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Tuberculum Sella Meningioma

Last Updated: September 30, 2018

Figure 1: Harvey Cushing conducted the autopsy of one of his patients who had suffered most likely from a tuberculum sella or medial sphenoid wing meningioma (circa ~1913)(Image courtesy of the Cushing Brain Tumor Registry at Yale University).

Transcranial Removal of a Tuberculum Sella Meningioma

This chapter reviews the techniques for transcranial resection of tuberculum sella meningiomas (TSMs). For details regarding endoscopic transnasal removal of these tumors, please refer to the chapter on Endoscopic Parasellar Meningioma Resection.

The TSMs comprise approximately 5% to 10% of all intracranial meningiomas and arise from the dura of the tuberculum sellae. This region includes the chiasmatic sulcus, limbus sphenoidale, and diaphragma sellae. The most common point of origin of th...