Application of the endoscopic transsphenoidal approach to true type transsellar transsphenoidal meningoencephalocele in an adult: A case report and literature review

Katsuya Saito, Masahiro Toda, Keisho Sano, Toshiki Tomita, Kaoru Ogawa, Kazunari Yoshida

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Of the transsellar transsphenoidalmeningoencephaloceles (TTSMEs), the true type presents with the hernial sac extending from the intracranium to the epipharynx through the sellar floor. The true type is the most serious and difficult to manage, especially when the hernial sac contains vital structures, such as the anterior cerebral artery, pituitary gland, optic nerve, hypothalamus, and third ventricle. Surgical outcome for true type TTSME is reported to be poor. We describe a successful case of endoscopic repair for a 36-year-old man with true type TTSME. Our success with endoscopic repair for true type TTSME in an adult is the first reported case. We believe that the endoscopic transsphenoidal approach allows less invasive surgery and provides an acceptable operative outcome in comparison with other microsurgical approaches.

Original languageEnglish
Pages (from-to)1511-1515
Number of pages5
JournalActa Neurochirurgica
Volume154
Issue number8
DOIs
Publication statusPublished - 2012 Aug

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Anterior Cerebral Artery
Third Ventricle
Nasopharynx
Pituitary Gland
Optic Nerve
Hypothalamus

Keywords

  • Endoscopic repair
  • Endoscopic transsphenoidal approach
  • Transsellar transsphenoidal meningoencephalocele

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

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abstract = "Of the transsellar transsphenoidalmeningoencephaloceles (TTSMEs), the true type presents with the hernial sac extending from the intracranium to the epipharynx through the sellar floor. The true type is the most serious and difficult to manage, especially when the hernial sac contains vital structures, such as the anterior cerebral artery, pituitary gland, optic nerve, hypothalamus, and third ventricle. Surgical outcome for true type TTSME is reported to be poor. We describe a successful case of endoscopic repair for a 36-year-old man with true type TTSME. Our success with endoscopic repair for true type TTSME in an adult is the first reported case. We believe that the endoscopic transsphenoidal approach allows less invasive surgery and provides an acceptable operative outcome in comparison with other microsurgical approaches.",
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AU - Tomita, Toshiki

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AU - Yoshida, Kazunari

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