Endoscopic Endonasal Approach for Tuberculum Sellae Meningiomas

Neurosurgery ◽  
2011 ◽  
Vol 69 (1) ◽  
pp. E260-E261 ◽  
Author(s):  
Juan C Fernandez-Miranda ◽  
Paul A Gardner ◽  
Carl H Snyderman
Keyword(s):  
Endoscopic Endonasal Approach ◽  
Endonasal Approach ◽  
Endoscopic Endonasal ◽  
Tuberculum Sellae

scholarly journals How I do it: endoscopic endonasal resection of tuberculum sellae meningioma

2021 ◽  
Author(s):  
Markus Wiedmann ◽  
Aslan Lashkarivand ◽  
Jon Berg-Johnsen ◽  
Daniel Dahlberg
Keyword(s):  
Team Approach ◽  
Endoscopic Endonasal Approach ◽  
Endonasal Approach ◽  
Ongoing Debate ◽  
Endoscopic Endonasal ◽  
Microsurgical Technique ◽  
Tuberculum Sellae Meningioma ◽  
Tuberculum Sellae ◽  
Dedicated Team ◽  
Neurovascular Structures

Abstract Background Tuberculum sellae meningiomas (TSMs) adherent to neurovascular structures are particularly challenging lesions requiring delicate and precise microneurosurgery. There is an ongoing debate about the optimal surgical approach. Method We describe technical nuances and challenges in TSM resection using the endoscopic endonasal approach (EEA) in two cases of fibrous tumors with adherence to neurovascular structures. The cases are illustrated with a video (case 1) and figures (cases 1 and 2). Conclusion A dedicated team approach and precise microsurgical technique facilitate safe resection of complex TSMs through the EEA.

scholarly journals The expanded endoscopic endonasal approach for treatment of tuberculum sellae meningiomas in a series of 40 consecutive cases

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Peng Yu ◽  
Tutu Xu ◽  
Xinyu Wu ◽  
Zhitong Liu ◽  
Yong Wang ◽  
...  
Keyword(s):  
Anterior Cerebral Artery ◽  
Endoscopic Endonasal Approach ◽  
Endonasal Approach ◽  
Total Resection ◽  
Endoscopic Endonasal ◽  
Tuberculum Sellae Meningioma ◽  
Csf Leakage ◽  
Invasive Method ◽  
Tuberculum Sellae

AbstractCompared with traditional craniotomy, the expanded endoscopic endonasal approach (EEEA) may have some advantages for tuberculum sellae meningioma (TSM) treatment. We described our experience of the therapeutic effect of endoscopic TSM treatment. From August 2015 to December 2019, 40 patients with a TSM were treated by the EEEA in our institution. EEEA outcome in TSM treatment was analyzed. Among 39 patients with visual impairment, 38 (97.4%) improved their visual function to some extent after the EEEA, and one case had no significant change in visual acuity. Among all patients, 38 (95.0%) achieved gross total resection (GTR) and 2 (5.0%) achieved near-total resection (NTR). Cerebrospinal fluid (CSF) leakage occurred in three patients (7.5%) and meningitis (post-CSF leakage) in two patients (5.0%). Eight patients (20.0%) suffered postoperative hyposmia, three of whom developed long-term hyposmia. One patient (2.5%) suffered from bleeding of the branch of the anterior cerebral artery intraoperatively leading to postoperative acute cerebral infarction. The EEEA is a safe and reliable minimally invasive method for TSM removal. Compared with traditional craniotomy, the EEEA may have better visual outcomes and a higher prevalence of GTR, but carries the risk of CSF leakage.

Endoscopic Endonasal Removal of Primary/Recurrent Meningiomas in the Medial Optic Canal: Surgical Technique and Long-Term Visual Outcome

2019 ◽  
Vol 17 (5) ◽  
pp. 470-480 ◽  
Author(s):  
Kiyohiko Sakata ◽  
Nobuyuki Takeshige ◽  
Yui Nagata ◽  
Hidenobu Yoshitake ◽  
Satoru Komaki ◽  
...  
Keyword(s):  
Visual Loss ◽  
Visual Disturbance ◽  
Optic Canal ◽  
Maximum Diameter ◽  
Endoscopic Endonasal Approach ◽  
Endonasal Approach ◽  
Tumor Removal ◽  
Endoscopic Endonasal ◽  
Average Maximum ◽  
Tuberculum Sellae

