Expanded Endoscopic Transsphenoidal Resection of Tuberculum Sella Meningioma Invading the Optic Canal

A 61-year-old male patient presented with recurrent malignant meningioma involving the left optic canal and decreased vision from the left eye. The patient had undergone orbital exenteration on the right 2 years ago. The decision to treat the patient was made based on the significant vision deterior...

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Autores principales: Klironomos, Georgios, Bruni, Margherita, Dehdashti, Amir R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Georg Thieme Verlag KG 2018
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5868909/
https://www.ncbi.nlm.nih.gov/pubmed/29588895
http://dx.doi.org/10.1055/s-0038-1625944
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author Klironomos, Georgios
Bruni, Margherita
Dehdashti, Amir R.
author_facet Klironomos, Georgios
Bruni, Margherita
Dehdashti, Amir R.
author_sort Klironomos, Georgios
collection PubMed
description A 61-year-old male patient presented with recurrent malignant meningioma involving the left optic canal and decreased vision from the left eye. The patient had undergone orbital exenteration on the right 2 years ago. The decision to treat the patient was made based on the significant vision deterioration and rapid tumor growth. Endoscopic transsphenoidal approach considered the most suitable route due to the inferomedial invasion of the optic canal. Gross total removal was achieved and the patient's vision improved postoperatively. The patient developed hydrocephalus 4 weeks postoperatively and cerebrospinal fluid (CSF) leak. Ventriculoperitoneal shunt placement corrected both hydrocephalus and CSF leak. The link to the video can be found at: https://youtu.be/2cOF0pf5gAk .
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spelling pubmed-58689092019-04-01 Expanded Endoscopic Transsphenoidal Resection of Tuberculum Sella Meningioma Invading the Optic Canal Klironomos, Georgios Bruni, Margherita Dehdashti, Amir R. J Neurol Surg B Skull Base A 61-year-old male patient presented with recurrent malignant meningioma involving the left optic canal and decreased vision from the left eye. The patient had undergone orbital exenteration on the right 2 years ago. The decision to treat the patient was made based on the significant vision deterioration and rapid tumor growth. Endoscopic transsphenoidal approach considered the most suitable route due to the inferomedial invasion of the optic canal. Gross total removal was achieved and the patient's vision improved postoperatively. The patient developed hydrocephalus 4 weeks postoperatively and cerebrospinal fluid (CSF) leak. Ventriculoperitoneal shunt placement corrected both hydrocephalus and CSF leak. The link to the video can be found at: https://youtu.be/2cOF0pf5gAk . Georg Thieme Verlag KG 2018-04 2018-02-16 /pmc/articles/PMC5868909/ /pubmed/29588895 http://dx.doi.org/10.1055/s-0038-1625944 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Klironomos, Georgios
Bruni, Margherita
Dehdashti, Amir R.
Expanded Endoscopic Transsphenoidal Resection of Tuberculum Sella Meningioma Invading the Optic Canal
title Expanded Endoscopic Transsphenoidal Resection of Tuberculum Sella Meningioma Invading the Optic Canal
title_full Expanded Endoscopic Transsphenoidal Resection of Tuberculum Sella Meningioma Invading the Optic Canal
title_fullStr Expanded Endoscopic Transsphenoidal Resection of Tuberculum Sella Meningioma Invading the Optic Canal
title_full_unstemmed Expanded Endoscopic Transsphenoidal Resection of Tuberculum Sella Meningioma Invading the Optic Canal
title_short Expanded Endoscopic Transsphenoidal Resection of Tuberculum Sella Meningioma Invading the Optic Canal
title_sort expanded endoscopic transsphenoidal resection of tuberculum sella meningioma invading the optic canal
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5868909/
https://www.ncbi.nlm.nih.gov/pubmed/29588895
http://dx.doi.org/10.1055/s-0038-1625944
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