Transpalpebral approach for microsurgical removal of tuberculum sellae meningiomas

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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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Microsurgical Treatment of Tuberculum Sellae Meningiomas with Visual Impairments: A Chinese Experience of 56 Cases.

AIM Tuberculum sellae meningiomas (TSMs) are suprasellar lesions that commonly extend to the medial side of the optic nerve, resulting in visual impairments in the affected eye as the initial and most common symptoms. The primary goal of surgical treatment for TSM is the preservation or improvement of visual function. The aim of the present study was to assess the clinical outcomes of TSMs trea...

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Anterior interhemispheric approach for tuberculum sellae meningioma.

BACKGROUND The tuberculum sellae meningioma (TSM) arises from the tuberculum sellae, chiasmatic sulcus, and limbus sphenoidale. OBJECTIVE To retrospectively analyze patients with TSM who underwent surgery via an anterior interhemispheric approach, with special attention to visual outcomes. METHODS Nine consecutive patients between April 2004 and December 2009 were examined. Visual impairmen...

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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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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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ژورنال

عنوان ژورنال: Asian Journal of Neurosurgery

سال: 2020

ISSN: 1793-5482

DOI: 10.4103/ajns.ajns_186_19