PURPOSE To illustrate the anesthetic management of a craniotomy for suprasellar meningioma in a 28-week pregnant woman and to review the considerations for fetal monitoring during surgery. CLINICAL FEATURES A 33-yr-old woman presented at 28 weeks of gestation with rapidly deteriorating vision in her right eye. Neuroradiological investigations revealed a large suprasellar meningioma extending ...

Suprasellar hemangioblastoma (HBL) without von Hippel-Lindau (VHL) disease is extremely rare. A 51-year-old woman presented with headache and progressively deteriorating bilateral visual disturbance for 4 months. Magnetic resonance imaging (MRI) revealed a 2.5-cm solid mass in the suprasellar region with homogeneous contrast enhancement. Our preoperative presumptive diagnosis was meningioma. Re...

The appearance of the diaphragma sellae is described in cryomicrotomic sections and on MR in patients with and without intraand suprasellar masses. On MR, it appears as a thin band of negligible signal that is best shown when adjacent CSF or a mass has greater signal intensity. Its position or absence can be used to differentiate intrasellar masses with suprasellar components from suprasellar m...

1. Balki M, Manninen PH. Craniotomy for suprasellar meningioma in a 28-week pregnant woman without fetal heart rate monitoring. Can J Anesth 2004;51:573-6. 2. Chow MS, Mercier PA, Omahen DA, Wood SL, Johnson JA. Recurrent exophytic meningioma in pregnancy. Obstet Gynecol 2013;121:475-8. 3. Rodríguez-Porcel F, Hughes I, Anderson D, Lee J, Biller J. Foster kennedy syndrome due to meningioma growt...

AIM OF THE STUDY The present study aims to discuss the value and the effect of resection of suprasellar meningioma through the interhemispheric approach. MATERIAL AND METHODS Twenty-nine cases of patients with suprasellar meningioma diagnosed through enhanced magnetic resonance imaging (MRI) scans and postoperative histopathological examination underwent resection of tumours (the largest diam...

Anaplasia is defined by morphologic features of frank malignancy exceeding those present in atypical meningioma. Those features include obvious malignant cytomorphology (resembling carcinoma, melanoma or sarcoma), or a high mitotic index with more than 20 mitoses per 10 high-power fields [1]. Anaplastic meningiomas exhibit an aggressive clinical course including rapid growth, local recurrence, ...

Background. Optic nerve vascular compression in patients with suprasellar tumor is a known entity but is rarely described in the literature. Case Description. We present a unique, well-documented case of optic nerve strangulation by the A1 segment of the anterior cerebral artery in a patient with a tuberculum sellae meningioma. The patient presented with pronounced progressive visual deteriorat...

Water balance disorders after neurosurgery are well recognized, but detailed reports of the triphasic response are scarce. We describe a 55-year-old woman, who developed the triphasic response with severe hyper- and hyponatraemia after resection of a suprasellar meningioma. The case illustrates how sudden and dramatic the changes in water balance after neurosurgery can be. The biochemical profi...

A forty-two year old lady presented with gradual, painless, progressive blurring of vision of her left eye for four months. There were no other associated ocular or systemic complaints. Examination showed decreased visual acuity in both eyes and a pale optic disc on the left side. Visual field examination revealed a temporal field defect of the right eye which aroused the suspicion of an intrac...