Orbitopterional Approach with Extradural Clinoidectomy for the Resection of a Tuberculum Sellae Meningioma: Adapting the Strategy to the Microsurgical and Pathological Anatomy

Jaafar Basma; Vincent Nguyen; Jeffrey Sorenson; L. Madison Michael II

doi:10.1055/s-0038-1623523

Journal of Neurological Surgery Part B: Skull Base, Table of Contents

CC-BY-NC-ND 4.0 · J Neurol Surg B Skull Base 2018; 79(S 03): S261-S262
DOI: 10.1055/s-0038-1623523

Skull Base: Operative Videos

Georg Thieme Verlag KG Stuttgart · New York

Orbitopterional Approach with Extradural Clinoidectomy for the Resection of a Tuberculum Sellae Meningioma: Adapting the Strategy to the Microsurgical and Pathological Anatomy

Authors

Jaafar Basma

¹Department of Neurosurgery, University of Tennessee, Memphis, Tennessee, United States
Vincent Nguyen

¹Department of Neurosurgery, University of Tennessee, Memphis, Tennessee, United States
Jeffrey Sorenson

¹Department of Neurosurgery, University of Tennessee, Memphis, Tennessee, United States
L. Madison Michael II

¹Department of Neurosurgery, University of Tennessee, Memphis, Tennessee, United States

Abstract

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Keywords

tuberculum - sellae - meningioma - orbitopterional - clinoid process - optic nerve

Fig. 1 Near-total resection of this tuberculum sellae meningioma was achieved as demonstrated by these pre- and postoperative imaging studies. Notice the enhancement of the right optic nerve preoperatively indicating likely invasion of the optic canal.

Fig. 2 This tuberculum sellae meningioma was near-totally resected through an orbitopterional approach with anterior clinoidectomy. Functionality of the optic apparatus was preserved by microsurgical preservation of the perforators as shown here. ON, optic nerve.

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Figures

Fig. 1 Near-total resection of this tuberculum sellae meningioma was achieved as demonstrated by these pre- and postoperative imaging studies. Notice the enhancement of the right optic nerve preoperatively indicating likely invasion of the optic canal.

Fig. 2 This tuberculum sellae meningioma was near-totally resected through an orbitopterional approach with anterior clinoidectomy. Functionality of the optic apparatus was preserved by microsurgical preservation of the perforators as shown here. ON, optic nerve.