Abstract
Diaphragma sellae meningiomas represent a difficult challenge for neurosurgeons; they
are generally operated on by a transcranial approach. Some authors reported transsphenoidal
surgery in selected cases, but without accurately focusing the surgical technique
that should be necessary for removing the typical hard fibrous tissue of the meningioma,
that is not aspirable, by this approach. We present the surgical technique and the
useful instrumentarium for removing a diaphragma sellae meningioma through an extended
microsurgical transsphenoidal approach.
Key words
extended transsphenoidal approach - diaphragma sellae meningioma - pituitary gland
- CSF fistula
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Correspondence
M. F. FraioliMD
Department of Neurosurgery
University of Rome
“Tor Vergata”
Viale Oxford 81
00133 Rome
Italy
Phone: +39/06/2090 30 57
Fax: +39/06/2090 30 56
Email: b.fraioli@libero.it
