How I do it: contralateral supraorbital approach for tuberculum sellae meningioma

Authors

I. Peto
T. G. White, Northwell Health
A. R. Dehdashti, Zucker School of Medicine at Hofstra/Northwell

Publication Date

2020

Journal Title

Acta Neurochir

Abstract

© 2020, Springer-Verlag GmbH Austria, part of Springer Nature. Background: The resection of tuberculum sellae meningiomas poses a challenge particularly when dealing with the medial aspect of the optic nerve. Dissection of the tumor off the optic nerve is usually carried out in the blind spot “behind” the optic nerve. We describe a contralateral approach for asymmetric tuberculum sellae meningiomas, allowing direct visualization of the medial optic nerve. Method: Contralateral lateral supraorbital approach was performed, and complete tumor resection was achieved without any injury to the optic nerve. Conclusion: The contralateral approach for asymmetric tuberculum sellae meningioma is an efficient technique allowing improved visualization of the medial optic nerve.

Volume Number

162

Issue Number

3

Pages

613 - 616

Document Type

Article

Status

Faculty, Northwell Resident

Facility

School of Medicine; Northwell Health

Primary Department

Neurosurgery

Additional Departments

Otolaryngology

PMID

31900657

DOI

10.1007/s00701-019-04205-8