gms | German Medical Science

56. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e. V. (DGNC)
3èmes journées françaises de Neurochirurgie (SFNC)

Deutsche Gesellschaft für Neurochirurgie e. V.
Société Française de Neurochirurgie

07. bis 11.05.2005, Strasbourg

Clinical outcome after surgery of tuberculum sellae meningiomas in 72 patients

Ergebnisse nach operativer Behandlung von Tuberculum sellae Meningeome bei 72 Patienten

Meeting Abstract

  • corresponding author M. Nakamura - Department of Neurosurgery, Klinikum Hannover Nordstadt
  • M. Struck - International Neuroscience Institute, Hannover
  • F. Roser - Department of Neurosurgery, University of Tübingen
  • P. Vorkapic - Department of Neurosurgery, Klinikum Hannover Nordstadt
  • M. Samii - International Neuroscience Institute, Hannover

Deutsche Gesellschaft für Neurochirurgie. Société Française de Neurochirurgie. 56. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e.V. (DGNC), 3èmes journées françaises de Neurochirurgie (SFNC). Strasbourg, 07.-11.05.2005. Düsseldorf, Köln: German Medical Science; 2005. Doc09.05.-05.02

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/dgnc2005/05dgnc0011.shtml

Veröffentlicht: 4. Mai 2005

© 2005 Nakamura et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Objective

Tuberculum sellae meningiomas present a special challenge due to their proximity to arteries of the anterior circulation, anterior visual pathways and hypothalamus. We report the clinical outcome after surgical treatment of tuberculum sellae meningiomas in our neurosurgical department.

Methods

A retrospective study was conducted analysing the patient charts including surgical records, discharge letters, histological records, follow-up records and imaging studies. Patients with associated neurofibromatosis type 2 were excluded from the study.

Results

1800 meningiomas were operated between 1978 and 2002. at our department. Among them, there were 72 patients with tuberculum sellae meningiomas, 4 patients of them with previous surgeries in outside hospitals. There were 55 females and 17 males, the mean age was 54.3 years (30-86 years). Most patients presented with visual disturbance. Tumours were operated through the frontolateral (n=30), pterional/fronto-temporal (n=21) and bifrontal (n=21) approach. Total tumour removal could be achieved in most cases (Simpson 1+2, 91.7%). Perioperative mortality was 2.8% (2 out of 72 patients). Immediate postoperative improvement of visual disturbance was observed in 65% of patients. Visual improvement was dependent on the extent and duration of preoperative visual symptoms. The overall recurrence rate was 2.8% (2 out of 72 patients).

Conclusions

Tuberculum sellae meningiomas were removed through different surgical approaches with comparable clinical results. Although, in recent years we prefer to use the frontolateral approach, which provides quick access to the tumour with less brain exposure, but still enabling total tumour removal with low morbidity rate in most cases.