Combined Expanded Endoscopic Endonasal (EEA) and Transorbital One-Piece Fronto-Orbital Craniotomy for 360-Degree Decompression of Optic Nerve in a Patient with A Large Multicompartmental Meningioma
Abstract
A 45-year-old man presented with right vision-loss from a large multicompartmental tentorial incisura meningioma. A two-stage approach was selected including expanded endoscopic endonasal for medial optic nerve and infra-chiasmatic decompression (stage-1) followed by extended orbito-zygomatic and anterior clinoidectomy (stage-2) to complete the decompression of the ipsilateral optic nerve and optic chiasm. The aim was for symptomatic management and optimal long-term outcome achieving post-operatively improvement of the vision. 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