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CASE REPORT
Year : 2014  |  Volume : 9  |  Issue : 4  |  Page : 236

Endoscopic endonasal transsphenoidal approach for resection of a coexistent pituitary macroadenoma and a tuberculum sellae meningioma


Department of Neurosurgery, Clinic of Köln Merheim, University of Witten Herdecke, Germany

Correspondence Address:
Mehran Mahvash
Clinic of Köln Merheim, University of Witten Herdecke, Ostmerheimerstr 200, Köln 51109
Germany
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1793-5482.146629

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The coexistence of a pituitary macroadenoma and a tuberculum sellae meningioma is very rare. This article demonstrates the surgical technique of the simultaneous resection of a pituitary macroadenoma and a tuberculum sellae meningioma using an endoscopic, endonasal, biportal, transsphenoidal approach. A 36-year-old woman presented with frontal headache and extended visual field loss of the right eye. She underwent cranial magnetic resonance imaging (MRI) revealing a 2 × 2× 2.5 mm contrast-enhancing intrasellar and suprasellar lesion with compression of the optic chiasma. The coexistence of a pituitary macroadenoma and meningioma was suggested. A biportal endoscopic endonasal transsphenoidal approach was performed to remove both lesions. The histological results confirmed the coexistence of the pituitary macroadenoma and meningioma, World Health Organization (WHO) grade I. The endoscopic, endonasal, transsphenoidal approach is a safe and reliable minimal invasive surgical alternative for resection of the intra-, supra- and parasellar lesions, avoiding additional craniotomy.


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