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Journal of Neurosurgical Sciences 2001 March;45(1):38-42

Copyright © 2001 EDIZIONI MINERVA MEDICA

language: English

Diaphragma sellae meningiomas. Report of two cases and a review of the literature

Fiume D. 1, Caputi F. 1, Gazzeri R. 2

1 Department of Neurosurgery, “S. Filippo Neri” Hospital, Rome, Italy; 2 Institute of Neurosurgery, University of Rome II, Tor Vergata, Rome, Italy


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Diaphragma sel­lae menin­gio­mas are ­very ­rare and ­often man­i­fest them­selves ­with aspe­cif­ic symp­toms. Before the ­advent of MR, the diag­no­sis was ­very dif­fi­cult or ­even impos­sible. For ­this rea­son ­they ­were ­often includ­ed in the broad­er cat­e­go­ry of supra­sel­lar menin­gio­mas. We ­describe two cas­es of dia­phrag­ma sel­lae menin­gio­mas ante­ri­or to the pitui­tary ­stalk, man­i­fest­ing ­with vis­u­al dis­tur­banc­es. We ­present the clin­ic and diag­nos­tic ­data and we com­pare our expe­ri­ence ­with ­that report­ed in the lit­er­a­ture. The ­tumor ­were ­removed by pter­ion­al (­case 1) and sub­fron­tal ­approach (­case 2) ­with a recov­er of ­vision. Our expe­ri­ence sup­port a ­clear demar­ca­tion of the “dia­phrag­ma sel­lae menin­gio­ma” ­among the with­er ­group of supra­sel­lar menin­gio­mas. It is man­da­to­ry to ­define its posi­tion rel­a­tive to the pitui­tary ­stalk and to the dia­phrag­ma sel­lae to ­chose the ­best sur­gi­cal ­approach.

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