Endoscopic endonasal approach for tuberculum sellae meningioma with optic canal involvement: standard technique for optimal visual outcomes.

Yuki Shinya, Masahiro Shin, Hirotaka Hasegawa, Taichi Kin, Kenji Kondo, Nobuhito Saito

Abstract read

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Article in Neurosurgical focus: Video, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Yuki ShinyaDepartment of Neurosurgery, University of Tokyo Hospital, Tokyo, Japan.

Masahiro ShinDepartment of Neurosurgery, University of Tokyo Hospital, Tokyo, Japan.

Hirotaka HasegawaDepartment of Neurosurgery, University of Tokyo Hospital, Tokyo, Japan.

Taichi KinDepartment of Neurosurgery, University of Tokyo Hospital, Tokyo, Japan.

Kenji KondoDepartment of Otorhinolaryngology, University of Tokyo Hospital, Tokyo, Japan.

Nobuhito SaitoDepartment of Neurosurgery, University of Tokyo Hospital, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anterior skull base meningiomas often cause visual decline by compressing the optic apparatus. The authors present a tuberculum sellae meningioma with optic canal involvement treated via an endoscopic endonasal approach (EEA). Early devascularization, stepwise detachment, and sharp dissection preserved surrounding neurovascular structures and perforating arteries. Optic canal drilling enabled complete removal, and multilayer reconstruction ensured watertight closure. Gross-total resection was achieved without complications. Visual acuity improved from 0.7 to 1.2, with resolution of visual field defect. This case highlights the EEA as a standard technique for optimal visual outcomes in anterior skull base meningiomas with optic canal involvement. The video can be found here: https://stream.cadmore.media/r10.3171/2025.10.FOCVID25176.

Indexed as

endoscopic endonasal approachoptic canal involvementskull base surgerytuberculum sellae meningiomavisual outcome

Identifiers

PMID41568191

DOI10.3171/2025.10.FOCVID25176

PMCPMC12817376

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.