Mini-pterional Approach for the Resection of a Clinoidal Meningioma

Ehsan Dowlati; Gnel Pivazyan; Jorge Roa; Samir Sur

doi:10.1055/s-0044-1780405

Journal of Neurological Surgery Part B: Skull Base, Table of Contents

J Neurol Surg B Skull Base 2024; 85(S 01): S1-S398
DOI: 10.1055/s-0044-1780405

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Mini-pterional Approach for the Resection of a Clinoidal Meningioma

Authors

Ehsan Dowlati

¹University of Michigan, Ann Arbor, Michigan, United States
Gnel Pivazyan

²MedStar Georgetown University Hospital, Washington, District of Columbia, United States
Jorge Roa

³Loma Linda University, Loma Linda, California, United States
Samir Sur

²MedStar Georgetown University Hospital, Washington, District of Columbia, United States

Abstract

Full Text

A 36-year-old pregnant female presented with 2 weeks of headaches and blurry vision. Magnetic resonance imaging (MRI) revealed a right parasellar, clinoidal lesion concerning for thrombosed aneurysm or meningioma. After multidisciplinary discussions, she underwent Cesarean section at 36 weeks and gadolinium enhanced MRI was obtained. Given the young age and edema, she underwent a right mini-pterional craniotomy for resection of the mass. Simpson Grade I resection was achieved. The pathology was consistent with World Health Organization grade 1 meningioma.

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