was performed. Visual function improved postoperatively. The video illustrates the cisternal anatomy via pterional approach. The link to the video can be found at: https://youtu.be/Hmbf5bt7A64 .I documenti in FLORE sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.