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J Fr Ophtalmol 2019 Mar 26. Epub 2019 Mar 26.

Département d'ophtalmologie, DHU vision et handicaps, hôpital Pitié-Salpêtrière, 47-92, boulevard de l'Hopital, 75013 Paris, France. Electronic address:

Meningiomas represent about 20% of intracranial tumors. Involvement of the medial sphenoid wing includes anterior clinoid, cavernous sinus and superior orbital fissure meningiomas. Due to the proximity of these tumors to the optic nerve, typically progressive unilateral vision loss, over several months to years, is the classic clinical presentation. Read More

J Neurosurg 2019 Mar 8:1-6. Epub 2019 Mar 8.

1Department of Neurosurgery, Tufts Medical Center, Boston.

OBJECTIVESurgical resection of sphenoid wing tumors and intraorbital pathology carries the dual goal of appropriately treating the target pathology as well as correcting proptosis. Residual proptosis following surgery can lead to cosmetic and functional disability. The authors sought to quantitatively assess the effect of orbital volume before and after reconstruction to determine the optimal strategy to achieve proptosis correction. Read More

World Neurosurg 2019 Mar 4. Epub 2019 Mar 4.

Department of Neurosurgery, Osaka City University Graduate School of Medicine, Osaka, Japan.

Objective: Spheno-orbital meningioma (SOM) is a rare intracranial tumor that arises at the sphenoid wing, extends into the orbit, and is associated with hyperostosis of the sphenoid bone. These tumors often invade important neurovascular structures around the orbital apex, superior orbital fissure, and cavernous sinus. Aggressive tumor removal could achieve acceptable control; however, residual tumor can regrow. Read More

World Neurosurg 2019 Jan 11. Epub 2019 Jan 11.

Department of Neurosurgery, School of Medicine, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey.

Objective: Sphenoid wing meningiomas are the third most common group of intracranial meningiomas. Their management is a challenge because of their bone invasion potential and their proximity to neurovascular structures and the cavernous sinus.

Methods: A cohort of 141 patients with sphenoid wing meningioma who were operated on and followed up between 1986 and 2018 were retrospectively analyzed. Read More

Br J Neurosurg 2019 Jan 12:1-3. Epub 2019 Jan 12.

b Department of Neurosurgery , Royal Hallamshire Hospital , Sheffield , UK.

Leiomyomas, benign neoplasms of mesenchymal origin, are common in gastrointestinal and genitourinary tracts. They are comprised of well-differentiated smooth muscle cells with few mitotic figures. Leiomyomas should not exhibit metastatic potential, though metastasis has been reported. Read More

J Neurosurg 2018 Nov 1:1-10. Epub 2018 Nov 1.

Departments of1Neurosurgery.

OBJECTIVETumors involving Meckel's cave remain extremely challenging because of the surrounding complex neurovascular structures and deep-seated location. The authors investigated a new minimal-access technique using the endoscopic transorbital approach (eTOA) through the superior eyelid crease to Meckel's cave and middle cranial fossa lesions and reviewed the most useful surgical procedures and pitfalls of this approach.METHODSBetween September 2016 and January 2018, the authors performed eTOA in 9 patients with tumors involving Meckel's cave and the middle cranial fossa. Read More

Medicine (Baltimore) 2018 Nov;97(44):e13098

Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, Sichuan PR China.

Rationale: Central nervous system (CNS) solid cavernous hemangiomas are rare extra-axial anomalies that may sometimes resemble meningiomas. Due to their complex vascular nature, accurate preoperative diagnosis is important to avoid disastrous hemorrhage during operation. To the best of our knowledge this is the first case in an adolescent since all middle cranial fossa hemangioma cases reported in literature are adults in their 40s or 50s and all the pediatric cases are cystic. Read More

Neuroradiol J 2019 Feb 15;32(1):29-35. Epub 2018 Oct 15.

