A series of 88 consecutive patients operated on for tuberculum sellae
meningioma at the Neurosurgery Department of the University of Ankara
Medical School was reviewed. Visual impairment was the most common ini
tial complaint. All but 9 patients had visual symptoms. All patients u
nderwent craniotomy, with an operating microscope being used in 62 cas
es. Use of the operating microscope appeared to increase the total rem
oval rate while lowering the mortality. In our series visual function
improved in 53.5%, was unchanged in 27.5%, and worsened in 19% of the
patients.