Endoscopic Endonasal Resection of a Tubercullum Sellae Meningioma with Severe Optic Nerve Flattening

Journal of Neurological Surgery Part B Skull Base 2026

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Authors: Erik Burgos-Sosa, Yuanzhi Xu, Hongwei Yu, Vera Vigo, Matei A. Banu, Collin Liu, Michael T. Chang, Juan Carlos Fernandez-Miranda
DOI: 10.1055/s-0046-1819462
Cited by: 0

Abstract

We present a 54-year-old female with severe visual deficit from a tuberculum sellae meningioma. This case highlights meticulous endoscopic microsurgical techniques for resection of a tumor severely adherent to a flattened optic nerve, superior hypophyseal arteries, and the anterior communicating artery complex. Sharp dissection allowed maximal safe tumor removal while preserving critical neurovascular structures, demonstrating the efficacy of advanced endoscopic approaches for complex anterior skull base tumors. 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