CC BY-NC-ND 4.0 · Asian J Neurosurg 2023; 18(02): 383-386
DOI: 10.1055/s-0043-1768605
Case Report

Ipsilateral Visual Loss Caused by Optic Nerve Compression between a Tuberculum Sellae Meningioma and the Internal Carotid Artery

1   Department of Hypothalamic and Pituitary Neurosurgery, Toranomon Hospital, Toranomon, Minato, Japan
Noriaki Fukuhara
1   Department of Hypothalamic and Pituitary Neurosurgery, Toranomon Hospital, Toranomon, Minato, Japan
Mitsuo Yamaguchi-Okada
1   Department of Hypothalamic and Pituitary Neurosurgery, Toranomon Hospital, Toranomon, Minato, Japan
Hiroshi Nishioka
1   Department of Hypothalamic and Pituitary Neurosurgery, Toranomon Hospital, Toranomon, Minato, Japan
› Author Affiliations


We report a rare case of ipsilateral visual loss caused by compression of the optic nerve between a tuberculum sellae meningioma (TSM) and the internal carotid artery (ICA). The patient was a 70-year-old female who presented with a 2-year history of left visual disturbance with a TSM on magnetic resonance imaging. No tumor infiltration to the optic canal was identified in the preoperative images. Extended endoscopic transsphenoidal surgery was performed and showed no infiltration to the optic canal. The tumor was removed completely, and optic nerve compression was found between the TSM and atherosclerotic ICA. This report shows an atypical case in which compression of the optic nerve between a TSM and the ICA caused ipsilateral visual loss despite no infiltration to the optic canal.

Informed Consent

For the case report, informed consent was obtained from the patient for publication of this case report and accompanying images.

Publication History

Article published online:
07 June 2023

© 2023. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (

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