Abstract
An endoscopic endonasal technique was used in the surgical treatment of a meningioma
compressing the optic nerve. The patient was a 58-year-old woman who had experienced
progressive visual loss in her left eye. Magnetic resonance (MR) scans of the brain
demonstrated a contrast-enhancing tumor mass, which was measured to be 10 × 15 mm
in size, compressing the left optic nerve. Automated visual field examination confirmed
left-eye visual field defects, the temporal visual field worse than the nasal. The
tumor was excised in total endoscopically through her right nostril. Histological
diagnosis was meningothelial meningioma. Her hospital stay was overnight. Her left-eye
vision improved with a residual crescentic temporal-field defect. She has done well
without tumor recurrence as evidenced by a 20-month follow-up. This is the first report
describing endoscopic endonasal removal of an intracranial tumor compressing the optic
nerve.
Key words
Endoscope - Endonasal Endoscopy - Meningioma - Optic Nerve - Transsphenoidal Surgery
References
hdjho@DrJho.com
