The exploration of microsurgical approaches of tuberculum sellae meningiomas

Objective To explore surgical approaches and efficacy of microsurgery in turberculum sellae meningiomas.Methods A retrospective analysis was made on 23 cases of turberculum sellae meningioma operated. Results The tumors were operated on with 3 different surgical approaches depending upon its size on CT or MRI. Complete resection was achieved in 17 cases , subtotal in 6 cases.Postoperatively, well recovery were found in 19 cases, moderate disability in 2 cases, recurred tumor were found and reoperated in 2cases.Conclusion Selecting the proper operating approach and protecting the major structures near the tuberculum sellae meningiomas is the key to total remove of turberculum sellae meningiomas and improve the prognosis in the patients.