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.

        · resumen en Español     · texto en Español     · Español ( pdf )