Abstract
Introduction: Tuberculum sellae meningiomas represent 4 to 10% of all intracranial meningiomas. These tumors are surgically challenging because of their close proximity to the visual pathways, arteries of the anterior circulation, and pituitary gland and stalk. A variety of surgical approaches have been described in the literature for removal of these lesions including the classic bilateral subfrontal craniotomy, the interhemispheric transbasal approach, the unilateral subfrontal approach with or without an orbital osteotomy, and the pterional craniotomy currently preferred by many neurosurgeons.
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