Microsurgical ressection for parasagittal meningiomas with preservation of the parasagittal sinus and excelent neurovascular control

Arq Neuropsiquiatr. 2013 May;71(5):301-6. doi: 10.1590/0004-282x20130025.

Abstract

Objective: It was to observe whether a microsurgical gross total removal (GTR) of a parasagittal meningioma (PSM) outside the sinus is a safe and efficient procedure.

Method: We identify 58 parasagittal meningiomas patients. Medical charts, operative reports, imaging studies and clinical follow-up evaluations were reviewed.

Results: GTR of the mass was achieved in 45 (77.7%) instances. The surgical mortality rate was 1.7%. The median follow-up time was 63 months.

Conclusion: The surgical approach used in this group of patients afford that the great majority of tumors could be totally removed with low mortality, proving to be safe and effective.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Cranial Sinuses / surgery*
  • Epidemiologic Methods
  • Female
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Meningioma / mortality
  • Meningioma / pathology
  • Meningioma / surgery*
  • Microdissection / methods*
  • Microdissection / mortality
  • Middle Aged
  • Recurrence
  • Time Factors
  • Treatment Outcome
  • Young Adult