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V036: MEDIAL SPHENOID WING MENINGIOMA RESECTION VIA MODIFIED MINI PTERIONAL APPROACH
Jeffrey M Breton, MD; Gnel Pivazyan, MD; Ehsan Dowlati, MD; Samir Sur, MD; MedStar Georgetown University Hospital

A 45-year-old female without past medical history presented with headaches, occasional blurry vision, and focal seizures. Imaging revealed a 3.2 cm left medial sphenoid wing meningioma with invasion of the optic nerve sheath and displacement of the left optic nerve and internal carotid artery. She underwent a modified left mini pterional approach with extradural clinoidectomy for tumor resection. She remained neurologically intact postoperatively and there was no evidence of residual on 1-year follow up imaging. 

 

 

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