scholarly journals Endonasal Endoscopic Transsphenoidal Resection of Tuberculum Sella Meningioma with Anterior Cerebral Artery Encasement

Cureus ◽  
2015 ◽  
Author(s):  
Sivashanmugam Dhandapani ◽  
Hazem M Negm ◽  
Salomon Cohen ◽  
Vijay K Anand ◽  
Theodore H Schwartz
Keyword(s):  
Cerebral Artery ◽  
Anterior Cerebral Artery ◽  
Tuberculum Sella ◽  
Transsphenoidal Resection

Clinical Outcome after Endoscopic Endonasal Resection of Tuberculum Sella Meningiomas

2017 ◽  
Vol 14 (5) ◽  
pp. 494-502 ◽  
Author(s):  
Khaled Elshazly ◽  
Varun R Kshettry ◽  
Christopher J Farrell ◽  
Gurston Nyquist ◽  
Marc Rosen ◽  
...  
Keyword(s):  
Cerebral Artery ◽  
Anterior Cerebral Artery ◽  
Extent Of Resection ◽  
Limiting Factors ◽  
Optic Canal ◽  
Cerebrospinal Fluid Leakage ◽  
Subtotal Resection ◽  
Complication Rates ◽  
Endoscopic Endonasal ◽  
Tuberculum Sella

Abstract BACKGROUND In select cases, the endoscopic endonasal approach (EEA) has distinct advantages for resection of tuberculum sella meningiomas (TSM). OBJECTIVE To report the extent of resection (EOR), complication rates, and outcomes in a large series of TSM treated by the EEA. METHODS Twenty-five consecutive TSM cases treated by EEA from 2008 to 2016 were retrospectively reviewed. Patient history, imaging, volumetric EOR, complications, and outcomes are presented. RESULTS Mean patient age was 53.9 yr, with female predominance (84%). Preoperatively, 84% of patients had vision impairment and 68% had optic canal tumor invasion. The tumor was abutting or partially encasing the anterior cerebral artery in 14 (56%) and 3 (12%) patients, respectively. The supraclinoid internal carotid artery (ICA) was partially or completely encased in 4 (16%) and 4 (16%) patients, respectively. Gross total resection (GTR) was achieved in 19/25 (76%) cases. Complete ICA encasement was the most common reason for subtotal resection. Among patients without complete ICA encasement, GTR was achieved in 19/20 (95%) patients. Optic canal invasion, tumor volume, intratumoral calcifications, and partial vascular encasement were not limiting factors for GTR. Eighty-eight percent of patients with preoperative visual impairment had improvement or normalization of vision. No patient experienced permanent visual deterioration or new permanent pituitary dysfunction. Cerebrospinal fluid leakage occurred in 2 (8%) cases. CONCLUSION The EEA for resection of TSM provides high rates of GTR and visual improvement with a low rate of complications. Direct contact or partial encasement of the ICA and anterior cerebral artery does not limit the EOR.

Infraoptic Course of the Anterior Cerebral Artery: Case Report

2002 ◽  
Vol 47 (6) ◽  
pp. 565
Author(s):  
Myong Hee Seo ◽  
Ghi Jai Lee ◽  
Jae Chan Shim ◽  
O Ki Kwon ◽  
Young Cho Koh ◽  
...  
Keyword(s):  
Case Report ◽  
Cerebral Artery ◽  
Anterior Cerebral Artery

Clinical Features of Proximal Anterior Cerebral Artery Aneurysms

2011 ◽  
Vol 39 (5) ◽  
pp. 353-358
Author(s):  
Masayuki KANAMORI ◽  
Hiroki TAKAZAWA ◽  
Shingo YONEZAWA ◽  
Shunsuke OMODAKA ◽  
Tomohiro KAWAGUCHI ◽  
...  
Keyword(s):  
Clinical Features ◽  
Cerebral Artery ◽  
Anterior Cerebral Artery ◽  
Proximal Anterior Cerebral Artery

An Analysis of Proximal Anterior Cerebral Artery Aneurysms

1998 ◽  
Vol 26 (3) ◽  
pp. 164-170
Author(s):  
Masahiko WANIBUCHI ◽  
Masahito FUJISHIGE ◽  
Michio INOUE ◽  
Katsuyuki NUNOMURA ◽  
Kenichi INABA
Keyword(s):  
Cerebral Artery ◽  
Anterior Cerebral Artery ◽  
Proximal Anterior Cerebral Artery
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