我的手术方法：对视神经受压的鞍结节脑膜瘤进行手术时的视神经管减压术。
How I do it: optic canal unroofing in surgery for tuberculum sellae meningiomas with compression of the optic nerve.
作者信息
Kozák J, Bízik I, Novotný M, Klener J
机构信息
Department of Neurosurgery, Faculty of Medicine, Comenius University and University Hospital Bratislava, Limbova 5, SK-833 05, Bratislava, Slovakia.
Department of Neurosurgery, Na Homolce Hospital, Prague, Czech Republic.
出版信息
Acta Neurochir (Wien). 2022 May;164(5):1397-1400. doi: 10.1007/s00701-021-05083-9. Epub 2022 Jan 30.
BACKGROUND
Tuberculum sellae meningiomas are challenging to treat when accompanied with altered vision due to compression of the optic nerve. These tumors mostly refer to be benign; therefore, gross total removal and excellent functional recovery are desired.
METHOD
We describe the microsurgical treatment of tuberculum sellae meningioma with altered vision function on the left eye. Intradural unroofing of the optic canal with gross total resection of the tumor led to immediate excellent recovery. Intraoperative video highlights key steps of our surgical approach.
CONCLUSION
Optic canal unroofing is in our opinion safe and mandatory when treating tuberculum sellae meningiomas with compression of optic nerve.
背景
鞍结节脑膜瘤伴有因视神经受压导致的视力改变时，治疗具有挑战性。这些肿瘤大多为良性；因此，期望实现肿瘤全切并获得良好的功能恢复。
方法
我们描述了对左眼视力功能改变的鞍结节脑膜瘤进行显微手术治疗的情况。经硬膜内打开视神经管并全切肿瘤，术后视力立即得到显著恢复。术中视频突出了我们手术方法的关键步骤。
结论
我们认为，在治疗伴有视神经受压的鞍结节脑膜瘤时，打开视神经管是安全且必要的。
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