How I do it: optic canal unroofing in surgery for tuberculum sellae meningiomas with compression of the optic nerve
Jazyk angličtina Země Rakousko Médium print-electronic
Typ dokumentu časopisecké články
PubMed
35094145
DOI
10.1007/s00701-021-05083-9
PII: 10.1007/s00701-021-05083-9
Knihovny.cz E-zdroje
- Klíčová slova
- Optic canal unroofing, Optic nerve, Recovery of visual functions, Tuberculum sellae meningioma,
- MeSH
- lidé MeSH
- meningeální nádory * komplikace diagnostické zobrazování chirurgie MeSH
- meningeom * komplikace diagnostické zobrazování chirurgie MeSH
- nádory baze lební * chirurgie MeSH
- nervus opticus diagnostické zobrazování patologie chirurgie MeSH
- neurochirurgické výkony MeSH
- retrospektivní studie MeSH
- sella turcica diagnostické zobrazování patologie chirurgie MeSH
- výsledek terapie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
BACKGROUND: Tuberculum sellae meningiomas are challenging to treat when accompanied with altered vision due to compression of the optic nerve. These tumors mostly refer to be benign; therefore, gross total removal and excellent functional recovery are desired. METHOD: We describe the microsurgical treatment of tuberculum sellae meningioma with altered vision function on the left eye. Intradural unroofing of the optic canal with gross total resection of the tumor led to immediate excellent recovery. Intraoperative video highlights key steps of our surgical approach. CONCLUSION: Optic canal unroofing is in our opinion safe and mandatory when treating tuberculum sellae meningiomas with compression of optic nerve.
Zobrazit více v PubMed
Chi JH, McDermott MW (2003) Tuberculum sellae meningiomas. Neurosurg Focus 14(6):E6 (1-6) DOI
Mariniello G, de Divitiis O, Bonavolontà G, Maiuri F (2013) Surgical unroofing of the optic canal and visual outcome in basal meningiomas. Acta Neurochir 155:77–84 DOI
Mortazavi MM, Brito da Silva H, Ferreira M Jr, Barber JK, Pridgeon JS, Sekhar LN (2016) Planum sphenoidale and tuberculum sellae meningiomas: operative nuances of a modern surgical technique with outcome and proposal of a new classification system. World Neurosurg 86:270–286 DOI
Nozaki K, Kikuta KI, Takagi Y, Mineharu Y, Takahashi JA, Hashimoto N (2008) Effect of early optic canal unroofing on the outcome of visual functions in surgery for meningiomas of the tuberculum sellae and planum sphenoidale. Neurosurgery 62:839–846 DOI
Peto I, White TG, Dehdashti (2020) How I do it: contralateral approach for tuberculum sellae meningioma. Acta Neurochir 162:613–616 DOI
Rhoton AL (2002) The Sellar Region. Neurosurgery 51(Suppl 1):335–374
Spektor S, Dotan S, Mizrahi CJ (2013) Safety of drilling for clinoidectomy and optic canal unroofing in anterior skull base surgery. Acta Neurochir 155:1017–1024 DOI
Taha ANM, Erkmen K, Dunn IF, Pravdenkova S, Al-Mefty O (2011) Meningiomas involving the optic canal: pattern of involvement and implications for surgical technique. Neurosurg Focus 30(5):E12 (1-8) DOI
Yasargil MG (1996) Meningiomas. In Yasargil MG Microneurosurgery IVB: Microneurosurgery of CNS Tumors Thieme New York, pp 134–165
