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Results Of Surgical Treatment Of Anterior Clinoidal Meningiomas - Our Experiences.

T. Czernicki, P. Kunert, A. Nowak, A. Marchel
Published 2015 · Medicine

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OBJECTIVE Presentation of our experience in the treatment of anterior clinoidal meningiomas, including evaluation of factors that may affect early and long-term treatment outcomes. METHODS Thirty patients were operated with strategy of complete tumor resection using fronto-orbito-zygomatic approach. Outcomes were assessed by Glasgow Outcome Scale at discharge and by Karnofsky Performance Scale at follow-up. RESULTS There were 6 tumors in group I, 20 in group II, and 4 in group III according to Al-Mefty classification. Complete tumor resection (Simpson I or II) was achieved in 19 patients, incomplete resection (Simpson IV) in 11: due to strict tumor adhesion to cerebral arteries in 5 and tumor extension to cavernous sinus in 6 cases. Operative mortality was 6.7%. Visual acuity improved in six among nine patients with impaired vision but in no one among nine patients with blindness. Normal life activity (80-100 KPS) could be carried out by 88% patients at follow-up. Recurrence was observed in two (11.8%) patients after radical removal and progression of residual tumor in two (25%) after subtotal resection. CONCLUSIONS Complete tumor removal is possible with an acceptable risk of death and severe neurological deficits, except for cases with tumor extension to the cavernous sinus or strict tumor adhesion to cerebral arteries. Visual acuity improvement may be expected in two thirds of patients with impaired vision, but not in cases of blindness. In cases of incomplete tumor removal, use of stereotactic radiosurgery immediately after surgery seems justified.
This paper references
10.1093/neuonc/1.3.188
Anterior clinoidal meningiomas: report of a series of 33 patients operated on through the pterional approach.
F. Puzzilli (1999)
10.2176/NMC.40.610
New grading system to predict resectability of anterior clinoid meningiomas.
A. Goel (2000)
10.1016/S0140-6736(75)92830-5
ASSESSMENT OF OUTCOME AFTER SEVERE BRAIN DAMAGE: A Practical Scale
B. Jennett (1975)
10.1007/s00701-008-0006-6
Surgical strategies for giant medial sphenoid wing meningiomas: a new scoring system for predicting extent of resection
S. Behari (2008)
10.1227/01.NEU.0000197104.78684.5D
Medial Sphenoid Wing Meningiomas: Clinical Outcome and Recurrence Rate
M. Nakamura (2006)
10.1007/978-1-84628-784-8_39
Lateral and Middle Sphenoid Wing Meningiomas
B. Pirotte (2009)
10.1007/s00701-008-1594-x
Anterior clinoidal meningiomas: analysis of 43 consecutive surgically treated cases
M. N. Pamir (2008)
10.3171/jns.1990.73.6.0840
Clinoidal meningiomas.
O. Al-Mefty (1990)
10.1227/01.neu.0000317303.93460.24
TUBERCULUM SELLAE MENINGIOMAS: HIGH ROUTE OR LOW ROUTE? A SERIES OF 51 CONSECUTIVE CASES
E. de Divitiis (2008)
10.3109/02688697.2012.654837
Endoscopic skull base surgery: a comprehensive comparison with open transcranial approaches
R. Komotar (2012)
10.1055/s-0032-1301391
Expanded endoscopic endonasal approaches to skull base meningiomas.
J. Prosser (2012)
10.3171/FOC.2003.14.6.5
Management of surgical clinoidal meningiomas.
S. Tobias (2003)
10.1227/01.NEU.0000125542.00834.6D
LARGE SPHENOID WING MENINGIOMAS INVOLVING THE CAVERNOUS SINUS: CONSERVATIVE SURGICAL STRATEGIES FOR BETTER FUNCTIONAL OUTCOMES
K. A. Abdel Aziz (2004)
[Surgical treatment of meningiomas of medial part of sphenoid ala and en-plaque meningiomas of perisellar area].
A. Marchel (1996)
10.1097/00006123-200003000-00046
Cranial base surgical techniques for large sphenocavernous meningiomas: technical note.
J. Day (2000)
The clinical evaluation of chemotherapeutic agents in cancer
Da Karnofsky (1949)
Operacyjne leczenie oponiaków przyśrodkowej części skrzydła kości klinowej i oponiaków en-plaque okolicy okołosiodłowej
A Marchel (1996)
10.1016/S0028-3843(14)60137-7
Medial sphenoid ridge meningiomas: early and long-term results of surgical removal using the fronto-temporo-orbito-zygomatic approach.
P. Ladziński (2010)
10.1007/s00701-008-0143-y
High incidence of optic canal involvement in clinoidal meningiomas: rationale for aggressive skull base approach
B. Sade (2008)
10.3171/2014.7.FOCUS14321
Endoscopic endonasal resection of skull base meningiomas: the significance of a "cortical cuff" and brain edema compared with careful case selection and surgical experience in predicting morbidity and extent of resection.
O. Khan (2014)
10.1227/01.NEU.0000335069.30319.1E
Endoscopic endonasal resection of anterior cranial base meningiomas.
P. Gardner (2008)
10.1016/s0002-9610(38)91219-x
Meningiomas : their classification, regional behaviour, life history, and surgical end results
H. Cushing (1938)
10.3171/JNS.1994.81.2.0245
Outcome of aggressive removal of cavernous sinus meningiomas.
F. Demonte (1994)
MANAGEMENT OF VIRUS HEPATITIS.
Foss Mv (1964)
10.5114/NINP.2012.31474
Przeznosowe dostępy chirurgiczne w endoskopowych operacjach podstawy czaszki
T. Łysoń (2013)
10.1097/00006123-199607000-00002
Recurrence of cranial base meningiomas.
T. Mathiesen (1996)
10.1177/0194599812446565
Endoscopic Endonasal Resection of Anterior Skull Base Meningiomas
Vikram Padhye (2012)
10.1227/01.NEU.0000220023.09021.03
A Surgical Technique for the Removal of Clinoidal Meningiomas
J. Lee (2006)
10.3171/2009.3.17685
Anterior clinoidal meningiomas: functional outcome after microsurgical resection in a consecutive series of 106 patients. Clinical article.
H. Bassiouni (2009)
10.3171/JNS.1983.58.1.0051
The recurrence of intracranial meningiomas after surgical treatment.
A. Adegbite (1983)



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