1 Department of Medical Imaging, St Michael's Hospital, Toronto, Canada.

IgG4-related disease (IgG4-RD) is a multi-organ chronic inflammatory process caused by infiltration of IgG4-positive plasma cells in one or more organs. Intracranial involvement has only recently become better recognized. Our case series adds to the growing literature on the varying presentations of intracranial IgG4 by describing the clinical and imaging findings of three patients who presented to our institution with intracranial involvement. Read More

Asian J Neurosurg 2018 Jul-Sep;13(3):822-825

Department of Neurosurgery, Institute of Human Behavior and Allied Sciences, New Delhi, India.

Intracranial calcifications are not uncommon and are mostly seen with intracerebral hematomas, tuberculomas, and brain tumors. These lesions may be intra- or extra-axial and occasionally pose challenge in the diagnosis. We report a case of multiple intracranial extra-axial calcifications with congenital skull anomaly and multiple meningiomas. Read More

J Clin Neurosci 2019 Jan 29;59:259-264. Epub 2018 Sep 29.

Department of Neurological Surgery, University of Virginia, Charlottesville, VA, United States.

Neoadjuvant endovascular embolization of skull base meningiomas may facilitate surgical resection, thereby potentially decreasing operative morbidity. However, due to variation in the reported efficacy and complication rates, the utility of embolization remains incompletely defined. The aim of this systematic review is to assess the outcomes of preoperative embolization for skull base meningiomas. Read More

J Neurosurg 2018 Sep 1:1-8. Epub 2018 Sep 1.

Departments of1Neurosurgery and.

OBJECTIVEAlthough meningiomas frequently involve the optic nerve, primary optic nerve sheath meningiomas (ONSMs) are rare, accounting for only 1% of all meningiomas. Given the high risk of vision loss with these tumors, surgical intervention is seldom considered, and radiation or observation is commonly applied. Here, the authors describe the visual outcomes for a series of patients who were treated with surgery aiming at maximal tumor resection and highlight their prognostic factors. Read More

World Neurosurg 2018 Oct 11;118:177-180. Epub 2018 Jul 11.

Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, Salt Lake City, Utah, USA. Electronic address:

Background: Hyperglycemic nonketotic chorea is an uncommon complication of poorly controlled diabetes mellitus. Patients typically develop abnormal signal changes in the striatum on imaging studies. Whereas the condition is well reported in the medical literature, reports on this topic in the surgical literature are lacking. Read More

World Neurosurg 2018 Sep 22;117:e637-e644. Epub 2018 Jun 22.

Department of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA. Electronic address:

Background: Surgical resection of parasellar meningiomas is a challenging operation that traditionally has been performed with a large pterional or orbitozygomatic craniotomy. In this study, we report patient outcomes and detail our surgical approach when resecting these tumors with a smaller, less invasive "mini-pterional" craniotomy.

Methods: We performed a retrospective review on all patients undergoing a mini-pterional craniotomy for resection of parasellar meningiomas from 2012 to 2016. Read More

Ocul Oncol Pathol 2018 Apr 10;4(3):186-190. Epub 2017 Nov 10.

Gavin Herbert Eye Institute, University of California, Irvine, Irvine, CA, USA.

Purpose Of The Study: Orbital meningiomas are typically benign tumors, most commonly originating from the dura of the sphenoid wing or the optic nerve sheath.

Procedures: We describe an unusual case of a malignant meningioma originating from the frontal lobe that ultimately produced orbital and distant metastases.

Results And Conclusions: Orbital invasion by the meningioma was preceded by multiple incomplete resections, which may have facilitated access to the orbit. Read More

J Neurosurg 2018 Apr 1:1-8. Epub 2018 Apr 1.

Departments of1Neurological Surgery and.

OBJECTIVESkull base meningiomas are surgically challenging tumors due to the intricate skull base anatomy and the proximity of cranial nerves and critical cerebral vasculature. Many studies have reported outcomes after primary resection of skull base meningiomas; however, little is known about outcomes after reoperation for recurrent skull base meningiomas. Since reoperation is one treatment option for patients with recurrent meningioma, the authors sought to define the risk profile for reoperation of skull base meningiomas. Read More

World Neurosurg 2018 Aug 26;116:454-463.e2. Epub 2018 Apr 26.

