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V038: EXPANDED ENDONASAL RESECTION OF RECURRENT SPHENO-ORBITAL-CAVERNOUS MENINGIOMA WITH PROGRESSION POST-RADIOSURGERY
Lukasz Przepiorka¹; Muhammad Waqas¹; Owen Treanor²; Alex Fritz¹; Jason M Davies¹; Ryan P McSpadden³; Dheerendra Prasad⁴; Robert A Fenstermaker⁵; Matthew J Kabalan⁶; Hanna N Algattas¹; ¹Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY, USA; ²Jacobs School of Medicine and Biomedical Sciences at University at Buffalo, Buffalo, NY, USA; ³Department of Head & Neck/Plastic & Reconstructive Surgery, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA; ⁴Department of Radiation Medicine, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA; ⁵Department of Neurosurgery, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA; ⁶Department of Otolaryngology, Jacobs School of Medicine & Biomedical Sciences at the University at Buffalo, Buffalo, NY, USA

A 55-year-old female presented with progressive vision loss leading to complete blindness in the left eye, secondary to a spheno-orbital meningioma. She underwent pterional craniotomy, followed by gamma knife radiosurgery for three additional meningiomas. The spheno-orbital residual continued to progress despite additional stereotactic radiosurgery, ultimately necessitating expanded endonasal resection. The patient tolerated the procedure well with no neurological deficits.

 

 

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