2025 Proffered Presentations
V020: TECHNICAL CONSIDERATIONS FOR THE RESECTION OF LARGE SPHENOID WING MENINGIOMA: STRATEGIES AND VESSEL HANDLING
Mehdi Khaleghi, MD; Adnan Hussain Shahid, MBBS, MS, MCh; Danner Buttler, BS; Sudhir Suggala, MBBS, MS, MCh; Garrett Dyess, BA; Ursula Hummel, MHS, PAC; Jai D Thakur, MD, FAANS; University of South Alabama
A left-sided frontotemporal craniotomy was performed. Following the initial middle fossa tumor debulking, the lateral cavernous sinus was peeled off the tumor. Then the opticocarotid cistern was opened and A1 and ICA bifurcation were exposed. The posterior fossa part of the tumor was removed, and Pcom.A, PCA, oculomotor nerve, and AchA were sequentially protected. The embedded M1 and AChA were proximally and distally identified and were circumferentially peeled off the tumor.