Meningiomas of the Tuberculum and Diaphragma Sellae

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Tuberculum sellae meningiomas: surgical considerations.

We report our experience on the treatment of tuberculum sellae meningiomas (TSMs) regarding the involvement of the optic canal and clinical outcomes. We reviewed 23 patients who were operated on between January 1997 and December 2008. The surgical approach was unilateral subfrontal supraorbital osteotomy in one piece. Attempts were made to improve visual function via extra/intradural unroofing ...

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Surgical management of tuberculum sellae and planum sphenoidale meningiomas

Introduction: Tuberculum sellae and planum sfenoidale meningiomas represent 5% to 10% of intracranial meningiomas and represent a subgroup of anterior skull base meningiomas. Approximately two thirds of patients complain of failing vision in one eye as the first symptom, and monocular blindness may be present in half of patients before surgery. Due to the constant antomical relationship of thes...

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MR of the Diaphragma Sellae 765

The appearance of the diaphragma sellae is described in cryomicrotomic sections and on MR in patients with and without intraand suprasellar masses. On MR, it appears as a thin band of negligible signal that is best shown when adjacent CSF or a mass has greater signal intensity. Its position or absence can be used to differentiate intrasellar masses with suprasellar components from suprasellar m...

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Surgical management of tuberculum sellae meningiomas: involvement of the optic canal and visual outcome.

OBJECTIVE To present a large series of surgically treated tuberculum sellae meningiomas with particular regard to involvement of the optic canal and visual outcome. METHODS A retrospective analysis was done on 53 patients (40 female) with meningiomas originating from the tuberculum sellae who underwent surgery between 1991 and 2002. The standard surgical approach consisted of pterional cranio...

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Comparison of Extended Transsphenoidal Approach and Transcranial Approach for Tuberculum Sellae Meningiomas

Tuberculum sellae meningiomas are usually removed using various transcranial approaches. The extended transsphenoidal approach also indicates for some lesions around the sella turcica. The author primarily approaches supradiaphragmatic tumors through the tuberculum sellae using the extended transsphenoidal approach, termed the “transsphenoidal-transtuberculum sellae approach” even for the tuber...

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ژورنال

عنوان ژورنال: Journal of Neurological Surgery Part B: Skull Base

سال: 2014

ISSN: 2193-6331,2193-634X

DOI: 10.1055/s-0034-1390400