J Neurol Surg B Skull Base 2023; 84(S 01): S1-S344
DOI: 10.1055/s-0043-1762527
Presentation Abstracts
Video Presentations

Tuberculum Sella Meningioma with Clinoidal and Planum Extension

Vera Vigo
1   Stanford University, Stanford, California, United States
,
Karam P. Asmaro
1   Stanford University, Stanford, California, United States
,
Ashoke R. Khanwalkar
1   Stanford University, Stanford, California, United States
,
Zara Patel
1   Stanford University, Stanford, California, United States
,
Juan C. Fernandez-Miranda
1   Stanford University, Stanford, California, United States
› Author Affiliations
› Further Information
 

A 63-year-old man presented with severe left visual loss secondary to large tuberculum sella meningioma extending into clinoidal region and planum sphenoidale. Given the tumor complexity, a two-stage procedure was planned: left fronto-orbital approach with extradural anterior clinoidectomy, followed 3 days after endoscopic endonasal approach. This video illustrates the advantages and limitations of transcranial and endonasal approaches for complex tuberculum sella meningiomas, and the potential benefit of combining approaches to improve surgical outcomes.


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Publication History

Article published online:
01 February 2023

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