Table 1.
Summary characteristics and outcomes of all 12 clinical cases.
| Case No. | Age/Sex | Size(cm) | Diagnosis | Preop | Other Symptoms | ICA, ACA, MCA Involvement | Previous Treatment | Surgical Approach | Anterior Clinoidectomy | EOR | Postop | Complications | Follow-Up(months) | ||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Visual Acuity | Visual Field | Visual Acuity | Visual Field | ||||||||||||
| 1 | 56/F | 2.1×1.9×1.7 | Lt ACP meningioma | Visual loss (lt) | Upper hemianopsia | Dizzy | No | None | TPA+SOA | No | GTR | Improvement | Normal | None | 56 |
| 2 | 25/F | 2.5×1.9×1.4 | Rt ACP meningioma | Visual loss (rt) | Rt temporal hemianopsia | Headache | Yes, all attached | Pterional approach |
TMA*+IOA | Yes | GTR | Worse (rt), unchanged (lt) | Rt temporal hemianopsia | None | 50 |
| 3 | 56/F | 2.1×1.8×1.7 | Lt ACP meningioma | Normal | Normal | Dizzy | Yes, all attached | None | TMA+SOA+IOA | No | GTR | Stable | Normal | None | 36 |
| 4 | 37/F | 3.0×1.7×1.4 | Lt ACP meningioma | Visual loss (lt) | Lt temporal hemianopsia | None | Yes, all encased | Pterional approach |
TMA+TPA+TCA +SOA+IOA |
Yes | STR | Stable | Lt temporal hemianopsia | CNIII pasly | 45 |
| 5 | 12/M | 2.8×3.1×3.9 | Osteogenic meningioma | Visual loss | Lt amaurosis | None | No | None | TMA+TPA+SOA +IOA |
Yes | GTR | Marked improvement |
Lt temporal hemianopsia | Transient DI | 18 |
| 6 | 45/F | 3.7×4.0×3.9 | Pituitary adenoma | Visual loss | Lt temporal hemianopsia | Headache | Yes, ICA and ACA encased | None | TMA+TPA+TCA +SOA+IOA |
No | GTR | Stable | Lt temporal hemianopsia | CSF leak | 30 |
| 7 | 52/F | 3.5×2.7×2.9 | Pituitary adenoma | Visual loss | Rt temporal hemianopsia | None | Yes, ICA encased, ACA and MCA attached | Endonasal endoscopic approach |
TMA+TPA+TCA +SOA+IOA |
Yes | GTR | Improvement | Normal | Panhypopituitarism Transient DI |
22 |
| 8 | 56/M | 4.5×2.7×3.0 | Pituitary adenoma | Visual loss (rt) | Bitemporal hemianopsia | Headache, hypomnesis |
Yes, ICA encased, ACA attached | Endonasal microscope approach | TMA+TPA+TCA +SOA+IOA |
No | GTR | Marked Improvement |
Normal | None | 29 |
| 9 | 47/F | lt paraclinoid: 0.7×0.8 lt ophthalmic: 0.4×0.3 It cav-ICA: 0.5×0.4 |
Multiple aneurysms: lt paraclinoid, lt ophthalmic, lt cav-ICA |
Normal | Normal | Headache | NA | None | TMA+TPA+IOA | Yes | Clipping of lt paraclinoid, lt ophthalmic aneurysms |
Stable | Normal | None | 58 |
| 10 | 62/F | lt paraclinoid: 0.75×0.42 rt paraclinoid:2.26×2.17 Acom: 0.4×0.3 |
Multiple aneurysms: lt paraclinoid, rt paraclinoid, Acom | Visual loss | Normal | Dizzy | NA | None | TMA+IOA | No | Clipping of lt paraclinoid, Acom aneurysms |
Marked improvement | Normal | None | 44 |
| 11 | 30/M | 2.3×2.2×1.9 | Craniopharyngioma | Visual loss(rt) | Lower marginal field | None | Yes, all encased | Subfrontal approach, V-P shunting |
TMA+SOA+IOA | No | GTR | Improvement | Rt hemianopsia | Hypothyroidism DI |
26 |
| 12 | 37/F | 1.8×1.4×1.0 | Meningeal IgG4- related disease |
Visual loss(rt) | Rt temporal hemianopsia | None | No | None | TMA+SOA+IOA | Yes | GTR | Improvement | Normal | CNIII pasly | 52 |
ICA, internal carotid artery; ACA, anterior cerebral artery; MCA, middle cerebral artery; EOR, extent of resection; ACP, anterior clinoid process; TPA, transpterygoid approach; TMA, transmidline approach;TCA, transcavernous approach; SOA, supraoptic approach; IOA, infraoptic approach; GTR, gross-total resection; STR, subtotal resection; DI, diabetes insipidus; NA, not applicable; Acom, anterior communicating;Cav-ICA=cavernous segment of ICA; * including endoscopic endonasal transsellar, transtuberculum, transplanumh and transclivus approaches.