Pterional Approach for A Tuberculum Sellae Meningioma: A Case Report
Duniel Abreu Casas¹, Orestes Ramón López Piloto2, Bianchy González Pérez3*, Yurledys Jhohana Linares Benavides4, Moises Banks Díaz5, Gustavo Guerrero Guerrero6, Oscar Estrada Camacho7, Claudia La O Cruz8 and Abdul-Aziz Mahama9
¹ Second Degree Specialist in Neurosurgery, Professor and Assistant Researcher, Institute of Neurology and Neurosurgery (INN), Havana Cuba.
2 Second Degree Specialist in Neurosurgery, Professor and Assistant Researcher, Institute of Neurology and Neurosurgery (INN), Havana Cuba.
3 Fourth year resident of Neurosurgery, Institute of Neurology and Neurosurgery (INN), Havana Cuba.
4 Fourth year resident of Neurosurgery, Institute of Neurology and Neurosurgery (INN), Havana Cuba. 5 Fourth year resident of Neurosurgery, Institute of Neurology and Neurosurgery (INN), Havana Cuba.
6 Third year resident of Neurosurgery, Institute of Neurology and Neurosurgery (INN), Havana Cuba.
7 Third year resident of Neurosurgery, Institute of Neurology and Neurosurgery (INN), Havana Cuba.
8 Second year resident of Neurosurgery, Institute of Neurology and Neurosurgery (INN), Havana Cuba.
9 Fourth year resident of Neurosurgery, Institute of Neurology and Neurosurgery (INN), Havana Cuba.
*Corresponding Author: Bianchy González Pérez, Fourth year resident of Neurosurgery, Institute of Neurology and Neurosurgery (INN), Havana Cuba, Email: bianchy.gp22@hotmail.com.
DOI: https://doi.org/10.58624/SVOANE.2023.04.086
Received: February 24, 2023 Published: March 28, 2023
Abstract
The tuberculum sellae meningiomas represent between 5-10% of intracranial meningiomas, most frequently between the 5th and 6th decade of life. Bitemporal hemianopia, associated with optic atrophy, represents the most frequently found clinic symptoms. Treatment is usually surgical resection of the tumor either by transcranial or endoscopic endonasal approach. A case of a 44-year-old female patient who presented with a clinical symptoms of 5 months duration, characterized by progressive visual disorder caused by blurred vision on the left eye, associated with low-grade frontal headache, with simple cranial MRI study with evidence of T1 hyperintense lesion in the sellar region with an apparent dural tail that sits at the level of the sellar tubercle, and moves towards the posterior pituitary gland and pituitary stalk.
Keywords: Meningioma, tuberculum sellae, pterional craniotomy, Transylvian corridor.
Citation: Casas DA, Piloto ORL, Perez BG, Benavides YJL, Díaz MB, Guerrero GG, Camacho OE, O Cruz CL, Mahama AA. Pterional Approach for A Tuberculum Sellae Meningioma: A Case Report. SVOA Neurology 2023, 4:2, 24-28.