Department of Neurosurgery, Brown University, Providence, Rhode Island, USA; Normal Prince Neurosciences Institute, Brown University, Providence, Rhode Island, USA; Warren Alpert Medical School of Brown University, Brown University, Providence, Rhode Island, USA. Electronic address:

Background: The incidence of 2 distinct tumor types occupying the same anatomic location is rarely observed and may be accounted for by 2 separate mechanisms: tumor-to-tumor metastasis and collision tumors, where 2 adjacent tumors invade one another. These rare phenomena arise from distinct mechanisms, which may affect their preoperative recognition, surgical approach, and postoperative care. We review 2 cases, highlighting their identification and perioperative management. Read More

Neurosurg Focus 2018 Apr;44(4):E12

OBJECTIVE Sphenoid wing meningiomas are a heterogeneous group of tumors with variable surgical risks and prognosis. Those that have grown to a very large size, encasing the major cerebral arteries, are associated with a high risk of stroke. In reviewing the authors' series of giant sphenoid wing meningiomas, the goal was to evaluate how the extent of the tumor's invasion of surrounding structures affected the ability to safely remove the tumor and restore function. Read More

Radiat Oncol 2018 Mar 27;13(1):54. Epub 2018 Mar 27.

Department of Radiation Oncology, University Hospital of Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg, Germany.

Background: Meningiomas of the skull base account for 25-30% of all meningiomas. Due to the complex structure of the cranial base and its close proximity to critical structures, surgery is often associated with substantial morbidity. Treatment options include observation, aggressive surgical intervention, stereotactic or conventional radiotherapy. Read More

Malays Fam Physician 2017 31;12(3):30-32. Epub 2017 Dec 31.

(Neurosurgery) USM Penang General Hospital, Jalan Residensi 10990 Penang, Malaysia e-mail:

Introduction: Half of facial paralysis in children is idiopathic at origin. However, dismissing facial paralysis as being idiopathic without a thorough history and meticulous examination could be disastrous as illustrated by this case.

Case Report: We report a case of sphenoid wing meningioma in a 4-year-old girl. Read More

Asian J Neurosurg 2018 Jan-Mar;13(1):200

Department of Neurosurgery, Arad Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Orbit 2018 Dec 27;37(6):457-462. Epub 2018 Feb 27.

a Department of Ophthalmology , The George Washington University School of Medicine and Health Sciences , Washington , DC , USA.

An elderly female with progressive proptosis was found to have an aggressive retrobulbar solid orbital mass. The mass was distinct from the optic nerve sheath and intracranial meninges, and produced concave erosion of the sphenoid wing. Operative findings demonstrated an orbital mass adherent to the dura of the superior orbital fissure. Read More

J Craniofac Surg 2018 Jun;29(4):839-842

Department of Plastic and Reconstructive Surgery, Sir Charles Gairdner Hospital, Nedlands.

Background: Different methods have been described for the reconstruction of cranial defects and orbital defects. The complex contouring between the orbital roof and frontal bone creates significant design challenges for prefabricated cranio-orbital reconstructions. In describing the first reported patient of combined skull and orbital roof reconstruction with a single-piece titanium plate cranioplasty, the authors present a new method of combined complex cranio-orbital reconstruction. Read More

Cureus 2017 Dec 11;9(12):e1937. Epub 2017 Dec 11.

Ophthalmology, University of California, San Francisco.

