Orbitofrontal Approach for Resection of Tuberculum Sella Meningioma

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Authors: Karen Salmeron-Moreno, Josephine Buclez, Felipe Marín-Navas, Chris Donghyun Kim, J. Manuel Revuelta Barbero, Travis J. Atchley, Karthik Papisetty, Thomas D. McCaffery, Hithardhi Duggireddy, Rommi Kashlan, Justin Maldonado, Jennifer Kim
+5 more Karthik Valiveti, U H Thakar, Derek Hu, Gustavo Pradilla, Tomás Garzón-Muvdi
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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