Medial Sphenoid Wing Meningioma Resection via Modified Mini Pterional Approach
Abstract
A 45-year-old female without past medical history presented with headaches, occasional blurry vision, and focal seizures. Imaging revealed a 3.2 cm left medial sphenoid wing meningioma with invasion of the optic nerve sheath and displacement of the left optic nerve and internal carotid artery. She underwent a modified left mini pterional approach with extradural clinoidectomy for tumor resection. She remained neurologically intact postoperatively and there was no evidence of residual on 1-year follow up imaging. Publication History Article published online: 27 February 2026 © 2026. Thieme. All rights reserved. Georg Thieme Verlag KG Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany
Fields of Study & Subjects
Meningioma and schwannoma management
Neurosurgical Procedures and Complications
Head and Neck Surgical Oncology
Publication details
- Journal / source
- Journal of Neurological Surgery Part B Skull Base
- Volume
- 87
- Issue
- S 01
- Pages
- S1–S548
- Publication date
- 27 February 2026
- Language
- EN