How I do it: anterior interhemispheric approach to tuberculum sellae meningiomas

2021 ◽  
Author(s):  
Michaël Bruneau ◽  
Flavie Grenier-Chantrand ◽  
Matteo Riva
Keyword(s):  
Interhemispheric Approach ◽  
Anterior Interhemispheric Approach ◽  
Tuberculum Sellae

scholarly journals Anterior Interhemispheric Approach for Tuberculum Sellae Meningioma

2011 ◽  
Vol 68 (suppl_1) ◽  
pp. ons84-ons89 ◽  
Author(s):  
Shunsuke Terasaka ◽  
Katsuyuki Asaoka ◽  
Hiroyuki Kobayashi ◽  
Shigeru Yamaguchi
Keyword(s):  
Visual Outcome ◽  
Visual Field Defects ◽  
Preoperative Period ◽  
Tuberculum Sellae Meningioma ◽  
Interhemispheric Approach ◽  
Visual Status ◽  
Number Of Patients ◽  
Impairment Score ◽  
Anterior Interhemispheric Approach ◽  
Tuberculum Sellae

Abstract BACKGROUND: The tuberculum sellae meningioma (TSM) arises from the tuberculum sellae, chiasmatic sulcus, and limbus sphenoidale. OBJECTIVE: To retrospectively analyze patients with TSM who underwent surgery via an anterior interhemispheric approach, with special attention to visual outcomes. METHODS: Nine consecutive patients between April 2004 and December 2009 were examined. Visual impairment score (VIS) was used to analyze the visual status of the patients. A VIS is the sum of the scores in specific tables for visual acuity and visual field defects. Visual status was sequentially evaluated in the preoperative period and within 2 weeks of the operation. Any change in the VIS was considered an improvement or deterioration of visual function. All tumors were removed via an anterior interhemispheric approach. Following the wide dissection of the interhemispheric fissure, the tumor was first detached from its origin and debulked with the ultrasonic aspirator starting at the midline. The debulking continued until the arachnoid plane separating the nerve and tumor was visualized. RESULTS: Gross total resection (Simpson I + II) was achieved in all 9 patients. The average VIS was 56.1 in the preoperative period and 26.3 in the postoperative period. Among 9 patients, 8 patients had an improvement of the VIS after surgery. VIS was unchanged in 1 patient, and no patients experienced visual deterioration. Other nonvisual complications, such as rhinoliquorrhea, venous infarction, and permanent anosmia, occurred in 3 patients. CONCLUSION: Despite the small number of patients, a high resection rate and favorable visual outcome support the suitability of this approach for resection of TSM.

scholarly journals Microsurgical Anatomy of the Superficial Cortical Veins of the Frontal Lobe in Anterior Interhemispheric Approach(Interhemispheric Approach)

1992 ◽  
Vol 1 (3) ◽  
pp. 201-206
Author(s):  
Kazunari Oka ◽  
Fumiaki Maehara ◽  
Masaaki Yamamoto ◽  
Hideo Kimura ◽  
Masamichi Tomonaga ◽  
...  
Keyword(s):  
Frontal Lobe ◽  
Microsurgical Anatomy ◽  
Interhemispheric Approach ◽  
Anterior Interhemispheric Approach

Distal anterior cerebral artery aneurysms: bifrontal basal anterior interhemispheric approach

2005 ◽  
Vol 64 (4) ◽  
pp. 315-319 ◽  
Author(s):  
Rajesh Chhabra ◽  
Sunil K. Gupta ◽  
Sandeep Mohindra ◽  
Kanchan Mukherjee ◽  
Rajeev Bapuraj ◽  
...  
Keyword(s):  
Cerebral Artery ◽  
Anterior Cerebral Artery ◽  
Interhemispheric Approach ◽  
Anterior Interhemispheric Approach ◽  
Distal Anterior Cerebral Artery

scholarly journals Anterior interhemispheric approach for anterior fossa dural arteriovenous fistulas

2021 ◽  
Author(s):  
Etienne Lefevre ◽  
Stéphanie Lenck ◽  
Soledad Navarro ◽  
Stephane Clemenceau ◽  
Anne-Laure Boch ◽  
...  
Keyword(s):  
Arteriovenous Fistulas ◽  
Interhemispheric Approach ◽  
Anterior Interhemispheric Approach ◽  
Dural Arteriovenous Fistulas ◽  
Anterior Fossa

scholarly journals Contralateral Transfalcine Versus Ipsilateral Anterior Interhemispheric Approach for Midline Arteriovenous Malformations: Surgical and Anatomical Assessment

2018 ◽  
Vol 119 ◽  
pp. e1041-e1051 ◽  
Author(s):  
Sergio García-García ◽  
José Juan González-Sánchez ◽  
Sirin Gandhi ◽  
Halima Tabani ◽  
Ali Tayebi Meybodi ◽  
...  
Keyword(s):  
Arteriovenous Malformations ◽  
Interhemispheric Approach ◽  
Anterior Interhemispheric Approach
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