What question did this study set out to answer?

To describe a surgical strategy that incorporates vascular displacement, peritumoral edema, and functional vulnerability to minimize dominant hemisphere traction during resection of a giant tuberculum sellae meningioma.

August 16, 2026Surgical Neurology International

Surgical strategy to minimize dominant hemisphere retraction in an asymmetric giant tuberculum sellae meningioma with contralateral anterior cerebral artery positioning: A case report

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Authors

UAUygun Altibayev JYJakhongirmirzo Yoldoshev GKGayrat Kariev

Discussion

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Overview

Case report demonstrates safe resection of giant tuberculum sellae meningioma via extended bifrontal craniotomy, highlighting the role of vascular and functional planning to protect the dominant lobe.

Key Points

To describe a surgical strategy that incorporates vascular displacement, peritumoral edema, and functional vulnerability to minimize dominant hemisphere traction during resection of a giant tuberculum sellae meningioma.
Assessed a 44-year-old male with a 52 × 49 × 49 mm asymmetric meningioma causing optic chiasm compression, contralateral ACA-AComA displacement, and dominant frontal lobe edema.
Performed an extended bifrontal craniotomy combined with intraoperative ventricular and postoperative lumbar cerebrospinal fluid drainage to achieve early bilateral vascular control.
Achieved maximally safe near-total resection without vascular injury, intentionally preserving a thin tumor remnant along the densely adherent ACA-AComA region.
Postoperative course showed transient mild frontal-executive decline that returned to baseline by 3 months, accompanied by gradual visual recovery.

Cite This Study

Altibayev et al. (2026) studied this question.

synapsesocial.com/papers/6a817a21f2fb91fc834adbb1 https://doi.org/10.25259/sni_244_2026

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August 16, 2026Surgical Neurology International

Surgical strategy to minimize dominant hemisphere retraction in an asymmetric giant tuberculum sellae meningioma with contralateral anterior cerebral artery positioning: A case report

View Full Paper

Ask AI

Bookmark

Authors

UAUygun Altibayev JYJakhongirmirzo Yoldoshev GKGayrat Kariev

Discussion

Member takes

Overview

Key Points

To describe a surgical strategy that incorporates vascular displacement, peritumoral edema, and functional vulnerability to minimize dominant hemisphere traction during resection of a giant tuberculum sellae meningioma.
Assessed a 44-year-old male with a 52 × 49 × 49 mm asymmetric meningioma causing optic chiasm compression, contralateral ACA-AComA displacement, and dominant frontal lobe edema.
Performed an extended bifrontal craniotomy combined with intraoperative ventricular and postoperative lumbar cerebrospinal fluid drainage to achieve early bilateral vascular control.
Achieved maximally safe near-total resection without vascular injury, intentionally preserving a thin tumor remnant along the densely adherent ACA-AComA region.
Postoperative course showed transient mild frontal-executive decline that returned to baseline by 3 months, accompanied by gradual visual recovery.

Cite This Study

Altibayev et al. (2026) studied this question.

synapsesocial.com/papers/6a817a21f2fb91fc834adbb1 https://doi.org/10.25259/sni_244_2026

View Full Paper

Ask AI

Bookmark