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tuberculum sellae

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https://www.readbyqxmd.com/read/29127655/the-endoscopic-endonasal-approach-is-not-superior-to-the-microscopic-transcranial-approach-for-anterior-skull-base-meningiomas-a-meta-analysis
#1
Ivo S Muskens, Vanessa Briceno, Tom L Ouwehand, Joseph P Castlen, William B Gormley, Linda S Aglio, Amir H Zamanipoor Najafabadi, Wouter R van Furth, Timothy R Smith, Rania A Mekary, Marike L D Broekman
OBJECT: In the past decade, the endonasal transsphenoidal approach (eTSA) has become an alternative to the microsurgical transcranial approach (mTCA) for tuberculum sellae meningiomas (TSMs) and olfactory groove meningiomas (OGMs). The aim of this meta-analysis was to evaluate which approach offered the best surgical outcomes. METHODS: A systematic review of the literature from 2004 and meta-analysis were conducted in accordance with the PRISMA guidelines. Pooled incidence was calculated for gross total resection (GTR), visual improvement, cerebrospinal fluid (CSF) leak, intraoperative arterial injury, and mortality, comparing eTSA and mTCA, with p-interaction values...
November 10, 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/29040718/the-mcconnell-s-capsular-arteries-and-their-relevance-in-endoscopic-endonasal-approach-to-the-sellar-region
#2
Cristian Ferrareze Nunes, André Beer-Furlan, Francesco Doglietto, Ricardo Luis Carrau, Daniel Monte-Serrat Prevedello
BACKGROUND: The McConnell's capsular arteries (MCCA) were first described in 1953. They consist of medial branches of the cavernous internal carotid artery (ICA) and are divided in anterior and inferior capsular arteries. OBJECTIVE: To highlight the anatomy of the MCCA and its importance in the surgical treatment of tuberculum sellae and planum sphenoidale tumors through an endoscopic endonasal approach. METHODS: Ten cadaveric specimens fixed in formalin and perfused with colored silicone were dissected...
October 13, 2017: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/29040698/clinical-outcome-after-endoscopic-endonasal-resection-of-tuberculum-sella-meningiomas
#3
Khaled Elshazly, Varun R Kshettry, Christopher J Farrell, Gurston Nyquist, Marc Rosen, James J Evans
BACKGROUND: In select cases, the endoscopic endonasal approach (EEA) has distinct advantages for resection of tuberculum sella meningiomas (TSM). OBJECTIVE: To report the extent of resection (EOR), complication rates, and outcomes in a large series of TSM treated by the EEA. METHODS: Twenty-five consecutive TSM cases treated by EEA from 2008 to 2016 were retrospectively reviewed. Patient history, imaging, volumetric EOR, complications, and outcomes are presented...
October 10, 2017: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/29026671/bilateral-caudate-nucleus-infarcts-a-case-report-of-a-rare-complication-following-endoscopic-resection-of-a-tuberculum-sellae-meningioma
#4
Joel Bierer, Amparo Wolf, Donald H Lee, Brian W Rotenberg, Neil Duggal
BACKGROUND: We present a rare complication of bilateral caudate infarcts and necrosed nasoseptal flaps after endoscopic transsphenoidal resection of tuberculum sellae meningioma. This case highlights the importance of early and accurate diagnosis and treatment of a postoperative cerebrospinal fluid (CSF) leak and associated bacterial meningitis, and reviews any existing guidelines regarding its management. CASE DESCRIPTION: A 54-year-old otherwise healthy man presented with progressive bitemporal hemianopsia...
2017: Surgical Neurology International
https://www.readbyqxmd.com/read/29017976/outcomes-after-transcranial-and-endoscopic-endonasal-approach-for-tuberculum-meningiomas-a-retrospective-comparison
#5
Sang Woo Song, Yong Hwy Kim, Jin Wook Kim, Chul-Kee Park, Jung Eun Kim, Dong Gyu Kim, Young-Cho Koh, Hee-Won Jung
BACKGROUND: Degree of resection and visual outcome are the main concerns in the surgical resection of tuberculum sellae meningioma (TSM). In addition to the transcranial approach (TCA), the endoscopic endonasal approach (EEA) has been used increasingly. However, the controversy regarding the optimal surgical approach is not clearly resolved. METHODS: We compared the surgical outcomes of each approach for TSMs from 44 patients receiving EEA and 40 patients receiving TCA in 2 institutions between 2004 and 2015...
