Tuberculum Sellae Meningioma Resection: Technical Nuances on the Frontopterional Approach

Abstract

Tuberculum sellae meningioma remains a surgical challenge. Deep location of tumor, vascular and nerve encasement, and pituitary stalk involvement are the main technical issues. The frontopterional approach represents a natural, simple, and elegant approach to this area enabling surgeon to have a direct control on all anatomical structures. A 42-year-old woman was referred with a delayed diagnosis of tuberculum sellae meningioma due to the presence of HLA-B27-associated uveitis. She presented with 1/10 visual acuity in the left eye and no right visual function. A left frontopterional craniotomy was performed. Visual function improved postoperatively. The video illustrates the cisternal anatomy via pterional approach.

The link to the video can be found at: https://youtu.be/Hmbf5bt7A64.

Keywords

tuberculum sellae meningioma - pterional approach - cisternal anatomy - optic canal