The frontotempotal-orbitozygomatic craniotomy (FTOZ) is a standard approach for large sphenoid wing meningiomas (SWMs). Nevertheless, resection of these tumors is not without ophthalmologic risks. This series presents two patients with acute postoperative restrictive strabismus following tumor resection and orbital wall reconstruction. Read More

Clin Nucl Med 2018 Apr;43(4):287-288

In this case of suspected sphenoid wing meningioma, Ga-DOTATATE PET/CT showed a somatostatin receptor (SSR)-expressing tumor with extension to the nasopharynx and SSR-expressing cervical lymph nodes. Subsequent biopsy from the nasopharynx revealed an Epstein-Barr virus (EBV)-associated, undifferentiated World Health Organization type 3 nasopharyngeal carcinoma (NPC), a potential clinical pitfall due to the reported high SSR expression of this tumor subtype. In consideration of the high target-to-background contrast, SSR ligands might be superior to F-FDG for EBV-associated NPC PET imaging, particularly at the skull base. Read More

Neurol India 2018 Jan-Feb;66(1):245-248

Department of Neurosurgery, Bombay Hospital Institute of Medical Sciences, Mumbai, Maharashtra, India.

World Neurosurg 2018 Apr 6;112:e145-e156. Epub 2018 Jan 6.

Department of Neurosurgery, CHRU de Tours, Tours, France; Université François-Rabelais de Tours, INSERM, Imagerie et Cerveau, Tours, France.

Background: Spheno-orbital meningiomas (SOMs) are complex tumors involving the sphenoid wing, the orbit, and sometimes the cavernous sinus with bone hyperostosis and sheet-like dural involvement. Optimal removal, proptosis cure, and visual preservation remain a challenge.

Objective: To study the management of surgically treated SOMs. Read More

Case Rep Oncol 2017 Sep-Dec;10(3):1023-1028. Epub 2017 Nov 16.

Department of Medical Genetics, Medical University, Sofia, Bulgaria.

We report the unique case of a 61-year-old male patient with known pancreatic incidentaloma who additionally developed 3 other histologically different tumors: left sphenoid wing meningothelial meningioma, basal cell carcinoma of the occiput, and right occipital lobe glioblastoma multiforme. The latter were totally removed with a favorable clinical outcome. The patient's family history was unremarkable, and no data on any previous head and neck irradiation were found. Read More

Br J Neurosurg 2018 Aug 6;32(4):418-423. Epub 2017 Dec 6.

f Department of Anatomy , Ege University Faculty of Medicine , Izmir , Turkey.

Purpose: Lateral supraorbital approach is a simpler and quicker method than pterional approach. It provides a more anterior projection when compared to the pterional approach. There are some minor differences of the modified lateral supraorbital approach when compared to lateral supraorbital approach. Read More

Otol Neurotol 2018 01;39(1):82-91

Department of Otolaryngology-Head and Neck Surgery.

Objective: To study the indications and outcomes of lateral sphenoidectomy as part of a combined skull base approach in the treatment of tumors involving Meckel's cave (MC) and cavernous sinus (CS).

Study Design: Retrospective patient series.

Setting: Tertiary referral center. Read More

Zh Vopr Neirokhir Im N N Burdenko 2017;81(5):36-45

Kazan State Medical University, Kazan, Republic of Tatarstan, Russia; Interregional Clinical and Diagnostic Center, Kazan, Republic of Tatarstan, Russia.

Objective: to analyze 31 resections of chiasmatic-sellar region (CSR) and anterior cranial fossa (ACF) tumors using the supraorbital trans-eyebrow approach (STA).

Material And Methods: We analyzed medical histories of 31 patients who underwent tumor resection using STA in the period between October 2013 and April 2017. We analyzed the age and gender of patients, size and location of the tumor, presence of a neurological deficit, vision and olfactory functions before and after surgery, surgery duration, amount of intraoperative blood loss, rate of frontal sinus trephination and nasal liquorrhea, hemorrhagic and ischemic complications after surgery, Simpson grade of tumor resection, patient's condition before and after surgery (Glasgow Outcome Scale and Karnofsky Scale), and degree of patient satisfaction with the cosmetic result of surgery. Read More

Surg Neurol Int 2017 10;8:185. Epub 2017 Aug 10.