October 7, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28986226/internal-carotid-artery-and-its-relationship-with-structures-in-sellar-region-anatomy-study-and-its-clinical-applications
#6
Yishui Zhang, Wen Yang
BACKGROUND: Complications of the ICA in surgeries are rare but severe. This study aims to locate the ICA with 5 stationary bony structures in the sellar region: the anterior clinoid process (ACP), the tuberculum sellae, the bottom of the hypophyseal fossa, the posterior edge of the hypophyseal fossa and the post clinoid process and do measurements to determine their anatomic relationship with the ICA. METHODS: After multiple planar reconstructions on computer tomographic angiography images of 120 ICA in 60 individuals, we defined the 5 bony structures as 5 origins in horizontal, sagittal and vertical planes with the 3D coordinate system and got the cross-sections of bilateral ICA on the coronal plane passing through each origin...
October 3, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28967318/extended-endoscopic-endonasal-approach-for-resection-of-tuberculum-sellae-meningioma
#7
Gabriel Zada, Vance L Fredrickson, Bozena B Wrobel
Meningiomas are the most prevalent primary intracranial tumor, with 3%-10% arising from the tuberculum sellae. Optimal management consists of total microsurgical resection with preservation of surrounding structures. The authors present a 64-year-old woman with progressive bilateral vision loss, including visual acuity deficits and bitemporal hemianopsia. MRI revealed a 2-cm tuberculum sellae meningioma causing optic apparatus compression. An extended endoscopic endonasal transtuberculum approach was utilized for gross-total resection, including microdissection of tumor from the optic chiasm and infundibulum...
October 2017: Neurosurgical Focus
https://www.readbyqxmd.com/read/28967307/introduction-surgical-management-of-skull-base-meningiomas
#8
Gabriel Zada, Mustafa K Başkaya, Mitesh V Shah
Meningiomas represent the most common primary intracranial neoplasm treated by neurosurgeons. Although multimodal treatment of meningiomas includes surgery, radiation-based treatments, and occasionally medical therapy, surgery remains the mainstay of treatment for most symptomatic meningiomas. Because of the intricate relationship of the dura mater and arachnoid mater with the central nervous system and cranial nerves, meningiomas can arise anywhere along the skull base or convexities, and occasionally even within the ventricular system, thereby mandating a catalog of surgical approaches that neurosurgeons may employ to individualize treatment for patients...
October 2017: Neurosurgical Focus
https://www.readbyqxmd.com/read/28967305/orbitozygomatic-craniotomy-and-trans-sylvian-approach-for-resection-of-a-tuberculum-sella-meningioma-with-extension-to-the-posterior-fossa
#9
Georgios Klironomos, Amir R Dehdashti
Tuberculum sella meningiomas can be approached through lateral approaches including pterional/orbitozygomatic craniotomies, frontobasal craniotomy, or through expanded endoscopic transsphenoidal approaches. The authors present the case of a 60-year-old male who presented with bitemporal hemianopia and significant right-side visual acuity compromise due to a large tuberculum sella meningioma. The tumor had an important extension to the posterior fossa. A right orbitozygomatic trans-sylvian approach was deemed most suitable to tackle the posterior extension of the tumor...
October 2017: Neurosurgical Focus
https://www.readbyqxmd.com/read/28959875/postoperative-cerebrospinal-fluid-rhinorrhea-in-puerperal-women-following-transcranial-resection-of-tuberculum-sella-meningiomas
#10
Ben Shofty, Lior Gonen, Sarit Avraham, Avraham Abergel, Daniel Umansky, Nevo Margalit
No abstract text is available yet for this article.
