21 research outputs found

    L' Escalade, son origine et ses conséquences

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    par J. Gabere

    Une Escalade diplomatique : épisode de l'histoire de Genève

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    J. GaberelIn: Bibliothèque universelle de Genève. - Décembre 185

    L' Escalade : récit officiel du secrétaire d'Etat : écrit le 12 décembre 1602 au matin

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    publ. pour la première fois par J. Gabere

    Deux récits officiels de l'Escalade de Genève

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    Analyse: Recueil contenant le texte de Gautier, secr. d'Etat, rédigé le lundi 13 décembre 1602 et le rapport fait à la Compagnie des Pasteurs le vendredi 17 décembre 1602.recueillis et mis en lumière par J. GaberelP. de t. datée du 12 décembre 186

    Hommes d'hier : esquisses chrétiennes / par M. Gaberel de Rossillon,...

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    Collection : Bibliothèque des écoles du dimancheContient une table des matièresAvec mode text

    Predictive Factors of Favorable Visual Outcomes After Surgery of Tuberculum Sellae Meningiomas: A Multicenter Retrospective Cohort Study

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    BACKGROUND: Because of their proximity to the visual structures, tuberculum sellae meningiomas are frequently revealed by ophthalmologic impairment. The goal of surgery is gross total resection and improvement of visual function. The purpose of the present study was to identify the predictors of favorable visual outcomes after surgery of tuberculum sellae meningioma. METHODS: We retrospectively collected tuberculum sellae meningiomas treated at 2 neurosurgical centers from 2010 to 2020. We collected the clinical, imaging and surgical data and analyzed their effects on the visual outcome. A favorable visual outcome was defined as an increase in visual acuity of >= 0.2 point and/or an increase of >25% of the visual field or complete recovery. RESULTS: A total of 50 patients were included. At 4 months after surgery, 30 patients (60%) had experienced visual improvement. The predictors of a favorable visual outcome were a symptom duration of 0.5, a smaller tumor size, and tumor with T2-weighted/fluid attenuated inversion recovery hypersignal on magnetic resonance imaging. During surgery, a soft tumor and a clear brain-tumor interface were associated with favorable visual outcomes. Preoperative optic coherence tomography measurements of the retinal nerve fiber layer thickness >80 mu M and ganglion cell complex thickness >70 mu M were also associated with a better ophthalmologic outcome. CONCLUSIONS: In tuberculum sellae meningiomas, rapid surgical treatment must be performed to optimize vision improvement. A hyperintense lesion on T2-weighted/fluid attenuated inversion recovery magnetic resonance imaging and minor vision impairment at the initial ophthalmologic presentation might give hope for a favorable outcome. Performing optic coherence tomography measurements before surgery could clarify patients' expectations regarding their recovery
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