Visual Prognosis and Surgery in Tuberculum Sellaemeningiomas
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 1
Abstract
They are benign tumors of which surgical excision should be total so as to avoid recurrences. The operative difficulties rests in the lose relationship between the tumors and major arteries of the anterior part of the circle of Willis in one part and with the optic pathways and the pituitary stalk in the other part. Clinical symptoms are dominated by the optochiasmatic syndrome with visual disturbances in 95 % of patients. We report a series of 64 cases , who have been operated on at Ali Ait Idir Hospital in Algiers, during a period of 10 years. = 62 patients have been operated on by transcranial approach: Unilateral Subfrontal approach in 15 cases Fronto temporal approach in 35 cases ; Subfrontal with supra orbital incision in 12 cases =One patient has been operated on by endoscopic transsphenoidal approach =One patient operated on by endoscopic Transplanum approach Two patients died following an injury of the ICA Post-operative morbidity consisted of: transient diabetes insipidus which ceased within 4 days. Transient Hemiparesis with fronto temporal infarction and CSF fistula in one patient. Surgical resection was complete in 45% of patients, subtotal and partial in 55%.
Authors and Affiliations
k. BOUAITA, L. ATROUNE SHABAY. Z, N. IOUALALEN
Keywords
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- EP ID EP588183
- DOI 10.9790/0853-160101127132
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