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CC BY-NC-ND 4.0 · J Neurol Surg B Skull Base 2018; 79(S 03): S271-S272
DOI: 10.1055/s-0038-1624587
Skull Base: Operative Videos
Georg Thieme Verlag KG Stuttgart · New York

Endoscopic Endonasal Transplanum–Transtuberculum Sellae Approach for the Resection of a Diaphragma Sellae Meningioma

Juan M. Revuelta Barbero
1   Department of Neurological Surgery, Wexner Medical Center, The Ohio State University, Columbus, Ohio, United States
,
Alaa S. Montaser
1   Department of Neurological Surgery, Wexner Medical Center, The Ohio State University, Columbus, Ohio, United States
2   Department of Neurosurgery, Ain Shams University Faculty of Medicine, Cairo, Egypt
,
Alexandre B. Todeschini
1   Department of Neurological Surgery, Wexner Medical Center, The Ohio State University, Columbus, Ohio, United States
,
Mostafa Shahein
1   Department of Neurological Surgery, Wexner Medical Center, The Ohio State University, Columbus, Ohio, United States
,
Bradley A. Otto
1   Department of Neurological Surgery, Wexner Medical Center, The Ohio State University, Columbus, Ohio, United States
3   Department of Otolaryngology–Head and Neck Surgery, Wexner Medical Center at The Ohio State University, Columbus, Ohio, United States
,
Ricardo L. Carrau
1   Department of Neurological Surgery, Wexner Medical Center, The Ohio State University, Columbus, Ohio, United States
3   Department of Otolaryngology–Head and Neck Surgery, Wexner Medical Center at The Ohio State University, Columbus, Ohio, United States
,
Daniel M. Prevedello
1   Department of Neurological Surgery, Wexner Medical Center, The Ohio State University, Columbus, Ohio, United States
3   Department of Otolaryngology–Head and Neck Surgery, Wexner Medical Center at The Ohio State University, Columbus, Ohio, United States
› Institutsangaben Funding Source No funding was obtained for this study.
Weitere Informationen

Publikationsverlauf

15. Oktober 2017

12. Dezember 2017

Publikationsdatum:
20. Februar 2018 (online)

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Erratum zu diesem Artikel:

Erratum: Endoscopic Endonasal Transplanum–Transtuberculum Sellae Approach for the Resection of a Diaphragma Sellae MeningiomaJ Neurol Surg B Skull Base 2018; 79(S 03): e2-e2
DOI: 10.1055/s-0039-1688440

Abstract

The endoscopic endonasal approach (EEA) provides a direct access to diaphragma sellae meningiomas. We present a case of a 56-year-old-female with an incidentally diagnosed sellar/suprasellar lesion with no hormonal deficit; thus, she opted for conservative management initially. During her annual follow-up appointment with her ophthalmologist, it was noticed that the patient had right eye peripheral deficit on formal visual field testing. Magnetic resonance imaging (MRI) revealed an enlargement of the sellar/suprasellar mass, causing displacement of the optic chiasm. A transplanum–transtuberculum EEA was performed. Gross-total removal was achieved and closure was done in a multilayer fashion using a collagen matrix, nasoseptal flap. Histopathological examination confirmed a meningioma WHO grade I. There were no intra- or postoperative complications. At 4-year-follow-up, the patient has stable vision and MRI brain showed no recurrence.

The link to the video can be found at: https://youtu.be/xY8T9hotlDs.

Keywords

diaphragma sellae meningioma - endoscopic endonasal approach - expanded approaches - transplanum - transtuberculum

Financial Disclosure

Ricardo Carrau is a consultant for Medtronic. Daniel M. Prevedello is a consultant for Medtronic, Codman and Stryker. Daniel M. Prevedello has received honorarium from Leica Microsystems. Daniel M. Prevedello has a royalty agreement with KLS-Martin.