Ipsilateral vs controlateral approach in tuberculum sellae meningiomas surgery: a retrospective comparative study

Most of tuberculum sellae meningiomas (TSM) show asymmetric growth. They are usually resected through ipsilateral approaches. The access the inferior-medial side optic nerve might be challenging, which result in increased manipulation compromised nerve. contralateral approach has been described to avoid these technical difficulties. Assessing long-term visual and olfactory outcome, as well recurrence rate patients operated for TSM or Single center retrospective cohort study about 94 on between March 2000 April 2018. Seventy percent preoperative acuity loss totally resolved (44%) showed varying degrees improvement (26%) after surgery. Seventy-two field defects evolved favorably (44% recovery, 28% improvement). Eight aggravated disturbances (9%). A seemed predictive surgery (OR = 0.4), with borderline significant results (p .08). There was a higher postoperative impairment (37% vs 17%, p .03). Total removal tumor fragment entering canal accomplished 96% 75% group .04). 2-, 5-, 7-year progression-free survival were 100% Simpson grade 2 group, 85% (n 17), 74% 11), 67% 5) 4 respectively .00). Resection seems provide better outcome control at cost disorders.