{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T12:38:07Z","timestamp":1772109487767,"version":"3.50.1"},"reference-count":36,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,10,1]]},"abstract":"<jats:sec>\n<jats:title>OBJECTIVE<\/jats:title>\n<jats:p>Visual acuity (VA) constitutes an important outcome measure in surgery for medial sphenoid wing meningioma (SWM). This study aimed to assess the recovery of tumor-associated impairment of VA and its impact on patient-reported outcome measures (PROMs) as an indication of vision-related quality of life in patients who had undergone surgery for medial SWM.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>METHODS<\/jats:title>\n<jats:p>From 2009 to 2018, 153 consecutive patients with medial SWM underwent surgical treatment at the authors\u2019 institutions. Tumor-associated VA was evaluated both on admission and during postoperative follow-up examinations, using Snellen charts. Multivariable analysis was performed to identify independent predictors for postoperative improvement of VA. PROMs were collected based on the National Eye Institute 25-Item Visual Function Questionnaire.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>RESULTS<\/jats:title>\n<jats:p>Of patients with medial SWM, 53 of 153 (35%) experienced preoperative impairment of VA. The median preoperative duration of visual symptoms was 12 (IQR 3\u201317) months for the entire study cohort. Multivariable analysis revealed a preoperative duration of visual symptoms \u2264 4 months to be independently associated with postoperative improvement of VA (p = 0.009). Evaluation of PROMs indicated a superior postoperative qualitative extent in the overall health (p = 0.027) and activities of daily living (p = 0.031) categories if preoperative duration of visual impairment was \u2264 4 months.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>CONCLUSIONS<\/jats:title>\n<jats:p>The overall preoperative duration of tumor-related visual impairment significantly correlates to the extent of postoperative visual improvement as well as vision-related PROMs in medial SWM surgery. These results might aid in preoperative patient counseling and help optimize decision-making and preoperative estimation of long-term visual outcome.<\/jats:p>\n<\/jats:sec>","DOI":"10.3171\/2024.5.jns232349","type":"journal-article","created":{"date-parts":[[2024,10,12]],"date-time":"2024-10-12T01:29:26Z","timestamp":1728696566000},"page":"1-9","source":"Crossref","is-referenced-by-count":2,"title":["Visual deterioration secondary to medial sphenoid wing meningioma: systematic assessment of patient-reported outcomes and factors contributing to recovery after surgical treatment"],"prefix":"10.3171","author":[{"given":"Florian","family":"Gessler","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, University Hospital Frankfurt, Frankfurt am Main, Germany;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shefqet","family":"Hajdari","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Hospital Bonn, Germany;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna-Laura","family":"Potthoff","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Hospital Bonn, Germany;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joshua D.","family":"Bernstock","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Brigham and Women\u2019s Hospital, Boston, Massachusetts; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ulrich","family":"Herrlinger","sequence":"additional","affiliation":[{"name":"Department of Neurology, Division of Clinical Neuro-Oncology, University Hospital Bonn, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcus","family":"Czabanka","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Hospital Frankfurt, Frankfurt am Main, Germany;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Volker","family":"Seifert","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Hospital Frankfurt, Frankfurt am Main, Germany;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hartmut","family":"Vatter","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Hospital Bonn, Germany;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick","family":"Schuss","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Hospital Bonn, Germany;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fatma","family":"Kilin\u00e7","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Hospital Frankfurt, Frankfurt am Main, Germany;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthias","family":"Schneider","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University Hospital Bonn, Germany;"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"2","key":"b1","series-title":"Nat Rev Neurol","first-page":"106","article-title":"Advances in meningioma genetics: novel therapeutic opportunities","volume":"14","author":"Preusser M","year":"2018","unstructured":"Preusser M, Brastianos PK, Mawrin C. 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