case_images: PMC11380889_01
case_images: Preoperative T1 with contrast (a) coronal and (b) sagittal sequences demonstrating a tuberculum sellae meningioma eccentric to the left. Preoperative T2 (c) coronal and (d) sagittal sequences demonstrating compression of the optic apparatus.
case_images: SNI-15-298-g001.jpg
case_images: PMC11380889_01_SNI-15-298-g001.jpg
case_images: F1
case_images: Magnetic resonance imaging (MRI) confirmed the presence of a homogeneously enhancing, dural-based tuberculum sellae mass with involvement of the left optic nerve and proximal segment of the left anterior cerebral artery [Figure 1].
case_images: Preoperative axial T1-weighted image of the orbit (a) demonstrating distal dilation of the optic nerve bilaterally (red arrows). Preoperative sagittal T2-weighted image of the brain (b) demonstrating flattening of the posterior globe (blue arrow).
case_images: SNI-15-298-g002.jpg
case_images: PMC11380889_01_SNI-15-298-g002.jpg
case_images: F2
case_images: The MRI also demonstrated mild dilation of the distal optic nerve sheath bilaterally, as well as flattening of the posterior globe [Figure 2].
case_images: Preoperative (a) left anteroposterior (AP) internal carotid artery (ICA) and (b) left lateral ICA injections demonstrating bilateral transverse sinus stenosis. Postoperative (c) left AP ICA and (d) left lateral ICA injections demonstrating improved stenosis of the right transverse sinus after venous sinus stent placement.
case_images: SNI-15-298-g003.jpg
case_images: PMC11380889_01_SNI-15-298-g003.jpg
case_images: F3
case_images: There was no evidence of complications [Figure 3].
case_images: Postoperative T1 with contrast (a) coronal and (b) sagittal sequences showing postoperative changes of an endonasal approach to the tuberculum without evidence of residual or recurrent tumor.
case_images: SNI-15-298-g004.jpg
case_images: PMC11380889_01_SNI-15-298-g004.jpg
case_images: F4
case_images: Radiographic outcomes have demonstrated gross total resection of the TSM without evidence of recurrence and patency of the right sinus stent [Figure 4].