Orbitofrontal Approach for Resection of Tuberculum Sella Meningioma
Abstract
We demonstrate the resection of a left tuberculum sella meningioma with mass effect on the optic nerves. The patient presented with decreased visual fields in the left eye. Imaging demonstrated a dural based mass arising from the tuberculum sella/left optic canal. A pterional approach was performed and meticulous arachnoid dissection, vascular supply interruption, intralesional debulking, and extracapsular dissection was performed to achieve a gross total resection of the tuberculum sella meningioma. 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
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