Tuberculum Sellae Meningiomas: Evolving Surgical Strategies

Tuberculum sella meningiomas represent a unique set of surgical challenges due to their three-dimensional relationship with the optic apparatus, critical vasculature, and the pituitary stalk. These challenges are encountered with the context of a surgical goal that provides long-term tumor control,...

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Bibliographic Details
Published in:Current surgery reports (Philadelphia, PA) PA), 2014-11, Vol.2 (11), Article 73
Main Authors: Raza, Shaan M., Effendi, Sabih T., DeMonte, Franco
Format: Article
Language:English
Subjects:
Brain Tumor Surgery
Brain Tumor Surgery (M. Lim
Medicine
Medicine & Public Health
Section Editor
Surgery
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Summary:Tuberculum sella meningiomas represent a unique set of surgical challenges due to their three-dimensional relationship with the optic apparatus, critical vasculature, and the pituitary stalk. These challenges are encountered with the context of a surgical goal that provides long-term tumor control, preservation or improvement of visual function and minimal morbidity. Advancements in skull base surgery with improvements in transcranial (TCR) approaches and endoscopic endonasal approaches have added to the surgical strategies available. We review the modern literature and compare techniques and their outcomes in an effort to determine the relative merits and indications of TCR and endoscopic endonasal approaches in the management of this set of tumors.
ISSN:2167-4817
2167-4817
DOI:10.1007/s40137-014-0073-y