Contralateral Eyebrow Approach for Unilateral Suprasellar Meningioma

Fig. 1 (A) Preoperative T2 weighted coronal MRI showing a hyper intense left suprasellar meningioma compressing and displacing laterally the left optic nerve. (B) Preoperative axial T1 weighted gadolinium enhanced MRI showing extension of the tumor in the left optic canal. (C) and (D) Postoperative coronal T2 weighted and axial T1 weighted gadolinium enhanced MRI show complete removal of the tumor and decompression of the left optic nerve.

Fig. 2 Illustrative surgical steps of the right contralateral eyebrow approach for removal of a left suprasellar meningioma. (A) Positioning (B) Skin exposure (C) Supraorbital bone flap (D) Initial exposure and decompression of the meningioma (E) Final result after removal of the tumor and opening of the contralateral optic canal (F) Skin closure.

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Fig. 1 (A) Preoperative T2 weighted coronal MRI showing a hyper intense left suprasellar meningioma compressing and displacing laterally the left optic nerve. (B) Preoperative axial T1 weighted gadolinium enhanced MRI showing extension of the tumor in the left optic canal. (C) and (D) Postoperative coronal T2 weighted and axial T1 weighted gadolinium enhanced MRI show complete removal of the tumor and decompression of the left optic nerve.

Fig. 2 Illustrative surgical steps of the right contralateral eyebrow approach for removal of a left suprasellar meningioma. (A) Positioning (B) Skin exposure (C) Supraorbital bone flap (D) Initial exposure and decompression of the meningioma (E) Final result after removal of the tumor and opening of the contralateral optic canal (F) Skin closure.