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Published on: January 17, 2018
How I do it: endoscopic endonasal resection of tuberculum sellae meningioma
Markus Wiedmann1, Aslan Lashkarivand1,2, Jon Berg-Johnsen1,2
1Department of Neurosurgery, Oslo University Hospital, PO box 4950 Nydalen, 0424, Oslo, Norway.
Background:
Tuberculum sellae meningiomas (TSMs) adherent to neurovascular structures are particularly challenging lesions requiring delicate and precise microneurosurgery. There is an ongoing debate about the optimal surgical approach.
Method:
We describe technical nuances and challenges in TSM resection using the endoscopic endonasal approach (EEA) in two cases of fibrous tumors with adherence to neurovascular structures. The cases are illustrated with a video (case 1) and figures (cases 1 and 2).
Conclusion:
A dedicated team approach and precise microsurgical technique facilitate safe resection of complex TSMs through the EEA.
