Amani Belouaer1, Daniele Starnoni1, Roy Thomas Daniel2,3. 1. Department of Neurosurgery, University Hospital of Lausanne (CHUV), rue du Bugnon 46, 1011, Lausanne, Switzerland. 2. Department of Neurosurgery, University Hospital of Lausanne (CHUV), rue du Bugnon 46, 1011, Lausanne, Switzerland. roy.daniel@chuv.ch. 3. University of Lausanne, Lausanne, Switzerland. roy.daniel@chuv.ch.
Abstract
BACKGROUND: Surgery for diaphragma sellae meningiomas (DSM) remains challenging due to the intimate neurovascular relationships of the tumor. Excision of DSM along with a decompression of the optic apparatus requires a good knowledge of the skull base anatomy and a precise preoperative evaluation of the tumor extensions. METHOD: We describe the key steps of transcranial approach for DSM with a video illustration. The surgical anatomy is described along with the advantages and limitations of this approach. CONCLUSIONS: The transcranial approach allows a safe tumor excision with an early and adequate control of the neurovascular structures, while minimizing postoperative CSF rhinorrhea.
BACKGROUND: Surgery for diaphragma sellae meningiomas (DSM) remains challenging due to the intimate neurovascular relationships of the tumor. Excision of DSM along with a decompression of the optic apparatus requires a good knowledge of the skull base anatomy and a precise preoperative evaluation of the tumor extensions. METHOD: We describe the key steps of transcranial approach for DSM with a video illustration. The surgical anatomy is described along with the advantages and limitations of this approach. CONCLUSIONS: The transcranial approach allows a safe tumor excision with an early and adequate control of the neurovascular structures, while minimizing postoperative CSF rhinorrhea.
Authors: Sebastien C Froelich; Khaled M Abdel Aziz; Nicholas B Levine; Philip V Theodosopoulos; Harry R van Loveren; Jeffrey T Keller Journal: Neurosurgery Date: 2007-11 Impact factor: 4.654
Authors: Lorenzo Giammattei; Daniele Starnoni; Giulia Cossu; Michael Bruneau; Luigi M Cavallo; Paolo Cappabianca; Torstein R Meling; Emmanuel Jouanneau; Karl Schaller; Vladimir Benes; Sébastien Froelich; Moncef Berhouma; Mahmoud Messerer; Roy T Daniel Journal: Acta Neurochir (Wien) Date: 2019-12-13 Impact factor: 2.216