SELLAR TUBERCULAR MENINGIOMA WITH INTRASELLAR EXTENSION / EXTENDED ENDOSCOPIC ENDONASAL APPROACH
Tubercle sellae meningioma represents the second most frequent tumor in the pituitary region, after pituitary adenomas. It grows affecting the chiasm and optic nerve, causing a progressive visual loss that leads to blindness, which together with headaches and tumor image that rides on the sellae tubercle forms a clinical-radiological triad that brings us closer to the diagnosis.
The extended endoscopic approach "transplanum-transtuberculum” represents an option of undoubted benefits for the patient, it is an effective and safe technique for patients with meningiomas of the sellae tubercle that require surgical treatment. As a surgical technique, it is a valid, promising and developing option that should be part of the clothing of the contemporary neurosurgeon.
