How I do it: total resection of a giant sphenoclinoidal meningioma with normalization of near blind vision

Udom Bawornvaraporn, Ali R. Zomorodi, Allan H. Friedman, Takanori Fukushima

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Resection of giant sphenoclinoidal meningiomas (SCLM) remains difficult. We discuss a patient presenting with right eye near blindness who underwent total removal of a giant SCLM, resulting in normal vision and no recurrence. Method: Utilizing frontotemporal craniotomy, devascularization, debulking, and detachment was achieved. Microdissection of tumor off the optic nerve and carotid perforators was accomplished, resulting in total resection, visual normalization, and no deficits using efficient face-to-face microscope set-up, 2-surgeon 4-hand technique, and double bipolar-suction arrangement. Conclusion: Frontotemporal craniotomy was adequate. Preservation of the optic nerve and carotid artery is key. Meticulous microsurgical techniques and refined instruments are important for success.

Original languageEnglish
Pages (from-to)2447-2452
Number of pages6
JournalActa Neurochirurgica
Volume163
Issue number9
DOIs
StatePublished - Sep 2021
Externally publishedYes

Keywords

  • Anterior clinoid process
  • Internal carotid artery
  • Optic nerve
  • Sphenoclinoidal meningioma
  • Sphenoid ridge

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