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Chinese Journal of Brain Diseases and Rehabilitation(Electronic Edition) ›› 2020, Vol. 10 ›› Issue (02): 114-119. doi: 10.3877/cma.j.issn.2095-123X.2020.02.011

Special Issue:

• Review • Previous Articles     Next Articles

Selection principle of surgical approach for tuberculum sellae meningioma

Lihua Chen1, Wenjin Chen1, Kai Sun1, Hongtian Zhang1, Ruxiang Xu1,()   

  1. 1. Department of Neurosurgery, Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, University of Electronic Science and Technology of China, Chengdu 610072, China
  • Received:2019-11-19 Online:2020-04-15 Published:2020-04-15
  • Contact: Ruxiang Xu

Abstract:

The optimal treatment for tuberculum sellae meningioma (TSMs) is to remove the tumor completely and maximize the protection of visual function. Reasonable selection of surgical approach is the key to successful and safe resection of TSMs. Based on the purpose and indications of TSMs, this review discusses the criteria and requirements for the selection of surgical approaches for TSMs, the relationship between surgical approaches and total tumor resection and postoperative vision improvement, and the adaptation of transcranial and transsphenoidal approaches, so as to guide clinicians to choose the best surgical path more accurately.

Key words: Tuberculum sellae meningioma, Transcranial approach, Transsphenoidal approach, Visual function

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