Do Not Give Up on Ossified Tuberculum Sellae Meningioma – Vision Restored
Carlos Candanedo, Moshe Attia
- Neurosurgery, Hadassah-Hebrew University Medical Center, Jerusalem, ISR
- Neurosurgery, Sheba Medical Center, Tel Aviv, ISR
Corresponding author: Moshe Attia, moshe.attia24@gmail.com
Abstract
This case report accompanies a video of the treatment of a Tuberculum Sellae Meningioma (TSM) in a woman who presented with left eye near-blindness. The senior author performed the operation via a pterional retractorless approach, and the patient made a full recovery.
This case report discusses the unique anatomy of the conchal sphenoid sinus, ossified TSM with a very calcified consistency, and retractorless brain microsurgery. The resection of ossified TSM is still safe and viable with adequate microsurgical techniques and skull base instruments without compromising the neurovascular structures, and with good neurological and visual outcomes for the patient.