September 28, 2017: Journal of Neurosurgical Sciences
https://www.readbyqxmd.com/read/28958924/moyamoya-disease-associated-with-tuberculum-sellae-meningioma-and-cavernous-sinus-hemangioma-case-report
#11
Feng Xu, Hailiang Tang, Ji Xiong, Xiaoxia Liu
BACKGROUND: Primary moyamoya disease associated with skull base tumors has been rarely reported in the literature. Surgical treatment can be complicated due to the compensatory collateral circulation through meningeal and leptomeningeal anastomosis. The standard frontotemporal craniotomy may interrupt critical transdural anastomoses. CASE DESCRIPTION: We reported a case of primary moyamoya disease coexisting with tuberculum sellae meningioma and left cavernous sinus hemangioma...
September 25, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28951179/clinical-outcomes-with-transcranial-resection-of-tuberculum-sellae-meningioma
#12
Michael Karsy, Amol Raheja, Ilyas Eli, Jian Guan, William T Couldwell
OBJECTIVE: The tuberculum sellae is a relatively common location for meningiomas. We assessed our experience with the use of the transcranial resection, which, while criticized for its more invasive nature compared with endonasal approaches, may be the ideal approach in selected patients with tuberculum sellae meningiomas (TSMs). METHODS: We retrospectively reviewed the charts of patients with TSMs that were treated by frontotemporal or bifrontal open cranial resection...
September 22, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28845039/preoperative-and-postoperative-pituitary-function-in-patients-with-tuberculum-sellae-meningioma-based-on-pituitary-provocation-tests
#13
Shingo Fujio, Hirofumi Hirano, Mami Yamashita, Satoshi Usui, Yasuyuki Kinoshita, Atsushi Tominaga, Tomoko Hanada, Hitoshi Yamahata, Hiroshi Tokimura, Ryosuke Hanaya, Kaoru Kurisu, Kazunori Arita
Given the anatomical proximity of tuberculum sellae meningioma (TSM) to the hypothalamo-pituitary system, pituitary function impairments are of great concern. We retrospectively investigated pituitary function changes following surgery in patients with TSM using pituitary provocation tests (PPTs). Thirty-one patients (27 females and 4 males) with TSM underwent initial transcranial surgery (29 patients) or transsphenoidal surgery (two patients); surgeries were performed carefully to avoid injuring the pituitary stalk...
October 15, 2017: Neurologia Medico-chirurgica
https://www.readbyqxmd.com/read/28735137/endonasal-operative-corridor-expansion-by-sphenoidal-pneumosinus-dilatans-in-tuberculum-sellae-meningiomas
#14
Amol Raheja, Michael Karsy, Ilyas Eli, Jian Guan, William T Couldwell
BACKGROUND: A retrospective cohort study of patients with tuberculum sellae meningioma (TSM)-associated sphenoidal pneumosinus dilatans (PSD) over a recent epoch was evaluated using a propensity-matched morphometric analysis. METHODS: A total of 38 patients with TSM and sphenoidal PSD were identified and matched by age and sex to 32 patients without tumors (controls). RESULTS: Overall, no significant difference between test and control groups was noted in sphenoid sinus size or other parameters; however, significantly greater mean distances from the posterior margin of the planum sphenoidale to the diaphragma sella (0...
October 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28716673/application-of-3-dimensional-computerized-tomography-angiography-for-defining-cavernous-sinus-aneurysms-and-intradural-aneurysms-involving-the-internal-carotid-artery-around-the-anterior-clinoid-process
#15
Quan Cheng, Chun-Bo Huang, Jun-Yu Wang, Bing Jiang, Long-Bo Zhang, Ming Zeng, Yuan-Bing Chen, Hong-Fu Zhang, Feng-Hua Chen
OBJECTIVE: This study aimed to investigate the application of 3-dimensional computed tomography angiography (3D-CTA) for defining cavernous sinus aneurysms and intradural aneurysms involving the internal carotid artery around the anterior clinoid process. METHODS: Results from 42 patients with an aneurysm of the internal carotid artery around the anterior clinoid process who underwent 3D-CTA were reviewed and compared with those of observed clinical operations. RESULTS: Among the 42 patients, there was a total of 45 aneurysms of the internal carotid artery around the anterior clinoid process...
