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  5. Tuberculum Meningioma

Tuberculum Meningioma

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Synopsis

Our patient was a 57-year-old female with progressive visual deterioration and a complex sellar-suprasellar lesion. Dual lesions were found at surgery: tuberculum sella meningioma and a sellar Rathke's cleft cyst.


Clinical History


Pre-Operative Imaging


Discussion


Surgical Pathology


Post-Operative Course


Discussion

References

Andrews BT, Wilson CB. Suprasellar meningiomas: the effect of tumor location on postoperative visual outcome. J Neurosurg 1988;69:523-528. http://www.ncbi.nlm.nih.gov/pubmed/3418384

Fahlbusch R, Schott W. Pterional surgery of meningiomas of the tuberculum sellae and planum sphenoidale: surgical results with special consideration of ophthalmological and endocrinological outcomes. J Neurosurg 2002;96:235-243. http://www.ncbi.nlm.nih.gov/pubmed/11838796

Goel A, Muzumdar D, Desai KI. Tuberculum sellae meningioma: a report on management on the basis of a surgical experience with 70 patients. Neurosurgery 2002;51:1358-1363; discussion 1363-1354. http://www.ncbi.nlm.nih.gov/pubmed/12445340

Gokalp HZ, Arasil E, Kanpolat Y, Balim T. Meningiomas of the tuberculum sella. Neurosurg Rev 1993;16:111-114. http://www.ncbi.nlm.nih.gov/pubmed/8345903

Grisoli F, Diaz-Vasquez P, Riss M, Vincentelli F, Leclercq TA, Hassoun J, Salamon G. Microsurgical management of tuberculum sellae meningiomas. Results in 28 consecutive cases. Surg Neurol 1986;26:37-44. http://www.ncbi.nlm.nih.gov/pubmed/3715698

Laun A, Lenzen J, Hildebrandt G, Schachenmayr W. [Tuberculum sellae meningioma and hypophyseal adenoma in a woman]. Zentralbl Neurochir 1993;54:119-124. http://www.ncbi.nlm.nih.gov/pubmed/8237164

Leu CH, Hu TL, Shen CC, Wang YC. Tuberculum sellae meningiomas: clinical manifestation, radiologic diagnosis, surgery and visual outcome. Zhonghua Yi Xue Za Zhi (Taipei) 1998;61:1-7. http://www.ncbi.nlm.nih.gov/pubmed/9509685

Ohta K, Yasuo K, Morikawa M, Nagashima T, Tamaki N. Treatment of tuberculum sellae meningiomas:a long-term follow-up study. J Clin Neurosci 2001;8 Suppl 1:26-31. http://www.ncbi.nlm.nih.gov/pubmed/11386822

Puchner MJ, Fischer-Lampsatis RC, Herrmann HD, Freckmann N. Suprasellar meningiomas--neurological and visual outcome at long-term follow-up in a homogeneous series of patients treated microsurgically. Acta Neurochir (Wien) 1998;140:1231-1238. http://www.ncbi.nlm.nih.gov/pubmed/9932122

Rubin G, Ben David U, Gornish M, Rappaport ZH. Meningiomas of the anterior cranial fossa floor. Review of 67 cases. Acta Neurochir (Wien) 1994;129:26-30. http://www.ncbi.nlm.nih.gov/pubmed/7998492

Sklar EM, Schatz NJ, Glaser JS, Sternau L, Seffo F. Optic tract edema in a meningioma of the tuberculum sellae. AJNR Am J Neuroradiol 2000;21:1661-1663. http://www.ncbi.nlm.nih.gov/pubmed/11039346

Zevgaridis D, Medele RJ, Muller A, Hischa AC, Steiger HJ. Meningiomas of the sellar region presenting with visual impairment: impact of various prognostic factors on surgical outcome in 62 patients. Acta Neurochir (Wien) 2001;143:471-476. http://www.ncbi.nlm.nih.gov/pubmed/11482697

iCase of the Month also available at iTunes U

iCase of the Month also available at iTunes U

 

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