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Published in: Acta Neurochirurgica 10/2023

15-07-2023 | Meningioma | How I Do it

Contralateral supraorbital eyebrow approach for tuberculum sellae meningioma

Published in: Acta Neurochirurgica | Issue 10/2023

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Abstract

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.
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Metadata
Title
Contralateral supraorbital eyebrow approach for tuberculum sellae meningioma
Publication date
15-07-2023
Published in
Acta Neurochirurgica / Issue 10/2023
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-023-05714-3

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