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Endoscopic Endonasal Transplanum--Transtuberculum Sellae Approach for the Resection of a Diaphragma Sellae Meningioma.
- Source :
-
Journal of Neurological Surgery. Part B. Skull Base . 2018 Supplement3, Vol. 79, p271-272. 2p. - Publication Year :
- 2018
-
Abstract
- The endoscopic endonasal approach (EEA) provides a direct access to diaphragma sellae meningiomas. We present a case of a 56-year-old-female with an incidentally diagnosed sellar/suprasellar lesion with no hormonal deficit; thus, she opted for conservative management initially. During her annual follow-up appointment with her ophthalmologist, it was noticed that the patient had right eye peripheral deficit on formal visual field testing. Magnetic resonance imaging (MRI) revealed an enlargement of the sellar/suprasellar mass, causing displacement of the optic chiasm. A transplanum--transtuberculum EEA was performed. Gross-total removal was achieved and closure was done in a multilayer fashion using a collagen matrix, nasoseptal flap. Histopathological examination confirmed a meningioma WHO grade I. There were no intra- or postoperative complications. At 4-year-follow-up, the patient has stable vision and MRI brain showed no recurrence. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 21936331
- Volume :
- 79
- Database :
- Academic Search Index
- Journal :
- Journal of Neurological Surgery. Part B. Skull Base
- Publication Type :
- Academic Journal
- Accession number :
- 128764214
- Full Text :
- https://doi.org/10.1055/s-0038-1624587