October 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28541579/tailored-extended-bifrontal-craniotomy-for-anterior-skull-base-tumors-anatomic-description-of-a-modified-surgical-technique-and-case-series
#16
Michael M Safaee, Michael W McDermott, Arnau Benet, Philip V Theodosopoulos
BACKGROUND: Open transcranial approaches to the anterior skull base remain an integral component of current skull base practice. Evolution of these and other techniques has resulted in revisions of standard, tried-and-true methods in attempts to improve patient outcomes and cosmesis, while still providing the best combination of surgical exposure and ergonomics. OBJECTIVE: To describe a modified approach for midline tumors of the anterior skull base. METHODS: We describe the anatomy and techniques of a modified extended bifrontal craniotomy for anterior skull base tumors...
May 24, 2017: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/28512043/endoscopic-assisted-supraorbital-keyhole-approach-or-endoscopic-endonasal-approach-in-cases-of-tuberculum-sellae-meningioma-which-surgical-route-should-be-favored
#17
COMPARATIVE STUDY
Stefan Linsler, Gerrit Fischer, Volodymyr Skliarenko, Axel Stadie, Joachim Oertel
OBJECTIVE: Keyhole approaches are under investigation for skull base tumor surgery. They are expected to have a low complication rate with the same successful resection rate compared with endoscopic endonasal procedures. In this study, we compare our current series of tuberculum sellae meningiomas resected via an endoscopic endonasal or microsurgical supraorbital keyhole approach. METHODS: Between 2011 and 2016, 16 patients were treated using the supraorbital keyhole procedure and 6 patients received an endoscopic endonasal procedure...
August 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28488626/surgery-for-superior-hypophyseal-artery-aneurysms-a-new-classification-and-surgical-considerations
#18
Chaitanya Godbole, Sanjay Behari, Kamlesh K Bhaisora, Jayesh Sardhara, Arun Srivastava, Anant Mehrotra, Kuntal Kanti Das, Raj Kumar, Awadhesh K Jaiswal
BACKGROUND: Superior hypophyseal artery (SHA) aneurysms form a unique subgroup of paraclinoid aneurysms having a propensity to grow to a large size in the suprasellar region resulting in compression of the optic nerve, chiasma, and/or tract. AIM: A new classification of SHA aneurysms is proposed that helps in identifying the surgical issues encountered during surgical clipping of these medially directed aneurysms located at different segments of the medial surface of the internal carotid artery (ICA)...
May 2017: Neurology India
https://www.readbyqxmd.com/read/28480114/neurosurgery-concepts-key-perspectives-on-endoscopic-versus-microscopic-resection-for-pituitary-adenomas-surgical-decision-making-in-tuberculum-sellae-meningiomas-optic-nerve-mobilization-during-resection-of-craniopharyngiomas-and-evaluation-of-headache-and
#19
Anand V Germanwala, Ryan Hofler, Carlito Lagman, Lawrance K Chung, Alexander A Khalessi, Gabriel Zada, Zachary A Smith, Nader S Dahdaleh, Angela M Bohnen, Jin M Cho, Chaim B Colen, Edward Duckworth, Peter Kan, Sandi Lam, Chae-Yong Kim, Gordon Li, Michael Lim, Jonathan H Sherman, Vincent Y Wang, Isaac Yang
No abstract text is available yet for this article.
2017: Surgical Neurology International
https://www.readbyqxmd.com/read/28392496/preoperative-evaluation-of-the-interface-between-tuberculum-sellae-meningioma-and-the-optic-nerves-on-fast-imaging-with-steady-state-acquisition-for-extended-endoscopic-endonasal-transsphenoidal-surgery
#20
Yasuhiko Hayashi, Daisuke Kita, Issei Fukui, Yasuo Sasagawa, Masahiro Oishi, Osamu Tachibana, Fumiaki Ueda, Mitsutoshi Nakada
INTRODUCTION: Endoscopic endonasal transsphenoidal surgery (EETS) is increasingly applied to treat tuberculum sellae meningiomas. However, if the tumor adheres firmly to the optic nerve, dissection of the interface between both structures should be prudent to preserve visual function. The purpose of this study was to investigate whether tumor adhesion to the optic nerve can be predicted preoperatively by fast imaging with steady-state acquisition (FIESTA). METHODS: Twenty-two patients with tuberculum sellae meningioma treated with EETS were retrospectively identified...
July 2017: World Neurosurgery
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