Markus Wiedmann1, Aslan Lashkarivand1,2, Jon Berg-Johnsen1,2, Daniel Dahlberg3. 1. Department of Neurosurgery, Oslo University Hospital, PO box 4950 Nydalen, 0424, Oslo, Norway. 2. Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway. 3. Department of Neurosurgery, Oslo University Hospital, PO box 4950 Nydalen, 0424, Oslo, Norway. dandah@ous-hf.no.
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.
Authors: Kumar Abhinav; Yancy Acosta; Wei-Hsin Wang; Luis R Bonilla; Maria Koutourousiou; Eric Wang; Carl Synderman; Paul Gardner; Juan C Fernandez-Miranda Journal: Neurosurgery Date: 2015-09 Impact factor: 4.654