A great discussion on the pros and cons of expanded endonasal approach to tuberculum sella meningioma by Dr. Shallwani. #NASBS2025 NASBS Jacobs School at University at Buffalo UB Neurosurgery (UBNS) Isaac Yang MD UCLA Neurosurgery 🧠 UCLA Head & Neck Surgery UCLA Health David Geffen School of Medicine at UCLA Harbor-UCLA Medical Center Harbor-UCLA Surgery Harbor-UCLA Trauma

Great talk by Dr Waqas on our approach to a giant trigeminal schwannoma at NASBS - well done!

Outstanding presentation by Hussain on our craniopharyngioma case!

Good example of the pseudocapsular resection technique for macroadenoma. It can help both lower risk of intraoperative CSF leak and give confidence in a total resection! #ubns #buffaloskullbase #endoscopicendonasal #pituitarytumor

Great illustration of how pathology of cerebellopontine angle masses dictates direction of cranial nerve displacement. Intra-op frozen pathology suggested schwannoma but that didn't make sense with an inferiorly displaced trigeminal nerve. #ubns #meningioma #skullbasesurgery

The endonasal trans-pterygoid approach helps provide the lateral access necessary to safely enter the cavernous sinus and skeletonize the carotid within 3 of the 4 compartments in this invasive case of acromegaly. #ubns #pituitaryadenoma #acromegaly Elad Levy

Spotlight on Dr. Hanna Algattas, MD! Dr. Algattas specializes in: • Open & endoscopic #skullbase and pituitary surgery • Cranial and spinal #neurooncology • #Neurotrauma & #concussion care • Minimally invasive #cranial surgery • Degenerative #spine disease

An endonasal option is great for these meningiomas, but when this low the CSF leak risk is too high - so a far lateral is safer. Also doesn't hurt having top notch endovascular colleagues available for preop embolization! @eladlevymd UBNS Vascular #ubns #meningioma

Interesting meningioma, like three-in-one, spanning the tuberculum to planum - each knuckle of tumor with a different consistency. UB Neurosurgery (UBNS) UBNS Vascular #buffaloskullbase #meningioma #skullbase #endoscopicendonasal

A rare opportunity to take out a smaller tumor. Here's a meningioma abutting the optic nerve showing significant growth. Radiosurgery may place higher risk to the optic nerve than an endonasal resection in this case. UB Neurosurgery (UBNS) UBNS Vascular #meningioma #skullbase

Big acoustic and even bigger challenge is knowing when to stop to prevent facial nerve injury. Helps having an internal auditory canal so enlarged by tumor that even I could find it. UB Neurosurgery (UBNS) UBNS Vascular #schwannoma #vestibularschwannoma

Good example of how helpful indocyanine green (ICG) is for pituitary tumor resection, particularly functional tumors. Without a doubt it facilitated GTR and biochemical cure here. Hopefully a soon to be standard for such cases! UB Neurosurgery (UBNS) Elad Levy The Pituitary Foundation

Giant adenoma resection. Good example of breaking the tumor into 'compartments' to facilitate its descent. UB Neurosurgery (UBNS) Elad Levy NASBS

Heard during my training: "Minimally invasive approaches take the pain away from the patient and put it on the surgeon." That rings true for small eyebrow incisions for large meningiomas ... but it's worth it to see patients recover that much faster. UB Neurosurgery (UBNS)

Select intraventricular craniopharyngiomas can be effectively handled endonasally. UB Neurosurgery (UBNS) Elad Levy NASBS UBNS Vascular

🧠 New Pituitary Society Consensus Statement published in nature Reviews Endocrinology – here’s what to know about Pituitary Incidentalomas: 🔍 Found by accident, often benign 🧪 Hormone panel recommended for all (prolactin, IGF‑1, cortisol, pituitary axes) 🧠 Dedicated Sellar

Safely resecting tumor within the cavernous sinus requires exposing the cavernous sinus...A seemingly obvious, but often disregarded, statement. #pituitarytumor #pituitaryadenoma #skullbase #buffaloskullbase #braintumor

This new study reveals critical insights for pituitary surgeons: pituitary adenomas may invade the medial wall of the cavernous sinus in 3 distinct patterns—microscopic/focal, thickening, or destructive—each linked to unique tumor traits, surgical challenges, and clinical

Petroclival chondrosarcomas lend themselves very well for an endonasal, contralateral transmaxillary approach. Much thanks to Surgical Theater for the preoperative planning! UB Neurosurgery (UBNS) Elad Levy

For skull base chondrosarcomas, when to use adjuvant XRT for conventional grade 2 tumors is one of the big decisions we face with regards to risk vs benefits. This multi-institutional series provides data to guide decision making. Journal of Neurosurgery thejns.org/view/journals/…