An institutional long-term series assessing the results of endoscopic endonasal surgery for tuberculum sella meningiomas.

Tang, Bin-Alamer, Adida, Zenonos, Gardner and colleagues reported a retrospective series of 92 patients treated through an endoscopic endonasal approach for tuberculum sella meningiomas between 2008 and 2024.

A Simpson grade I resection was achieved in 78.3% of cases. Among patients with preoperative visual impairment, 71.3% reported subjective visual improvement after surgery. With a median follow-up of 52 months, the overall recurrence/regrowth rate was 7.6%. Failure to achieve Simpson grade I resection was the main predictor of recurrence or regrowth.

Why it matters

This study provides valuable long-term outcome data for endoscopic endonasal treatment of tuberculum sella meningiomas. It reinforces the importance of complete resection when safely achievable and offers practical information regarding visual recovery, CSF leak risk and long-term tumor control.

Reference

Tang A, Bin-Alamer O, Adida S, Zenonos GA, Gardner PA, et al.
Long-Term Outcomes of Endoscopic Endonasal Resection for Tuberculum Sella Meningiomas.
Neurosurgery. Published online October 1, 2026.
DOI: 10.1227/neu.0000000000004232
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