Planum sphenoidale meningioma

• Surgical Implications and Radiologic Classification for the Upward Bulging of the Planum Sphenoidale in Patients With Anterior Skull Base Meningiomas Involving the Tuberculum Sellae Area
• Anterior Skull Base Meningioma: Surgical Approach and Complication Avoidance
• Endonasal transsphenoidal surgery for planum sphenoidale versus tuberculum sellae meningiomas
• Does Endoscopic Transnasal Optic Nerve Decompression Followed by Radiosurgery Improve Outcomes in the Treatment of Parasellar Meningiomas?
• Minimally Invasive Approaches to Anterior Skull Base Meningiomas
• Olfactory Outcomes after Resection of Tuberculum Sella and Planum Sphenoidale Meningiomas via a Transcranial Approach
• Comparison and evolution of transcranial versus endoscopic endonasal approaches for suprasellar Meningiomas: A systematic review
• 3D Printing-Assisted Skull Base Tumor Surgeries: An Institutional Experience

Planum sphenoidale meningiomas are anterior cranial fossa meningiomas, overlying the area of the cribriform plate of the ethmoid bone, sphenofrontal suture, and planum sphenoidale.

Arise from the flat part of the sphenoid bone anterior to the chiasmatic sulcus.

The tumors are usually bilateral based on their midline origin, although they can also be unilateral.

Planum sphenoidale meningioma classification.

Planum sphenoidale meningioma epidemiology

Planum sphenoidale meningioma clinical features.

Planum sphenoidale meningioma diagnosis

Planum sphenoidale meningioma differential diagnosis.

Planum sphenoidale meningioma treatment

Planum sphenoidale meningioma outcome

Planum sphenoidale meningioma videos.

Meningiomas of the tuberculum sellae (TS) and planum sphenoidale (PS) are challenging to treat surgically. Transcranial approaches (TCAs) were the mainstay before endoscopic endonasal approaches (EEA) were developed, however the efficacy and safety of EEA approaches relative to TCA approaches remains unclear.

Jimenez et al. conducted a PRISMA-compliant systematic review of existing literature detailing the outcomes of both approaches. PubMed, Embase, Cochrane Library, and Clinicaltrials.gov were searched. Studies were included if they analyzed TS and/or PS meningiomas, included ≥ 5 patients, and reported at least one outcome of interest.

Results: Overall, 44 retrospective studies met inclusion criteria, the majority being from single centers, between 2004 and 2020. In studies directly comparing postoperative outcomes among TCA and EEA approaches, EEA had significantly higher odds of visual improvement (OR = 3.24, p = 0.0053) and significantly higher odds of CSF leak (OR = 3.71, p = 0.0098) relative to TCA. Further, there were no significant differences between visual worsening (p = 0.17), complications (p = 0.51), and GTR rates (p = 0.30) for the two approaches. Meta-analysis demonstrated no significant association between nasoseptal flap (NSF) use and postoperative outcomes among EEA patients. There was also no significant association between study publication year and postoperative EEA outcomes.

The present study demonstrates that EEA offers a viable alternative to TCA in the treatment of suprasellar meningiomas. In particular, EEA shows promise for superior visual outcomes, though postoperative CSF leaks are an important consideration among patients undergoing this approach ¹⁾.

Planum sphenoidale meningioma case series.

Planum sphenoidale meningioma case reports.