TITLE

Surgical management of tuberculum sellae meningiomas: involvement of the optic canal and visual outcome

AUTHOR(S)
Schick, U.; Hassler, W.
PUB. DATE
July 2005
SOURCE
Journal of Neurology, Neurosurgery & Psychiatry;Jul2005, Vol. 76 Issue 7, p977
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Objective: To present a large series of surgically treated tuberculum sellae meningiomas with particular regard to involvement of the optic canal and visual outcome. Methods: A retrospective analysis was done on 53 patients (40 female) with meningiomas originating from the tuberculum sellae who underwent surgery between 1991 and 2002. The standard surgical approach consisted of pterional craniotomy. Sixteen meningiomas extended posteriorly onto the diaphragma sella, 29 anteriorly to the planum sphenoidale, and 19 to the anterior clinoid process. Thirty seven tumours involved the optic canal, three bilaterally. Follow up ranged from 6 to 108 months (mean 29.9 months). Results: Total macroscopic resection was achieved in 48 patients. Median tumour size was 2.6 cm. Postoperatively, visual acuity improved in 20 patients and deteriorated in seven. Preoperative and postoperative visual acuity worsened with increasing duration of preoperative symptoms and with increasing age. Extension into the intraconal space was ,a negative predictor. However, tumour size did not influence visual acuity. Recurrence occurred in two cases (21 and 69 months postoperatively). Two patients died from causes unrelated to the tumour. Conclusions: In the majority of patients with tuberculum sellae meningiomas, total resection may be achieved through a pterional approach with minimal complications.
ACCESSION #
17541895

 

Related Articles

  • One-stage Resection for Bismuth Type IV Hilar Cholangiocarcinoma with High Hilar Resection and Parenchyma-preserving Strategies: A Cohort Study. Tan, Jing; Hu, Ben; Chu, Ya; Tan, Yun; Ji, Xu; Chen, Ke; Ding, Xiang; Zhang, Aiqun; Chen, Fei; Dong, Jia // World Journal of Surgery;Mar2013, Vol. 37 Issue 3, p614 

    Background: Bismuth type IV hilar cholangiocarcinoma (HC) tumors are usually considered unresectable. The strategies of high hilar resection while preserving liver parenchyma can achieve potentially one-stage curative resection for this condition. The aim of the present study was to investigate...

  • Collision tumors of the sella: coexistence of pituitary adenoma and craniopharyngioma in the sellar region. Guishan Jin; Shuyu Hao; Jian Xie; Ruifang Mi; Fusheng Liu // World Journal of Surgical Oncology;2013, Vol. 11 Issue 1, p1 

    Collision tumors of the sellar region are relatively uncommon and consist mainly of more than one type of pituitary adenoma or a cyst or cystic tumor. The association of a pituitary adenoma and a craniopharyngioma is particularly rare. This study describes a rare occurrence in which a pituitary...

  • Abdominal Lymphangiomas in Adults Allen, J. Geoff; Riall, Taylor Sohn; Cameron, John L.; Askin, Frederic B.; Hruban, Ralph H.; Campbell, Kurt A. // Journal of Gastrointestinal Surgery;May2006, Vol. 10 Issue 5, p746 

    Abdominal lymphangiomas are rare benign cystic tumors that can become locally invasive and often require resection. They arise in all ages and have a variable presentation. We performed a retrospective review of a single institution surgical experience with this lesion in adults. The pathology...

  • The safety and feasibility of extracorporeal high-intensity focused ultrasound (HIFU) for the treatment of liver and kidney tumours in a Western population. Illing, R. O.; Kennedy, J. E.; Wu, F.; ter Haar, G. R.; Protheroe, A. S.; Friend, P. J.; Gleeson, F. V.; Cranston, D. W.; Phillips, R. R.; Middleton, M. R. // British Journal of Cancer;10/17/2005, Vol. 93 Issue 8, p890 

    High-intensity focused ultrasound (HIFU) provides a potential noninvasive alternative to conventional therapies. We report our preliminary experience from clinical trials designed to evaluate the safety and feasibility of a novel, extracorporeal HIFU device for the treatment of liver and kidney...

  • Approaches to temporal lobe lesions: a proposal for classification. Faust, Katharina; Schmiedek, Peter; Vajkoczy, Peter // Acta Neurochirurgica;Feb2014, Vol. 156 Issue 2, p409 

    Background: Tumor surgery in the temporal region is challenging due to anatomical complexity and the versatility of surgical approaches. The aim was to categorize temporal lobe tumors based on anatomical, functional, and vascular considerations and to devise a systematic field manual of surgical...

  • Successful Gastric Submucosal Tumor Resection Using Laparoscopic and Endoscopic Cooperative Surgery. Tsujimoto, Hironori; Yaguchi, Yoshihisa; Kumano, Isao; Takahata, Risa; Ono, Satoshi; Hase, Kazuo // World Journal of Surgery;Feb2012, Vol. 36 Issue 2, p327 

    Background: Laparoscopic wedge resections are increasingly utilized to treat gastric submucosal tumors (SMTs). However, laparoscopic wedge resection is not applicable for tumors located near the gastric inlet or outlet and requires resection of relatively large sections of healthy stomach,...

  • Posterior sagittal approach for treatment of presacral masses in infancy. Celayir, Ay&dcedil;enur Cerrah; Sander, Serdar; Eliçevik, Mehmet; Ünal, Murat // Pediatric Surgery International;Mar2002, Vol. 18 Issue 2/3, p208 

    There are very few reports on the surgical management of presacral masses (PSM) via a posterior sagittal (PS) approach. Between 1994 and 2000, we followed five girls who had been operated upon for PSMs via a PS approach. The mean age was 28.8 ± 16.6 months (6–48 months). The mean...

  • Simpson grade: an opportunity to reassess the need for complete resection of meningiomas. Heald, James; Carroll, Thomas; Mair, Richard // Acta Neurochirurgica;Feb2014, Vol. 156 Issue 2, p383 

    Background: The relevance of the Simpson grading system as a predictor of meningioma progression or recurrence in modern neurosurgical practice has recently been called into question. The aim of our study was to compare the risk of progression/recurrence of tumours that had been treated with...

  • Endoscopic resection of ampullary neoplasms: a single-center experience. Min Kyu Jung; Chang Min Cho; Soo Young Park; Seong Woo Jeon; Won Young Tak; Young oh Kweon; Sung Kook Kim; Yong Hwan Choi // Surgical Endoscopy;Nov2009, Vol. 23 Issue 11, p2568 

    An ampullary tumor, whether malignant or not, must be completely resected. A benign adenoma has the potential for malignant transformation. Currently, endoscopic papillectomy with curative intent is increasingly performed for benign papillary tumors. This study aimed to evaluate the outcome of...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sign out of this library

Other Topics