{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T16:04:23Z","timestamp":1793203463567,"version":"4.5.0"},"reference-count":23,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,6,1]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>Tuberculum sellae meningiomas (TSMs) are typically in the proximity of the optic nerves and the optic chiasm, thus making the primary aim of surgery the enhancement or stabilization of the patients\u2019 visual acuity. The authors therefore undertook a retrospective review of their 17-year experience with the pterional approach to ascertain the resection rate, neurological outcome, and visual outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>Patients who underwent TSM surgery between September 2003 and December 2020 at the authors\u2019 institution were retrospectively evaluated. Patient demographics, tumor characteristics, surgical parameters, postoperative visual outcomes, and complications were analyzed. Gross-total resection (GTR) and subtotal resection (STR) rates were assessed, along with the impact of surgical approach on visual outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>\n                      A total of 71 patients with a mean age of 56.9 \u00b1 14.3 years were enrolled in the study. The mean tumor volume was 10.2 \u00b1 12.8 cm\n                      <jats:sup>3<\/jats:sup>\n                      . Postoperatively, 38.7% of patients experienced visual improvement, 45.2% had stable visual acuity, and 16.1% showed visual deterioration. Ipsilateral or contralateral surgical approaches were performed based on the side of the most affected visual acuity. No significant difference in postoperative visual outcomes was observed between the two approaches. GTR was achieved in 84.0% and STR in 16.0%. Minor complications occurred in 3 patients (4.2%), while major complications were found in 4 patients (5.6%). Seven patients (9.8%) showed recurrent tumor growth after 53 months. Progression-free survival after GTR was 123.9 \u00b1 12.9 months, and it was 59.3 \u00b1 13.2 months after STR.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>This study highlighted the finding that TSMs can be successfully resected using a transcranial pterional approach with a low risk of complications and sufficient visual outcomes. Further studies with larger sample sizes are warranted to confirm these findings and optimize surgical strategies for TSM resection.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/2023.9.jns231657","type":"journal-article","created":{"date-parts":[[2023,12,15]],"date-time":"2023-12-15T20:31:49Z","timestamp":1702672309000},"page":"1576-1583","source":"Crossref","is-referenced-by-count":7,"title":["Pterional approach for tuberculum sellae meningiomas: a 17-year single-center experience"],"prefix":"10.3171","volume":"140","author":[{"given":"Martin","family":"Grutza","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Heidelberg University Hospital, Heidelberg; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip","family":"Dao Trong","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Heidelberg University Hospital, Heidelberg; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Klaus","family":"Zweckberger","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, City Hospital Braunschweig, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Unterberg","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Heidelberg University Hospital, Heidelberg; and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"7","key":"b1","series-title":"J Neurol Neurosurg Psychiatry","first-page":"977","article-title":"Surgical management of tuberculum sellae meningiomas: involvement of the optic canal and visual outcome","volume":"76","author":"Schick U","year":"2005","unstructured":"Schick U, Hassler W. Surgical management of tuberculum sellae meningiomas: involvement of the optic canal and visual outcome. J Neurol Neurosurg Psychiatry. 2005;76(7):977\u2013983."},{"issue":"11","key":"b2","series-title":"Klin Monatsbl Augenheilkd","first-page":"1312","article-title":"Neuroophthalmologische \u00dcberlegungen zu Meningeomen der vorderen Sehbahn","volume":"236","author":"Wilhelm H","year":"2019","unstructured":"Wilhelm H, Honegger JB, Paulsen F. Neuroophthalmologische \u00dcberlegungen zu Meningeomen der vorderen Sehbahn. Klin Monatsbl Augenheilkd. 2019;236(11):1312\u20131317."},{"issue":"4","key":"b3","series-title":"J Neurol Surg B Skull Base","first-page":"247","article-title":"Tuberculum sellae meningiomas: surgical technique, visual outcome, and prognostic factors in 51 cases","volume":"74","author":"Margalit N","year":"2013","unstructured":"Margalit N, Shahar T, Barkay G,  Tuberculum sellae meningiomas: surgical technique, visual outcome, and prognostic factors in 51 cases. 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