Mini Pterional Approach for Resection of Clinoidal Meningioma with Optic Nerve Sheath Involvement
Abstract
Presented is a mini-pterional approach with extradural anterior clinoidectomy for resection of clinoidal meningioma with optic nerve sheath involvement. Techniques highlighted include drilling of the sphenoid wing, optic canal, and anterior clinoid, opening of the optic nerve sheath, and dissecting the tumor circumferentially from the optic nerve and carotid artery. Gross total resection was achieved with imaging confirmed decompression. Patient had lasting visual improvement without new neurological deficits. 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
Intracranial Aneurysms: Treatment 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