CC BY-NC-ND 4.0 · J Neurol Surg B 2018; 79(S 02): S225-S226
DOI: 10.1055/s-0037-1620245
Skull Base: Operative Videos
Georg Thieme Verlag KG Stuttgart · New York

Tuberculum Sellae Meningioma Resection: Technical Nuances on the Frontopterional Approach

Oriela Rustemi
1  Department of Neurosurgery, Padua University Hospital, Padua, Italy
,
Renato Scienza
1  Department of Neurosurgery, Padua University Hospital, Padua, Italy
,
Alessandro Della Puppa
1  Department of Neurosurgery, Padua University Hospital, Padua, Italy
› Author Affiliations
Funding None.
Further Information

Publication History

08 July 2017

12 December 2017

Publication Date:
15 January 2018 (eFirst)

  

Abstract

Tuberculum sellae meningioma remains a surgical challenge. Deep location of tumor, vascular and nerve encasement, and pituitary stalk involvement are the main technical issues. The frontopterional approach represents a natural, simple, and elegant approach to this area enabling surgeon to have a direct control on all anatomical structures. A 42-year-old woman was referred with a delayed diagnosis of tuberculum sellae meningioma due to the presence of HLA-B27-associated uveitis. She presented with 1/10 visual acuity in the left eye and no right visual function. A left frontopterional craniotomy was performed. Visual function improved postoperatively. The video illustrates the cisternal anatomy via pterional approach.

The link to the video can be found at: https://youtu.be/Hmbf5bt7A64.