A 50-year-old male presented with a very unusual case of a calcified anterior communicating artery (AComA) aneurysm associated with a tuberculum sellae meningioma. Until 10 years previously, the patient had been a professional soccer player for 15 years. He noticed a slight decrease in visual acuity in the right eye 7 years before. The patient was in the care of an oculist throughout this perio...

Sella turcica is a saddle shaped depression in the sphenoid bone. It received its name from its resemblance to the Turkish saddle. The seat of the saddle is known as pituitary fossa or hypophyseal fossa. The pituitary gland or hypophysis cerebri is situated in the hypophyseal fossa. It is limited anteriorly, posteriorly and inferiorly by bony constituents of the sella turcica the tuberculum sel...

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...

Tuberculum Sellae Meningioma (TSM) is one of the most challenging operations among neurosurgeons. Many approaches have been proposed in the attempt of total removal of the tumor. Rhabdoid meningioma is a rare subtype of meningiomas accounting for 2-3% of all intra-cranial meningiomas, an aggressive tumor classified as World Health Organization (WHO) grade III; it occurs mainly in the early chil...

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 ...

In reading the well documented article by Davis et al. [1] in the November/December 1984 issue of AJNR, we found the title of the article to be perhaps a bit provoking and the authors' conclusion rather severe for high-resolution computed tomography (CT) of pituitary microadenomas. Two points should be emphasized: 1. The authors are correct in stating that "gland height greater than 8 mm and an...

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...