Expanded Endonasal Resection of Recurrent Spheno-Orbital-Cavernous Meningioma with Progression Post-Radiosurgery

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Authors: Lukasz Przepiorka, Muhammad Waqas, Owen Paul Treanor, Alex Fritz, Jason M. Davies, Ryan P. McSpadden, Dheerendra Prasad, Robert Alan Fenstermaker, Matthew J. Kabalan, Hanna Algattas
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Abstract

A 55-year-old female presented with progressive vision loss leading to complete blindness in the left eye, secondary to a spheno-orbital meningioma. She underwent pterional craniotomy, followed by gamma knife radiosurgery for three additional meningiomas. The spheno-orbital residual continued to progress despite additional stereotactic radiosurgery, ultimately necessitating expanded endonasal resection. The patient tolerated the procedure well with no 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 Head and Neck Surgical Oncology Pituitary Gland Disorders and Treatments

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