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Frontotemporal Approach for Spheno-Orbital Meningioma and Orbital Compartment Resection: Technical Case Instruction: 2-Dimensional Operative Video.
- Source :
-
Operative neurosurgery (Hagerstown, Md.) [Oper Neurosurg (Hagerstown)] 2024 Sep 01; Vol. 27 (3), pp. 370-374. Date of Electronic Publication: 2024 Apr 17. - Publication Year :
- 2024
-
Abstract
- Background and Importance: Spheno-orbital meningiomas (SOMs) pose a challenge to the skull base neurosurgeon because of their variable presentation and involvement of critical structures within the orbit. There is no consensus on optimal management of these patients and how to achieve maximal safe resection. The authors share an illustrative case with an accompanying video to demonstrate their aggressive approach to resect SOMs and their intraorbital components.<br />Clinical Presentation: A 75-year-old-woman presented with progressive vision loss and proptosis. Magnetic resonance imaging was consistent with a large, left-sided sphenoid wing meningioma with extension to the orbital wall and compression of the optic nerve medially. The patient elected to undergo surgical excision and optic nerve decompression. She did well postoperatively with resolution of proptosis and good resection margins on follow-up imaging.<br />Conclusion: Aggressive resection of SOMs is possible with an understanding of the underlying anatomy. Familiarity with the orbit can facilitate a maximal safe resection with optic nerve decompression.<br /> (Copyright © Congress of Neurological Surgeons 2024. All rights reserved.)
- Subjects :
- Humans
Female
Aged
Sphenoid Bone surgery
Sphenoid Bone diagnostic imaging
Decompression, Surgical methods
Orbit surgery
Orbit diagnostic imaging
Magnetic Resonance Imaging
Meningioma surgery
Meningioma diagnostic imaging
Meningeal Neoplasms surgery
Meningeal Neoplasms diagnostic imaging
Neurosurgical Procedures methods
Orbital Neoplasms surgery
Orbital Neoplasms diagnostic imaging
Subjects
Details
- Language :
- English
- ISSN :
- 2332-4260
- Volume :
- 27
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Operative neurosurgery (Hagerstown, Md.)
- Publication Type :
- Academic Journal
- Accession number :
- 39145664
- Full Text :
- https://doi.org/10.1227/ons.0000000000001156