当前位置: 首页 > 详情页

Surgical Management of Meningioma of the Trigone Area of the Lateral Ventricle

文献详情

资源类型:

收录情况: ◇ SCIE

机构: [1]Capital Med Univ, China Natl Clin Res Ctr Neurol Dis, Beijing Inst Brain Disorders, Dept Neurosurg,Beijing Tiantan Hosp,Ctr Brain Tum, Beijing, Peoples R China; [2]Beijing Key Lab Brian Tumor, Beijing, Peoples R China; [3]Capital Med Univ, Beijing Tiantan Hosp, Dept Ultrasound, Beijing, Peoples R China
出处:
ISSN:

关键词: Intraoperative ultrasonography Meningioma Surgical approach Trans-sulcal approach Trigone area of the lateral ventricle

摘要:
OBJECTIVE: Lateral ventricular trigone meningioma is relatively rare and surgical resection is the main treatment strategy. It is a challenge to achieve total resection without any complication. We analyzed a series of cases using literature review. METHODS: Retrospective data was collected on patients who underwent surgical treatment for trigone meningioma at our department from 2007 to 2012. RESULTS: Forty-three patients were included (12 men, 31 women). The average age was 42.8 years old. The symptoms depended on tumor size and location; 38 had prominent symptoms. The preoperative neuroimaging help assess the entity, size, location, and blood supply of the tumor. All lesions were resected using the trans-sulcal temporal or parietal approach, with intraoperative ultrasound assistance. Total resection was achieved in all patients. Thirty-six patients had a ventricular drain, which was removed 1 to 14 days later. Of the patients having prominent symptoms, 31 had relief soon after the operation, the other 7 patients improved to some extent at long-term follow-up. Two patients developed intraoperative distant epidural hematoma, which was confirmed by ultrasound, and underwent hematoma evacuation immediately. Two patients were reoperated for extensive intracranial hypertension. Three patients developed localized hydrocephalus and 2 of those underwent ventriculoperitoneal shunt several months later and 1 patient had spontaneous relief. One patient had grade II meningioma and 2 had grade III; they underwent adjuvant radiotherapy. The follow-up period ranged from 2 to 71 months, with no recurrence. CONCLUSIONS: Surgical resection, using the trans-sulcal approach with intraoperative ultrasound assistance, can achieve a high rate of total resection and a low rate of complication, promising a good prognosis. The management technique and the perioperative treatment have to be individualized.

语种:
被引次数:
WOS:
PubmedID:
中科院(CAS)分区:
出版当年[2013]版:
大类 | 4 区 医学
小类 | 3 区 外科 4 区 临床神经病学
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 临床神经病学 4 区 外科
JCR分区:
出版当年[2012]版:
Q2 SURGERY Q3 CLINICAL NEUROLOGY
最新[2023]版:
Q2 SURGERY Q3 CLINICAL NEUROLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2012版] 出版当年五年平均 出版前一年[2011版] 出版后一年[2013版]

第一作者:
第一作者机构: [1]Capital Med Univ, China Natl Clin Res Ctr Neurol Dis, Beijing Inst Brain Disorders, Dept Neurosurg,Beijing Tiantan Hosp,Ctr Brain Tum, Beijing, Peoples R China; [2]Beijing Key Lab Brian Tumor, Beijing, Peoples R China;
通讯作者:
通讯机构: [1]Capital Med Univ, China Natl Clin Res Ctr Neurol Dis, Beijing Inst Brain Disorders, Dept Neurosurg,Beijing Tiantan Hosp,Ctr Brain Tum, Beijing, Peoples R China; [2]Beijing Key Lab Brian Tumor, Beijing, Peoples R China;
推荐引用方式(GB/T 7714):
APA:
MLA:

资源点击量:16409 今日访问量:0 总访问量:869 更新日期:2025-01-01 建议使用谷歌、火狐浏览器 常见问题

版权所有©2020 首都医科大学宣武医院 技术支持:重庆聚合科技有限公司 地址:北京市西城区长椿街45号宣武医院