Department of Neurosurgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.

Background: Sphenoorbital meningiomas are surgically challenging because of their nature to extend to adjacent structures. Here, we describe a case of recurrent sphenoorbital meningioma extending into the sphenoid sinus, pterygopalatine fossa, and infratemporal fossa, which was resected using combined simultaneous transcranial and endoscopic endonasal approaches.

Case Description: A 62-year-old man who had 15 years earlier undergone partial resection of a left sphenoorbital meningioma presented with a 1-year history of progressive proptosis of the left eye. Read More

J Neurosurg 2018 Jun 1;128(6):1885-1895. Epub 2017 Sep 1.

Departments of1Neurological Surgery.

Sphenoorbital meningiomas (SOMs) are slow-growing tumors that originate from the sphenoidal wing and are associated with visual deterioration, extrinsic ocular movement disorders, and proptosis caused by hyperostosis of the lateral wall of the orbit. In some cases, the intracranial component is quite small or "en plaque," and the majority of the symptoms arise from adjacent hyperostosis. Craniotomy has traditionally been the standard of care, but new minimally invasive multiportal endoscopic approaches offer an alternative. Read More

J Neurosurg 2018 Jun 1;128(6):1707-1712. Epub 2017 Sep 1.

1Department of Neurosurgery, Osaka University Graduate School of Medicine, Suita, Osaka; and.

OBJECTIVE In the present study the authors aimed to determine preferred locations of meningiomas by avoiding descriptive analysis and instead using voxel-based lesion mapping and 3D image-rendering techniques. METHODS Magnetic resonance images obtained in 248 treatment-naïve meningioma patients with 260 lesions were retrospectively and consecutively collected. All images were registered to a 1-mm isotropic, high-resolution, T1-weighted brain atlas provided by the Montreal Neurological Institute (the MNI152), and a lesion frequency map was created, followed by 3D volume rendering to visualize the preferred locations of meningiomas in 3D. Read More

BMJ Case Rep 2017 Aug 10;2017. Epub 2017 Aug 10.

ENT Department, Charing Cross Hospital, London, UK.

We describe the importance of collaboration between multiple surgical specialties in managing a complex case of sight-threatening severe proptosis in a young woman with type 2 neurofibromatosis (NF2) complicated by pre-existing contralateral blindness. Trans-nasal and lateral orbital surgical approaches were aided by stereotactic navigation to debulk a large frontal/sphenoid wing meningioma, which had been exerting pressure onto the right globe and optic nerve. The patient made an excellent postoperative recovery along with preserved residual visual acuity, normal neurology and a good aesthetic outcome. Read More

Asian J Neurosurg 2017 Jul-Sep;12(3):358-361

Department of Neurosurgery and Gamma Knife, All India Institute of Medical Sciences, New Delhi, India.

Radiation therapy is widely used as adjuvant or primary treatment modality of neoplastic lesions. Radiation therapy may cause an acute adverse effect such as brain edema, radiation necrosis, or delayed, for example, panhypopituitarism, vasculitis, and rare neoplasm development. However, radiation-induced meningioma (RIM) occurrence is extremely rare. Read More

Int J Surg Case Rep 2017 29;37:189-192. Epub 2017 Jun 29.

Army Hospital of Rome "Celio", Pathology Service, Via S. Stefano Rotondo n. 4, 00184, Roma, Italy. Electronic address:

Introduction: This is a very rare case of intraosseous cystic meningioma. There have been no reports of similar cases in the last 30 years.

Presentation Of Case: A 62-year-old man, suffering from a swelling of the lateral wall of the left orbit was admitted to our hospital. Read More

Shanghai Arch Psychiatry 2016 Jun;28(3):173-176

Department of Psychiatry and Deaddiction, Postgraduate Institute of Medical Education and Research (PGIMER), Dr. Ram ManoharLohia Hospital, New Delhi.

