Pterional Approach for a Tuberculum Sellae Meningioma: A Case Report

The tuberculum sellae meningiomas represent between 5-10% of intracranial meningiomas, most frequently between the 5th and 6th decade of life. Bitemporal hemianopia, associated with optic atrophy, represents the most frequently found clinic symptoms. Treatment is usually surgical resection of the tumor either by transcranial or endoscopic endonasal approach. A case of a 44-year-old female patient who presented with a clinical symptoms of 5 months duration, characterized by progressive visual disorder caused by blurred vision on the left eye, associated with low-grade frontal headache, with simple cranial MRI study with evidence of T1 hyperintense lesion in the sellar region with an apparent dural tail that sits at the level of the sellar tubercle, and moves towards the posterior pituitary gland and pituitary stalk.