Improvement of optic nerve pial blood supply visualized through indocyanine green videoangiography after resection of a tuberculum sellae meningioma: 2-dimensional operative video

• Published in: Neurosurgical Focus: Video Vol. 6; no. 1; p. V13
• Main Authors: Ceccato, Guilherme H. W., de Oliveira, Júlia S., dos Santos Neto, Pedro H., Carvalho, Nick D., Coelho, Vinicius N., Hasegawa, Hugo A., Sprengel, Sergio L., Rassi, Marcio S., Borba, Luis A. B.
• Format: Journal Article
• Language: English
• Published: American Association of Neurological Surgeons 01.01.2022
• ISSN: 2643-5217; 2643-5217
• DOI: 10.3171/2021.10.FOCVID21155

Ischemia of the optic nerve (ON) is an important cause of visual field deficit provoked by tuberculum sellae (TS) meningiomas. Indocyanine green (ICG) videoangiography could provide prognostic information. Moreover, it allows new insight into the pathophysiology of visual disturbance. The authors present the case of a 48-year-old woman with visual field impairment. Magnetic resonance imaging (MRI) depicted a lesion highly suggestive of a TS meningioma. Following microsurgical resection, ICG videoangiography demonstrated improvement of right ON pial blood supply. In this case, there was one lesion causing visual impairment through both direct compression over the left ON and ischemia to the right nerve. The video can be found here: https://stream.cadmore.media/r10.3171/2021.10.FOCVID21155