NA;The authors report 17 cases of large suprasellar meningiomas operated on during the 2hyphen;year period from February 1982 through March 1984. The tumors ranged from 4 to 9 cm in diameter. These patients presented with severe visual loss lpar;4 were blindrpar; and optic atrophy or papilledema. These tumors were noteworthy in their encroachment against and around the carotid arteries and optic nerves laterally, as well as against the hypothalamus with extension into the interpeduncular cistern and frontal foss. Advanced microsurgical technique assisted in total removal of all tumor tissue with preservation of vital sturctures. There were three deathscolon; two from pulmonary embolism and one from gastrointestinal hemorrhage. The surgical technique for the total removal of these very large tumors is described. lpar;Neurosurgery16colon;364hyphen;372, 1985rpar;
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