Background: The sellar, parasellar and suprasellar regions is an
anatomically complex areas, A wide range of neoplastic, inflammatory, and many
other lesions may embroil vital structures. Objectives: This is a prospective study for postoperative clinical
outcome of visual acuity (VA) in patients with sellar and suprasellar tumors. Patients
and Methods: Fifty cases were included in this
study (28 females and 22 males). The age ranged from 31 y to 55 y. All cases
were operated at Kasr Al Aini Neurosurgical Department from June 2011 to
February 2014. All patients had history, clinical examination, hormonal profile
and radiological investigations in the form of CT scan, MRI and 4 vessels or
CT angiography if needed. All cases had
post-operative CT brain, hormonal profile and visual assessment 2 days and 4
months after surgery by Lamdolt broken ring,30 patients were operated by
microscopic assisted endoscopic endonasal transsphenoid approach and 20 cases
operated by transcranial approach. Results: Thirty-two cases showed visual improvement by two lines in
Lamdolt broken ring chart 48hrs after surgery. 16 cases had same preoperative
VA. 10 cases of 16 showed gradually improvement within 4 months. The VA was
hand movement in two cases in Rt. eye and became no PL postoperative. Total
improvement of cases, after 4 months, were 42 case (84%) ,6 cases still had
same pre and postoperative visual acuity (12%) and only 2 cases (4%) had post
operative visual acuity deterioration. Conclusion: Safe, careful surgery of tumors in sellar and suprasellar
regions with good instruments and anesthesia can help improving visual acuity. [Egypt J Neurol Psychiat
Neurosurg. 2015; 52(2) : 119-122]
Key Words: Suprasellar,
Visual acuity, Lamdolt broken ring.
Correspondence to Ahmed Mohamed Ali,
Neurosurgery Department, Faculty of Medicine,
Egypt.
Tel.: +201001813369
E-mail: prof_ali2000@yahoo.com