J Neurol Surg B Skull Base 2025; 86(S 01): S1-S576
DOI: 10.1055/s-0045-1803421
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Technical Considerations for the Resection of Large Sphenoid Wing Meningioma: Strategies and Vessel Handling

Mehdi Khaleghi
1   University of South Alabama, Mobile, Alabama, United States
,
Adnan Hussain Shahid
1   University of South Alabama, Mobile, Alabama, United States
,
Danner Buttler
1   University of South Alabama, Mobile, Alabama, United States
,
Sudhir Suggala
1   University of South Alabama, Mobile, Alabama, United States
,
Garrett Dyess
1   University of South Alabama, Mobile, Alabama, United States
,
Ursula Hummel
1   University of South Alabama, Mobile, Alabama, United States
,
Jai D. Thakur
1   University of South Alabama, Mobile, Alabama, United States
› Author Affiliations
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    A left-sided frontotemporal craniotomy was performed. Following the initial middle fossa tumor debulking, the lateral cavernous sinus was peeled off the tumor. Then the opticocarotid cistern was opened and A1 and ICA bifurcations were exposed. The posterior fossa part of the tumor was removed, and Pcom.A, PCA, oculomotor nerve, and AchA were sequentially protected. The embedded M1 and AChA were proximally and distally identified and were circumferentially peeled off the tumor.


     

    No conflict of interest has been declared by the author(s).

    Publication History

    Article published online:
    07 February 2025

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