Suprasellar Meningiomas: The Visual Outcome | ||||
| The Medical Journal of Cairo University | ||||
| Volume 90, Issue 9, September 2022, Page 1329-1333 PDF (97.79 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/mjcu.2022.264486 | ||||
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| Authors | ||||
| AHMED ALI MOHAMED, M.D.; HASHEM ABOUL-ELA, M.D.; HUSSEIN M. SOFFAR, M.D. | ||||
| The Department of Neurosurgery, Faculty of Medicine, Bani Swef* and Cairo** Universities | ||||
| Abstract | ||||
| Abstract Background: Suprasellar meningiomas represent a unique set of surgical challenges due to their three-dimensional relationship with the optic apparatus, critical vasculature, and the pituitary stalk. These challenges are encountered with the context of a surgical goal that provides long-term tumor control, preservation or improvement of visual function and minimal morbidity. Aim of Study: In this study, we reviewed the literature retrospectively to evaluate the symptoms, clinical manifesta-tions, investigations and the surgical approach for suprasellar meningioma (SSM) to achieve the best visual outcome. Patients and Methods: This is a retrospective study of 25 cases of suprasellar meningioma, operated by trans cranial (combined pterional and sub frontal approaches) within the period between 2019 and 2022 in Bani Suef University Hos-pitals and Kasr El-Aini Hospitals. Neurological and visual examinations, radiological studies, hormonal assessment and follow-up were reviewed. Result: Our study included 9 males (36%) and 16 females (64%). The mean age was 42.28 years. The side of visual affection within the left eye was in 11 patients (44%), right eye was in 9 patients (36%) and bilateral visual affection was seen in 5 patients (20%). Hormonal profile assessment showed a decrease in T3 & T4 in 2 patients (8%), was normal in 22 patients (88%) and only one patient had a decrease of cortisol (4%). The opposite symptoms were headache in 25 cases (100%), vomiting in 5 cases (20%), and left sided weakness in 1 case (4%). Conclusion: Transcranial surgical excision through pteri-onal and/or subfrontal approaches is efficient within the management of suprasellar meningioma and is related to visual improvement and good visual outcome in most of cases with accepted percentage of postoperative complications. | ||||
| Keywords | ||||
| Supra sellar meningioma; Pterional approach; Sella; Vision | ||||
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