Tuberculum Sellae Meningiomas: Transcranial Approaches Results and Complications

Kenawy, Karam; Kasim, Abdin K.; Almamoun, Momen M.

doi:10.4236/ojmn.2022.122007

Cited by 1 publication

(3 citation statements)

References 26 publications

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“…There is a broad pattern of visual deterioration, in which vision loss occurs gradually in one eye, followed gradually in the contralateral eye. The patients could also experience headaches; neurological deficits; altered behavior; or sensorium, anosmia, seizures, and endocrine disturbances [3,11,12].…”

Section: Discussionmentioning

confidence: 99%

“…The first approach is more suitable if the patient has a large tumor above 4 cm, more than half vascular encasement, severe optic canal involvement, or brain invasion, while the latter approach is more suitable for patients with milder tumors [23]. For this reason, the transcranial approach was still considered the gold standard in TSM treatment [12].…”

Section: Discussionmentioning

confidence: 99%

“…They found no seizure or hypopituitarism [29]. Kenawy et al analyzed the data of 17 post-transcranial surgery TSM patients and found 1 hematoma, 1 transient diabetes insipidus, and 1 status epilepticus resulting in death; however [12]. The mortality rate of tuberculum sellae meningioma was even more limited, but it was estimated at 0 to 67%, with a lower mortality rate achieved in recent times.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Clinical Profile of Tuberculum Sellae Meningiomas Based on Scoring System: An Institutional Experience in Indonesia

Aman,

Sitorus,

Rahman

et al. 2023

Cancers

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Tuberculum sellae meningioma (TSM) is a challenging tumor that grows close to several crucial structures, such as the optic nerve, arteries, and pituitary. Surgical treatment is currently evolving from a transcranial microsurgical resection to a transsphenoidal approach. This study examined the clinical profile of patients with tuberculum sellae meningioma and explored its relationship with scoring systems. This retrospective observational study included patients with TSM who underwent surgery at the Department of Neurosurgery at our hospital between 2017 and 2022. The patients were excluded if their data required completion. The clinical profiles of the patients were counted and transformed into a scoring system using several variables such as size, vascular, and canal invasion. We then analyzed the relationship between the clinical signs and symptoms to determine the efficacy of this scoring system. Thirty-six patients were included in the study. Most of our patients had a high score for tumor diameter, bilateral canal invasion, and vascular invasion (2-2-2). Moreover, when related to clinical signs, there was no relationship between the canal and vascular invasion and decreased visual acuity. Tuberculum sellae meningioma mostly causes visual impairment and several other symptoms, such as hemianopsia and parasellar extension. Several factors in the scoring system should also be considered to predict outcomes, such as the onset of visual symptoms, peritumoral edema, and grade of excision.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%