Surgical management of Tuberculum sellae Meningiomas: Myths, facts, and controversies

Abstract

Background: The optimal management of tuberculum sellae (TS) meningiomas, especially the surgical strategy, continues to be debated along with several controversies that persist.

Methods: A task force was created by the EANS skull base section committee along with its members and other renowned experts in the field to generate recommendations for the surgical management of these tumors on a European perspective. To achieve this, the task force also reviewed in detail the literature in this field and had formal discussions within the group.

Results: The constituted task force dealt with the practice patterns that exist with respect to pre-operative radiological investigations, ophthalmological and endocrinological assessments, optimal surgical strategies, and follow-up management.

Conclusion: This article represents the consensually derived opinion of the task force with respect to the surgical treatment of tuberculum sellae meningiomas. Areas of uncertainty where further clinical research is required were identified.

Keywords: Craniotomy; Extended endoscopic transsphenoidal approach; Minimally invasive neurosurgery; Pituitary function; Skull base; Suprasellar; Surgical technique; Tuberculum sellae meningiomas; Visual outcome.