Microsurgery for tuberculum sellea meningiomas (report of 46 cases)
ZUO Dexian
LI Zhengyang
WU Taihua
MA Zan
LUO Siliang
DENG Shaoyong
Abstract：Objective To investigate the curative effect of microsurgery on tuberculum sellea meningiomas. Methods The clinical data of 46 patients with tuberculum sellae meningiomas, of whom, 19 underwent microsurgery via subfrontal interhemispheric fissure approach, 13 via lateral frontal approach, 9 via pterional approach and 5 via supra-orbital key hole approach, were analyzed retrospectively. The extent of tumor resection was assessed by Simpson classssification. Results Simpson grade Ⅰ resection was achieved in 32 cases, grade Ⅱ in 9 and grade Ⅲ in 5. The postoperative transient diabetes insipidus occurred in 2 patients. The postoperative cerebrospinal fluid rhinorrhea occurred in 1 patient undergoing surgery via supra-orbital approach. No patient died. All the patients were followed up from 6 to 50 months (mean, 26 months). Of 35 patients with preoperative different degrees of visual impairment, 26 had improvement of the visual power, 7 unchanged. and 2 deteriorated. The tumors recurred in 3 cases during the following up. Conclusions It is very important to choose the proper surgical approach according to the tumorous region, size and growth pattern. The intraoperative attention to protecting the important structures adjacent to the tumors is the key to improvement of the surgical effect and reducing the postoperative complications in the patients with tuberculum sellae meningiomas.
Keywords：Tuberculum sellae meningiomasMicrosurgerySurgical approachCurative effects
Publication Date：2019-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 327-329,332 )