Frontal meningioma may present solely withpsychological symptoms that resemble dementia. We present the case of a 42-year-old man who initially was thought to have dementia, but he was eventually diagnosed with dementia caused by a sphenoid wing meningioma. Diagnosis of this illness is often delayed due to the insidious nature of the symptoms, which may be mistaken as symptoms of dementia. Read More

Orbit 2017 Jun 3;36(3):144-146. Epub 2017 Mar 3.

a Oxford Eye Hospital , Oxford University Hospital NHS Trust , Oxford , United Kingdom.

Primary intraorbital ectopic meningiomas are rare and their existence remains controversial. We present a 30-year-old female with painless, non-axial proptosis and a palpable superomedial mass. The MRI demonstrated that the mass had no optic nerve sheath or sphenoid wing involvement and was initially reported to have no intracranial extension. Read More

Ophthalmic Plast Reconstr Surg 2017 Nov/Dec;33(6):e163-e165

Department of Ophththalmology, Jules Stein Eye Institute, University of California Los Angeles, Los Angeles, California, U.S.A.

The authors describe herein a case of optic neuropathy in progesterone receptor positive sphenoid wing meningioma of the greater wing which demonstrated spontaneous recovery with conservative management. Read More

Oper Neurosurg (Hagerstown) 2017 Jun;13(3):399

Department of Neurosurgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.

Oncol Lett 2017 Mar 27;13(3):1529-1534. Epub 2017 Jan 27.

Division of Neurological Surgery, University of Sao Paulo Medical School, Sao Paulo, SP 05403010, Brazil.

Tumor-to-meningioma metastasis (TMM) is a fairly uncommon phenomenon. Only 7 cases of prostate cancer with TMM have previously been described in the literature. The present study aimed to report a case of prostate cancer TMM, and to discuss the relevant clinical and neuroimaging aspects of this condition. Read More

World Neurosurg 2017 Jul 21;103:952.e5-952.e9. Epub 2017 Apr 21.

Division of Neuroanesthesia and Neurocritical Care, University Department of Anesthesiology, Reanimatology and Intensive Care, University Hospital Center Zagreb, Zagreb, Croatia.

Background: In some cases when risk of occlusion of a blood vessel is greater than risk of bleeding when patients undergo urgent or unplanned bypass during neurosurgery, the use of eptifibatide may be an option. We describe 2 patients who underwent arterial bypass in whom eptifibatide was used successfully intraoperatively during neurosurgery for prevention of bypass occlusion.

Case Description: The first patient presented with a right middle cerebral artery (MCA) aneurysm with subocclusive stenosis of the M1 branch. Read More

World Neurosurg 2017 Jul 20;103:951.e5-951.e12. Epub 2017 Apr 20.

Department of Neurosurgery, California Pacific Medical Center, San Francisco, California, USA; Department of Neurology, Geisel School of Medicine at Dartmouth, San Francisco, California, USA. Electronic address:

Background: We describe a rare case of a sphenoid sinus myxoma that was resected via an endoscopic endonasal skull base approach. We review the literature regarding these rare tumors of the paranasal sinuses.

Case Description: A 72-year-old woman was diagnosed with an incidental sphenoid sinus tumor and left sphenoid wing meningioma during a workup for left-sided proptosis and diplopia. Read More

Neurosurgery 2017 Jun;80(6):957-966

Department of Neurosurgery, Emory University, Atlanta, Georgia.

Background: Sphenoid wing meningiomas (SWMs) can encase arteries of the circle of Willis, increasing their susceptibility to intraoperative vascular injury and severe ischemic complications.

Objective: To demonstrate the effect of circumferential vascular encasement in SWM on postoperative ischemia.

Methods: A retrospective review of 75 patients surgically treated for SWM from 2009 to 2015 was undertaken to determine the degree of circumferential vascular encasement (0°-360°) as assessed by preoperative magnetic resonance imaging (MRI). Read More

Br J Neurosurg 2017 Aug 15;31(4):459-463. Epub 2017 Mar 15.

a Department of Neurosurgery , The Walton Centre NHS Foundation Trust , Liverpool , UK.

