Article

Extended transsphenoidal microsurgical approach for diaphragma sellae and tuberculum meningiomas.

Department of Neurosurgery, University of Rome Tor Vergata, Rome, Italy.
min - Minimally Invasive Neurosurgery (impact factor: 0.7). 10/2009; 52(5-6):267-70. DOI:10.1055/s-0028-1104612
Source: PubMed

ABSTRACT Diaphragma sellae meningiomas represent a difficult challenge for neurosurgeons; they are generally operated on by a transcranial approach. Some authors reported transsphenoidal surgery in selected cases, but without accurately focusing the surgical technique that should be necessary for removing the typical hard fibrous tissue of the meningioma, that is not aspirable, by this approach. We present the surgical technique and the useful instrumentarium for removing a diaphragma sellae meningioma through an extended microsurgical transsphenoidal approach.

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Keywords

diaphragma sellae meningioma
 
Diaphragma sellae meningiomas
 
difficult challenge
 
extended microsurgical transsphenoidal approach
 
meningioma
 
surgical technique
 
transsphenoidal surgery
 
useful instrumentarium