Document Detail


Surgical management of tuberculum sellae meningiomas: involvement of the optic canal and visual outcome.
MedLine Citation:
PMID:  15965205     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To present a large series of surgically treated tuberculum sellae meningiomas with particular regard to involvement of the optic canal and visual outcome. METHODS: A retrospective analysis was done on 53 patients (40 female) with meningiomas originating from the tuberculum sellae who underwent surgery between 1991 and 2002. The standard surgical approach consisted of pterional craniotomy. Sixteen meningiomas extended posteriorly onto the diaphragma sella, 29 anteriorly to the planum sphenoidale, and 19 to the anterior clinoid process. Thirty seven tumours involved the optic canal, three bilaterally. Follow up ranged from 6 to 108 months (mean 29.9 months). RESULTS: Total macroscopic resection was achieved in 48 patients. Median tumour size was 2.6 cm. Postoperatively, visual acuity improved in 20 patients and deteriorated in seven. Preoperative and postoperative visual acuity worsened with increasing duration of preoperative symptoms and with increasing age. Extension into the intraconal space was a negative predictor. However, tumour size did not influence visual acuity. Recurrence occurred in two cases (21 and 69 months postoperatively). Two patients died from causes unrelated to the tumour. CONCLUSIONS: In the majority of patients with tuberculum sellae meningiomas, total resection may be achieved through a pterional approach with minimal complications.
Authors:
U Schick; W Hassler
Related Documents :
22024085 - Reliability of continuous suture of pancreaticojejunostomy after pancreaticoduodenectomy.
1689195 - The surgical management of intracranial tumours.
494965 - Carcinoma of meckel's diverticulum.
3701355 - Distant extradural haematoma complicating removal of frontal tumours.
22820935 - Standards of outcome reporting in surgical oncology: a case study in esophageal cancer.
5070705 - Peritonitis from starch glove powder.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of neurology, neurosurgery, and psychiatry     Volume:  76     ISSN:  0022-3050     ISO Abbreviation:  J. Neurol. Neurosurg. Psychiatr.     Publication Date:  2005 Jul 
Date Detail:
Created Date:  2005-06-20     Completed Date:  2005-07-19     Revised Date:  2010-09-20    
Medline Journal Info:
Nlm Unique ID:  2985191R     Medline TA:  J Neurol Neurosurg Psychiatry     Country:  England    
Other Details:
Languages:  eng     Pagination:  977-83     Citation Subset:  IM    
Affiliation:
Clinic of Neurological Surgery, Wedau Kliniken, Zu den Rehwiesen 9, 47055 Duisburg, Germany. Uta_Schick@web.de
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Cohort Studies
Cranial Fossa, Posterior / surgery
Craniotomy / methods*
Female
Follow-Up Studies
Humans
Magnetic Resonance Imaging
Male
Meningeal Neoplasms / diagnosis,  surgery*
Meningioma / diagnosis,  surgery*
Middle Aged
Neoplasm Recurrence, Local / diagnosis,  surgery
Nerve Compression Syndromes / diagnosis,  surgery*
Optic Chiasm / pathology,  surgery*
Optic Nerve Diseases / diagnosis,  surgery*
Postoperative Complications / diagnosis,  etiology*
Prognosis
Reoperation
Sella Turcica / surgery
Skull Base / pathology,  surgery
Skull Base Neoplasms / diagnosis,  surgery*
Sphenoid Bone / surgery
Tomography, X-Ray Computed
Vision Disorders / diagnosis,  etiology*
Visual Acuity
Visual Fields
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Lateral transmuscular or combined interlaminar/paraisthmic approach to lateral lumbar disc herniatio...
Next Document:  Traumatic brain injury and grey matter concentration: a preliminary voxel based morphometry study.