CC BY-NC-ND 4.0 · J Neurol Surg B 2018; 79(S 02): S223-S224
DOI: 10.1055/s-0037-1620240
Skull Base: Operative Videos
Georg Thieme Verlag KG Stuttgart · New York

Microsurgical Resection of Tuberculum Sellae Meningioma through Left Cranio-orbital Approach

Mirza Pojskić
1  Department of Neurosurgery, University of Marburg, Marburg, Germany
,
Kenan I. Arnautović
2  Semmes Murphey Neurologic and Spine Institute, Department of Neurosurgery, University of Tennessee Health Science Center, Memphis, Tennessee, United States
› Institutsangaben
Weitere Informationen

Address for correspondence

Kenan I. Arnautović, MD, PhD
Semmes Murphey Neurologic and Spine Institute, Department of Neurosurgery
University of Tennessee Health Science Center
6325 Humphreys Boulevard, Memphis, TN 38120
United States   

Publikationsverlauf

12. Oktober 2017

12. Dezember 2017

Publikationsdatum:
16. Januar 2018 (eFirst)

 

Abstract

In this video clip, the authors present the resection of a tuberculum sellae meningioma with compression of the left optic nerve and a chiasm ([Fig. 1]) through a standard cranial orbital (CO) skull base approach.[1] [2] [3] The key step in the tumor resection was microsurgical dissection of left and right A1 segments of the anterior cerebral artery and the anterior communicating artery and the separation of the tumor from these vascular structures. This was followed by careful separation of the meningioma from both optic nerves, the chiasm and the pituitary stalk. The final step was coagulation and resection of the tumor origin on the dura of the tuberculum sellae, devascularizing the tumor. Once this was achieved, the tumor was removed. Using this approach, an optimal surgical corridor to the sellar area was provided while minimizing the retraction of frontal and temporal lobes.

The link to the video can be found at: https://youtu.be/O59Fj2dNXB0.


#
Zoom Image
Fig. 1 Postconstrast MRI of the head. Left up: preoperative T1-weighted sagittal view. Right up: preoperative T1-weighted coronar view. Left down: postoperative T1-weighted sagittal view. Right down: postoperative T1weighted coronar view. MRI, magnetic resonance imaging.

www.thieme.com/skullbasevideos

www.thieme.com/jnlsbvideos


Qualität:

#

Conflict of Interest

None.


Address for correspondence

Kenan I. Arnautović, MD, PhD
Semmes Murphey Neurologic and Spine Institute, Department of Neurosurgery
University of Tennessee Health Science Center
6325 Humphreys Boulevard, Memphis, TN 38120
United States   


  
Zoom Image
Fig. 1 Postconstrast MRI of the head. Left up: preoperative T1-weighted sagittal view. Right up: preoperative T1-weighted coronar view. Left down: postoperative T1-weighted sagittal view. Right down: postoperative T1weighted coronar view. MRI, magnetic resonance imaging.