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CC BY-NC-ND 4.0 · J Neurol Surg B Skull Base 2018; 79(S 03): S267-S268
DOI: 10.1055/s-0038-1625944
Skull Base: Operative Videos
Georg Thieme Verlag KG Stuttgart · New York

Expanded Endoscopic Transsphenoidal Resection of Tuberculum Sella Meningioma Invading the Optic Canal

Georgios Klironomos
1   Department of Neurosurgery, Hofstra Northwell School of Medicine, North shore University Hospital, Manhasset, New York, United States
,
Margherita Bruni
1   Department of Neurosurgery, Hofstra Northwell School of Medicine, North shore University Hospital, Manhasset, New York, United States
,
Amir R. Dehdashti
1   Department of Neurosurgery, Hofstra Northwell School of Medicine, North shore University Hospital, Manhasset, New York, United States
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Further Information

Publication History

15 October 2017

14 December 2017

Publication Date:
16 February 2018 (online)

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Abstract

A 61-year-old male patient presented with recurrent malignant meningioma involving the left optic canal and decreased vision from the left eye. The patient had undergone orbital exenteration on the right 2 years ago. The decision to treat the patient was made based on the significant vision deterioration and rapid tumor growth. Endoscopic transsphenoidal approach considered the most suitable route due to the inferomedial invasion of the optic canal. Gross total removal was achieved and the patient's vision improved postoperatively. The patient developed hydrocephalus 4 weeks postoperatively and cerebrospinal fluid (CSF) leak. Ventriculoperitoneal shunt placement corrected both hydrocephalus and CSF leak.

The link to the video can be found at: https://youtu.be/2cOF0pf5gAk.

Keywords

expanded transsphenoidal - endoscopic - vision compromise - optic canal invasion