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

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 resec...

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Published inActa neurochirurgica Vol. 163; no. 8; pp. 2193 - 2197
Main Authors Wiedmann, Markus, Lashkarivand, Aslan, Berg-Johnsen, Jon, Dahlberg, Daniel
Format Journal Article
LanguageEnglish
Published Vienna Springer Vienna 01.08.2021
Springer Nature B.V
Subjects
Brain cancer
Endoscopy
How I Do it - Tumor - Meningioma
Interventional Radiology
Medicine
Medicine & Public Health
Meningioma
Minimally Invasive Surgery
Neurology
Neuroradiology
Neurosurgery
Surgical Orthopedics
Tumor – Meningioma
Tumors
Visual evoked potentials
Microsurgical technique
Skull base surgery
Meningioma
Endoscopic endonasal approach
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Summary: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.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:0001-6268
0942-0940
DOI:10.1007/s00701-021-04784-5