6 Anterior Cranial Base

  • Luigi Maria CavalloEmail author
  • Domenico Solari
  • Alberto Di Somma
  • Waleed A. Azab
  • Paolo Cappabianca


Anterior skull base lesions can be approached through transcranial or extended endonasal, either microscopic or endoscopic, approaches. Meningiomas are the most common pathologies located in the anterior cranial fossa, and this chapter will focus on the endoscopic endonasal approach for the management of tuberculum sellae and planum sphenoidale meningiomas. Key considerations related to the specific indications for the endoscopic endonasal approach include sphenoid sinus and tuberculum/suprasellar notch anatomy, parasellar extension of the tumor, or encasement of neurovascular structures. When proper indications are complied, the endonasal route represents a safe and effective surgical module for the management of tuberculum sellae and planum sphenoidale meningiomas.


Anterior cranial base Endoscopic endonasal surgery Transtuberculum transplanum approach Tuberculum sellae meningiomas Planum sphenoidale meningiomas Skull base surgery 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • Luigi Maria Cavallo
    • 1
    Email author
  • Domenico Solari
    • 1
  • Alberto Di Somma
    • 1
  • Waleed A. Azab
    • 2
  • Paolo Cappabianca
    • 3
  1. 1.Department of Neurosciences and Reproductive and Odontostomatological Sciences, Division of NeurosurgeryUniversitá degli Studi di Napoli Federico IINaplesItaly
  2. 2.Department of NeurosurgeryIbn Sina HospitalKuwait CityKuwait
  3. 3.Department of NeurosurgeryUniversitá degli Studi di Napoli Federico IINaplesItaly

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