Technical nuances of an endoscopic endonasal approach (EEA) for a complex macroadenoma witj suprasellar and retrochiasmatic extension. #Repost @skullbasevideos The patient is a 51-year-old male with several years' history of progressive visual loss. Neuro-ophthalmology assessment revealed a profound visual loss with homogynous hemianopsia and left optic nerve atrophy. His pituitary hormonal profile was normal. The options for surgical approach included transcranial, endoscopic endonasal, or a combination of both. An EEA was the preferred surgical option, because it allows for early identification of the pituitary gland, and provides access to the suprasellar region including pre- and retrochiasmatic spaces, which facilitates tumor removal while minimizing manipulation of the optic apparatus. Follow the link in our bio or copy / paste the link below to watch the video. https://www.thieme-connect.com/products/ejournals/html/10.1055/s-0038-1625969 @thieme.ny #skullbase #operativevideo #skullbasevideos #pituitaryadenoma #giantadenoma #surgicalanatomy #suprasellarextension #neurosurgeryblog #neurocirurgiabr https://www.instagram.com/p/BmNrydaADHW/?utm_source=ig_tumblr_share&igshid=oslju1hoqzpf
