Tuberculum sellae meningiomas. Reflections on the endoscopic endonasal approach

Authors

  • Omar López Arbolay
  • Marlon Manuel Ortiz Machín Hospital Hermanos Ameijeiras https://orcid.org/0000-0001-9483-7247
  • Alejandro Enrique Coronado Rosales
  • María del Carmen Menéndez Palacios
  • Alejandro Solernou Ferrer

Keywords:

meningioma, tuberculum sellae, endonasal endoscopic approach

Abstract

Introduction: Tuberculum sellae meningiomas account for 5%-10% of all intracranial meningiomas, but the main goal of the treatment is to decompress the optic apparatus. Objective: The objective of our work is to characterize the behavior of this entity in our hospital based on its clinical, radiological, therapeutical and evolutionary aspects.
Methods: We conducted a retrospective descriptive study of the period from January 2010 to December 2019. The surgical approach utilized on all patients was an endoscopic endonasal one, which extended to the transplanum-transtuberculum.
Results: Our sample was made up of 31 patients, 23 women and 8 men, with an average age of 57 years. The most frequent clinical alterations were asymmetrical visual disturbances and headaches. The predominant meningiomas were grade I ones, meningothelial type. We achieved a Simpson grade I resection in 77 % of the cases; 39 % of those cases improved their Karnofsky scale grading, with a disease-free lapse of 5 years in 93 % of the cases and 10 years in 90 % of them. There existed scarce complications including one death due to an extensive cerebral infarction. Conclusion: The extended endonasal endoscopic transplanum -transtuberculum approach is an effective and safe technique for patients with tuberculum sellae meningiomas requiring surgical treatment. It is valid as a surgical technique and in full development; it should be included in the skill set of the contemporary neurosurgeon.

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Author Biography

Marlon Manuel Ortiz Machín, Hospital Hermanos Ameijeiras

Especialista de 2do grado en Neurocirugía

Cirujano de Base de Cráneo

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Published

2021-05-29

How to Cite

López Arbolay, O., Ortiz Machín, M. M., Coronado Rosales, A. E., Menéndez Palacios, M. del C., & Solernou Ferrer, A. (2021). Tuberculum sellae meningiomas. Reflections on the endoscopic endonasal approach. Anales De La Academia De Ciencias De Cuba, 11(2), e946. Retrieved from https://revistaccuba.sld.cu/index.php/revacc/article/view/946

Issue

Vol. 11 No. 2 (2021): mayo-agosto

Section

Biomedical sciences

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