Tuberculum Sellae meningiomas

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  • Symptoms: most common symptom is asymmetrical visual loss starting with a unilateral decrease in central visual acuity and often progressing to bilateral deficits; optic atrophy is often found and correlates with visual acuity loss
  • Treatment: surgery – approach is typically through a right subfrontal approach; tumor must be debulked from the inside first; pituitary stalk is almost always behind the tumor
    • with large tumors, both the optic nerve and internal carotid artery may be surrounded by tumor as may the A1 segment of the ACA and the Acomm
    • radiation therapy is used to follow up a subtotal resection
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