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P371: ORBITOFRONTAL APPROACH FOR RESECTION OF TUBERCULUM SELLA MENINGIOMA
Karen Salmeron-Moreno, MD, MSc¹; Josephine Buclez, MSc¹; Felipe Marín-Navas, MD²; Chris D Kim¹; J. Manuel Revuelta Barbero, MD, PhD¹; Travis Atchley, MD¹; Karthik Papisetty, BA¹; Thomas McCaffery, BS¹; Hithardhi Duggireddy, MSc¹; Rommi Kashlan, BS¹; Justin Maldonado, MD¹; Jennifer M Kim¹; Karthik Valiveti¹; Uday Thakar¹; Derek Hu¹; Gustavo Pradilla, MD¹; Tomas Garzon-Muvdi, MD, MSc¹; ¹Emory University; ²Pontificia Universidad Javeriana

We demonstrate the resection of a left tuberculum sella meningioma with mass effect on the optic nerves. The patient presented with decreased visual fields in the left eye. Imaging demonstrated a dural based mass arising from the tuberculum sella/left optic canal. A pterional approach was performed and meticulous arachnoid dissection, vascular supply interruption, intralesional debulking, and extracapsular dissection was performed to achieve a gross total resection of the tuberculum sella meningioma.

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