Abstract BACKGROUND Tuberculum sellae meningiomas frequently extend into the optic canals, which leads to a progressive longitudinal visual loss. Therefore, in addition to tumor removal, unroofing and exploration inside the optic canal are important procedures. OBJECTIVE To perform endoscopic endonasal tumor removal with optic canal decompression for small primary or recurrent meningiomas associated with a progressive visual loss at the inferior-medial optic canal, which corresponded to a blind corner in the ipsilateral pterional/subfrontal approach. METHODS We retrospectively reviewed 2 cases of primary meningiomas that arose in the inferior-medial optic canal and 4 recurrent cases from the remnant inside the medial optic canal that had previously undergone craniotomy for tuberculum sellae meningiomas, and were treated by the endoscopic endonasal approach. RESULTS All tumors were detectable and could be removed without manipulation of the affected optic nerve. The average maximum diameter of the tumor was 8.4 mm (range: 5-12 mm). Two patients who had a long history of progressive visual disturbance and papillary atrophy did not recover from severe visual disturbances postoperatively. However, others showed considerable improvement, maintaining postoperative visual function during follow-up. There were no postoperative complications. CONCLUSION Endoscopic endonasal approach has several advantages for meningiomas in the medial optic canal and associated with progressive visual disturbance. In surgery of tuberculum sellae meningiomas, optic canal decompression and exploration inside the optic canal are important procedures to avoid symptomatic recurrence, which may be facilitated by the endoscopic endonasal approach. Papillary atrophy and duration of visual deterioration are predictive factors for postoperative visual outcomes.

Endoscopic Endonasal Approach for Resection of Tuberculum Sellae Meningioma

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Cheng Zhang ◽  
Jianling Ding ◽  
Ye Liu ◽  
Maimaitiyiming Tuoheti ◽  
Xiaopeng Yang ◽  
...  
Keyword(s):  
Endoscopic Endonasal Approach ◽  
Endonasal Approach ◽  
Endoscopic Endonasal ◽  
Tuberculum Sellae Meningioma ◽  
Tuberculum Sellae

Endoscopic Endonasal Approach for Removal of Tuberculum Sellae Meningiomas

2015 ◽  
Vol 26 (3) ◽  
pp. 349-361 ◽  
Author(s):  
Leo F.S. Ditzel Filho ◽  
Daniel M. Prevedello ◽  
Ali O. Jamshidi ◽  
Ricardo L. Dolci ◽  
Edward E. Kerr ◽  
...  
Keyword(s):  
Endoscopic Endonasal Approach ◽  
Endonasal Approach ◽  
Endoscopic Endonasal ◽  
Tuberculum Sellae

Endoscopic Endonasal Approach to Cholesterol Granulomas of the Petrous Apex: A Series of 17 Patients

2012 ◽  
Vol 73 (S 02) ◽  
Author(s):  
A. Paluzzi ◽  
M. Koutourousiou ◽  
J. Fernandez-Miranda ◽  
P. Gardner ◽  
C. Snyderman
Keyword(s):  
Petrous Apex ◽  
Endoscopic Endonasal Approach ◽  
Endonasal Approach ◽  
Endoscopic Endonasal

Endoscopic Endonasal Approach for Pituitary Adenomas: A Series of 560 Patients

2012 ◽  
Vol 73 (S 02) ◽  
Author(s):  
A. Paluzzi ◽  
P. Gardner ◽  
J. Fernandez-Miranda ◽  
M. Koutourousiou ◽  
M. Tormenti ◽  
...  
Keyword(s):  
Pituitary Adenomas ◽  
Endoscopic Endonasal Approach ◽  
Endonasal Approach ◽  
Endoscopic Endonasal

Endoscopic Endonasal Approach to Meckel's Cave

2012 ◽  
Vol 73 (S 02) ◽  
Author(s):  
A. Karkas ◽  
J. Keller ◽  
P. Theodosopoulos ◽  
L. Zimmer
Keyword(s):  
Endoscopic Endonasal Approach ◽  
Endonasal Approach ◽  
Meckel’S Cave ◽  
Endoscopic Endonasal ◽  
Meckel's Cave
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