Endoscopic Transorbital Approach for a Spheno-Orbital Meningioma with Full-Length Optic Nerve Decompression
Abstract
We present the case of a 72-year-old female with retroorbital pain, proptosis, and right-sided optic neuropathy from a spheno-orbital meningioma with cavernous sinus extension, hyperostosis, and intraorbital involvement. An endoscopic transorbital approach enabled tumor and bone removal, including anterior clinoidectomy, followed by optic nerve decompression from cisternal to intraorbital segments. The patient recovered uneventfully, and at 3 months showed marked visual improvement, underscoring this approach’s ability to address the optic nerve along its full course. 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