J Neurol Surg B Skull Base 2025; 86(S 01): S1-S576
DOI: 10.1055/s-0045-1803406
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Expanded Endonasal Approach to Tuberculum Sella Meningiomas

Hussain Shallwani
1   University at Buffalo Jacobs School of Medicine, Buffalo, New York, United States
,
Muhammad Waqas
1   University at Buffalo Jacobs School of Medicine, Buffalo, New York, United States
,
Jaims Lim
1   University at Buffalo Jacobs School of Medicine, Buffalo, New York, United States
,
Jason M. Davies
1   University at Buffalo Jacobs School of Medicine, Buffalo, New York, United States
,
Ryan McSpadden
2   Roswell Park Cancer Institute, Buffalo, New York, United States
,
Ayham Al Afif
2   Roswell Park Cancer Institute, Buffalo, New York, United States
,
Hanna N. Algattas
1   University at Buffalo Jacobs School of Medicine, Buffalo, New York, United States
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Unlike other meningiomas of the anterior cranial fossa, tuberculum sella meningiomas typically displace the optic nerves in a superolateral trajectory rather than inferiorly. This important anatomic nuance situates these lesions as ideal targets for an endonasal approach. Herein we present two cases of tuberculum sella meningiomas and describe the stepwise approach to their resection as well as useful tools for their resection, including indocyanine green fluorescence angiography and endonasal ultrasonic aspiration.



Publication History

Article published online:
07 February 2025

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