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Published on: January 17, 2018
Contralateral supraorbital eyebrow approach for tuberculum sellae meningioma
Kuntal Kanti Das1, Kavindra Singh2, Anant Mehrotra2
1Department of Neurosurgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India. drkuntalkantidas@gmail.com.
Background:
The main challenge in tuberculum sellae meningioma (TSM) resection is the safe dissection of the optic nerves, which many a times are compressed and distorted by the tumor. While intuitive, an approach from the side of predominant tumor extension makes tumor dissection from the medial surface of the ipsilateral optic nerve rather blind. We describe here a contralateral supraorbital eyebrow approach (c-SEA) to address this "blind spot."
Method:
c-SEA was performed using a 2 × 2 cm craniotomy. The patient improved after surgery and postoperative imaging confirmed the totality of the tumor resection.
Conclusion:
c-SEA can be an excellent minimally invasive option for asymmetric TSM.
