Abstract
This is the case of a 76-year-old woman presenting with progressive right vision loss consisting of a right eye temporal field cut and severe visual acuity loss. An MRI was performed showing a suprasellar mass for which she had been referred to our center for an endoscopic endonasal approach. The tumor was found to be densely adherent to adjacent structures, and an ophthalmic artery and A1–A2 junction injury were sustained during resection. The management of intraoperative vascular injuries is described.The video can be found here: https://youtu.be/JJY6nYKTCSg.
Highlights
This is the case of a 76-year-old woman presenting with progressive right vision loss consisting of a right eye temporal field cut and severe visual acuity loss
On CTA, the right A1 and bilateral proximal A2s are seen to be encased within the tumor
0:55 We begin with the resection of her right middle turbinate on the side of the endoscope
Summary
This is the case of a 76-year-old woman presenting with progressive right vision loss consisting of a right eye temporal field cut and severe visual acuity loss. KEYWORDS vascular injury; endoscopic endonasal approach; trans-tuberculum; meningioma; video On CTA, the right A1 and bilateral proximal A2s are seen to be encased within the tumor.
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