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 in | Acta neurochirurgica Vol. 163; no. 8; pp. 2193 - 2197 |
|---|---|
| Main Authors | , , , |
| Format | Journal Article |
| Language | English |
| Published |
Vienna
Springer Vienna
01.08.2021
Springer Nature B.V |
| Subjects | |
| Online Access | Get full text |
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| 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. |
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| AbstractList | BackgroundTuberculum 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.MethodWe 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).ConclusionA dedicated team approach and precise microsurgical technique facilitate safe resection of complex TSMs through the EEA. 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. 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. 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. 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). A dedicated team approach and precise microsurgical technique facilitate safe resection of complex TSMs through the EEA. |
| Author | Lashkarivand, Aslan Wiedmann, Markus Berg-Johnsen, Jon Dahlberg, Daniel |
| Author_xml | – sequence: 1 givenname: Markus surname: Wiedmann fullname: Wiedmann, Markus organization: Department of Neurosurgery, Oslo University Hospital – sequence: 2 givenname: Aslan surname: Lashkarivand fullname: Lashkarivand, Aslan organization: Department of Neurosurgery, Oslo University Hospital, Institute of Clinical Medicine, Faculty of Medicine, University of Oslo – sequence: 3 givenname: Jon surname: Berg-Johnsen fullname: Berg-Johnsen, Jon organization: Department of Neurosurgery, Oslo University Hospital, Institute of Clinical Medicine, Faculty of Medicine, University of Oslo – sequence: 4 givenname: Daniel orcidid: 0000-0001-5278-1978 surname: Dahlberg fullname: Dahlberg, Daniel email: dandah@ous-hf.no organization: Department of Neurosurgery, Oslo University Hospital |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/33665730$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.3171/2016.9.JNS16823 10.1007/s00701-019-04114-w 10.3171/2018.4.JNS172447 |
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| DOI | 10.1007/s00701-021-04784-5 |
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| Keywords | Visual evoked potentials Microsurgical technique Skull base surgery Meningioma Endoscopic endonasal approach |
| Language | English |
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| References | Abhinav, Acosta, Wang, Bonilla, Koutourousiou, Wang, Synderman, Gardner, Fernandez-Miranda (CR1) 2015; 11 Mahmoud, Nader, Al-Mefty (CR4) 2010; 67 Bander, Singh, Ogilvie, Cusic, Pisapia, Tsiouris, Anand, Schwartz (CR2) 2018; 128 Zwagerman, Wang, Shin, Chang, Fernandez-Miranda, Snyderman, Gardner (CR5) 2019; 131 Giammattei, Starnoni, Cossu, Bruneau, Cavallo, Cappabianca, Meling, Jouanneau, Schaller, Benes, Froelich, Berhouma, Messerer, Daniel (CR3) 2020; 162 K Abhinav (4784_CR1) 2015; 11 L Giammattei (4784_CR3) 2020; 162 M Mahmoud (4784_CR4) 2010; 67 ED Bander (4784_CR2) 2018; 128 NT Zwagerman (4784_CR5) 2019; 131 |
| References_xml | – volume: 11 start-page: 431 issue: Suppl 3 year: 2015 end-page: 445 ident: CR1 article-title: Endoscopic endonasal approach to the optic canal: anatomic considerations and surgical relevance publication-title: Neurosurgery contributor: fullname: Fernandez-Miranda – volume: 128 start-page: 40 year: 2018 end-page: 48 ident: CR2 article-title: Endoscopic endonasal versus transcranial approach to tuberculum sellae and planum sphenoidale meningiomas in a similar cohort of patients publication-title: J Neurosurg doi: 10.3171/2016.9.JNS16823 contributor: fullname: Schwartz – volume: 162 start-page: 631 year: 2020 end-page: 640 ident: CR3 article-title: Surgical management of tuberculum sellae meningiomas: myths, facts, and controversies publication-title: Acta Neurochir doi: 10.1007/s00701-019-04114-w contributor: fullname: Daniel – volume: 67 start-page: ons108 year: 2010 end-page: ons118 ident: CR4 article-title: Optic canal involvement in tuberculum sellae meningiomas: influence on approach, recurrence, and visual recovery publication-title: Neurosurgery contributor: fullname: Al-Mefty – volume: 131 start-page: 1172 year: 2019 end-page: 1178 ident: CR5 article-title: Does lumbar drainage reduce postoperative cerebrospinal fluid leak after endoscopic endonasal skull base surgery? A prospective, randomized controlled trial publication-title: J Neurosurg doi: 10.3171/2018.4.JNS172447 contributor: fullname: Gardner – volume: 11 start-page: 431 issue: Suppl 3 year: 2015 ident: 4784_CR1 publication-title: Neurosurgery contributor: fullname: K Abhinav – volume: 131 start-page: 1172 year: 2019 ident: 4784_CR5 publication-title: J Neurosurg doi: 10.3171/2018.4.JNS172447 contributor: fullname: NT Zwagerman – volume: 128 start-page: 40 year: 2018 ident: 4784_CR2 publication-title: J Neurosurg doi: 10.3171/2016.9.JNS16823 contributor: fullname: ED Bander – volume: 162 start-page: 631 year: 2020 ident: 4784_CR3 publication-title: Acta Neurochir doi: 10.1007/s00701-019-04114-w contributor: fullname: L Giammattei – volume: 67 start-page: ons108 year: 2010 ident: 4784_CR4 publication-title: Neurosurgery contributor: fullname: M Mahmoud |
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| Snippet | Background
Tuberculum sellae meningiomas (TSMs) adherent to neurovascular structures are particularly challenging lesions requiring delicate and precise... Tuberculum sellae meningiomas (TSMs) adherent to neurovascular structures are particularly challenging lesions requiring delicate and precise... Abstract Background Tuberculum sellae meningiomas (TSMs) adherent to neurovascular structures are particularly challenging lesions requiring delicate and... BackgroundTuberculum sellae meningiomas (TSMs) adherent to neurovascular structures are particularly challenging lesions requiring delicate and precise... BACKGROUNDTuberculum sellae meningiomas (TSMs) adherent to neurovascular structures are particularly challenging lesions requiring delicate and precise... |
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| SubjectTerms | 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 |
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| Title | How I do it: endoscopic endonasal resection of tuberculum sellae meningioma |
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