Rustemi Oriela, Scienza Renato, Della Puppa Alessandro
Department of Neurosurgery, Padua University Hospital, Padua, Italy.
J Neurol Surg B Skull Base. 2018 Feb;79(2):S225-S226. doi: 10.1055/s-0037-1620245. Epub 2018 Jan 15.
Tuberculum sellae meningioma remains a surgical challenge. Deep location of tumor, vascular and nerve encasement, and pituitary stalk involvement are the main technical issues. The frontopterional approach represents a natural, simple, and elegant approach to this area enabling surgeon to have a direct control on all anatomical structures. A 42-year-old woman was referred with a delayed diagnosis of tuberculum sellae meningioma due to the presence of HLA-B27-associated uveitis. She presented with 1/10 visual acuity in the left eye and no right visual function. A left frontopterional craniotomy was performed. Visual function improved postoperatively. The video illustrates the cisternal anatomy via pterional approach. The link to the video can be found at: https://youtu.be/Hmbf5bt7A64 .
鞍结节脑膜瘤仍然是一个手术挑战。肿瘤位置深、血管和神经包绕以及垂体柄受累是主要的技术难题。翼点入路是处理该区域的一种自然、简单且精巧的入路，使外科医生能够直接控制所有解剖结构。一名42岁女性因患有HLA - B27相关性葡萄膜炎而被延迟诊断为鞍结节脑膜瘤。她左眼视力为1/10，右眼无视觉功能。实施了左侧翼点开颅手术。术后视觉功能得到改善。该视频通过翼点入路展示了脑池解剖结构。视频链接可在：https://youtu.be/Hmbf5bt7A64 找到。