Background: Incidental meningiomas are increasingly being diagnosed due to widespread use of brain imaging. Treatment options include surveillance, surgery and stereotactic radiosurgery, but the natural history of these tumours is not fully understood and there are no accepted management guidelines to aid clinical decision-making. The aim of this study was to assess current practice in the United Kingdom and identify areas of variation for further study. Read More

Surg Neurol Int 2016 12;7(Suppl 40):S989-S994. Epub 2016 Dec 12.

Department of Neurosurgery, Allegheny General Hospital, Drexel University College of Medicine, Pittsburgh, Pennsylvania, USA.

Background: The marginal tubercle (MT) of zygomatic bone can be an obstacle in the standard mini pterional (MPT) craniotomy; we aim to evaluate the effect of drilling this MT in enhancing the exposure of MPT craniotomy for resection of sphenoid wing meningiomas (SWMs).

Methods: The authors utilized 60 dry skulls to perform the anatomical part of the study. The MT size was reflected by the distance, wherein point is the most prominent part of MT and point is located on the orbital rim in the same axial plane as point . Read More

World Neurosurg 2017 Apr 29;100:159-166. Epub 2016 Dec 29.

Division of Neurosurgery, Department of Surgery, Toronto Western Hospital, University Health Network, Toronto, Ontario, Canada; Department of Surgery, University of Toronto, Toronto, Ontario, Canada.

Background: Lateral approaches to treat anterior cranial fossa lesions have evolved since the first frontotemporal approach described by Dandy in 1918. We describe a less invasive approach to perform extradural anterior clinoidectomy through a lateral supraorbital (LSO) approach for anterior circulation aneurysms and anterolateral skull base lesions.

Methods: The extended LSO approach involves performing a standard lateral supraorbital craniotomy followed by drilling of the sphenoid wing and lateral wall of the orbit through the frontal bony opening of the LSO approach, without any temporal extension of the craniotomy. Read More

Acta Ophthalmol 2017 May 20;95(3):295-298. Epub 2016 Dec 20.

Eye Clinic, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.

Purpose: To evaluate the histological appearances of the epithelial cells and the clinical effect of the hard palate mucous membrane (HPM) graft for the treatment of lower eyelid retraction (LER).

Methods: This was a follow-up study involving 15 patients, with a total of 16 eyes operated. Five patients had LER as a result of Graves' ophthalmopathy and/or inferior rectus recession, six patients because of wearing an eye prosthesis, two patients because of previous tumour excision, one patient because of proptosis due to sphenoid wing meningioma and one patient because of previous lower eyelid blepharoplasty. Read More

J Neuroophthalmol 2017 03;37(1):105-106

Division of Neuro-Ophthalmology, Bascom Palmer Eye Institute, Miami, Florida Division of Neuro-Ophthalmology, Wilmer Eye Institute, Johns Hopkins University, Baltimore, Maryland Department of Neurosurgery, Miller School of Medicine, University of Miami, Miami, Florida Division of Ocular Pathology, Bascom Palmer Eye Institute, Miami, Florida Department of Ophthalmology, Bassett Healthcare Network, Cooperstown, New York Division of Neuro-Ophthalmology, Bascom Palmer Eye Institute, Miami, Florida.

Endocrinol Diabetes Metab Case Rep 2016 21;2016. Epub 2016 Nov 21.

Department of Endocrinology , Adelaide and Meath Hospitals, incorporating the National Children's Hospital, Tallaght, Dublin , Ireland.

Meningioma growth has been previously described in patients receiving oestrogen/progestogen therapy. We describe the clinical, radiological, biochemical and pathologic findings in a 45-year-old woman with congenital adrenal hyperplasia secondary to a defect in the 21-hydroxylase enzyme who had chronic poor adherence to glucocorticoid therapy with consequent virilisation. The patient presented with a frontal headache and marked right-sided proptosis. Read More