title: Tuberculum sella meningioma.
abstract: Tuberculum sellae (TS) meningiomas represent a distinct subgroup of anterior cranial fossa meningiomas with distinctive features. Early visual deterioration with optic canal infiltration occurs because of the site of dural origin. The expanded endonasal transsphenoidal approach and the eyebrow supraorbital craniotomy have been advocated as minimally invasive techniques for TS meningiomas. The authors review the current literature on minimally invasive techniques for TS meningiomas to define visual outcomes, extent of resection, and operative morbidity associated with each approach and highlight pertinent features of individual tumors, which favor either a cranial or an endonasal approach to achieve optimal outcomes.
authors.affiliation: The Centre for Minimally Invasive Neurosurgery, Suite 3, Level 7, Prince of Wales Private Hospital, Randwick, NSW 2031, Australia.
authors.forename: Caroline
authors.initials: C
authors.lastname: Hayhurst
authors.forename: Charles
authors.initials: C
authors.lastname: Teo
mesh_terms: D003399:Craniotomy / Q000009:adverse effects / Q000379:methods; D004724:Endoscopy / Q000009:adverse effects / Q000379:methods; D006801:Humans; D008577:Meningeal Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery*; D008579:Meningioma / Q000150:complications / Q000473:pathology / Q000601:surgery*; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects / Q000379:methods; D009900:Optic Nerve / Q000473:pathology; D018579:Patient Selection; D011183:Postoperative Complications / Q000517:prevention & control*; D018570:Risk Assessment; D012658:Sella Turcica / Q000473:pathology; D016896:Treatment Outcome; D014786:Vision Disorders / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology; D014792:Visual Acuity