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April2015 Vol.52 Issue:        2        Table of Contents
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Postoperative Clinical Outcome of Visual Acuity of Fifty Patients with Sellar and Suprasellar Tumors

Ahmed M. Ali

Department of Neurosurgery, Cairo University; Egypt


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.

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