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Surgically Treated Tuberculum Sellae and Diaphragm Sellae Meningiomas: The Importance of Short-term Visual Outcome

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Authors
Park, Chul-Kee; Jung, Hee-Won; Yang, Seung-Yeob; Seol, Ho Jun; Paek, Sun Ha; Kim, Dong Gyu
Issue Date
2006-08
Publisher
Lippincott, Williams & Wilkins
Citation
Neurosurgery 59:238-243,2006
Keywords
Diaphragm sellaeMeningiomaTuberculum sellaeVisual outcome
Abstract
OBJECTIVE: The visual outcome in patients with tuberculum and diaphragm sellae
meningiomas treated with microsurgery was evaluated. Prognostic and diagnostic
values of short- and long-term postoperative visual outcome and etiology for postoperative
visual deterioration are discussed with special attention.
METHODS: Clinical data for 30 surgically treated patients with tuberculum and
diaphragm sellae meningiomas were reviewed retrospectively. The mean duration of
the follow-up period was 75.9 months (range, 12–151 mo). Mean tumor diameter and
volume was 25.9 mm (range, 16.3–63.3 mm) and 12.4 cm3 (range, 2.3–125.6 cm3). A
visual impairment score was used to assess the short-term (2 wk after surgery) and the
long-term (6 mo after surgery) postoperative visual outcome. Various predictive
factors for visual outcome were tested statistically.
RESULTS: Complete resection was achieved in 23 out of 30 (76.7%) patients. Average
preoperative, short- and long-term visual impairment scores were 48.2, 43.4, and
40.9, respectively. Favorable visual outcome was achieved in 80% of patients in the
short term and 70% in the long term. Short-term postoperative aggravation of visual
function was an ominous sign of further aggravation or at least of little hope for
recovery, whereas there was a tendency to improve in the long term if short-term
postoperative visual function showed favorable outcome. Recurrence or regrowth of
tumor fully was responsible for late deterioration of visual function. No significant
prognostic factor for visual outcome could be found.
CONCLUSION: Short-term postoperative visual outcome was a strong indicator of
permanent visual outcome after surgery for tuberculum sellae and diaphragm sellae
meningiomas.
ISSN
0148-396X
Language
English
URI
https://hdl.handle.net/10371/74220
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College of Medicine/School of Medicine (의과대학/대학원)Neurosurgery (신경외과학전공)Journal Papers (저널논문_신경외과학전공)
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