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Microsurgical treatment of parafalcine meningiomas: a retrospective study of 126 cases

Authors Kong X, Gong S, Lee IT, Yang Y

Received 12 January 2018

Accepted for publication 3 May 2018

Published 30 August 2018 Volume 2018:11 Pages 5279—5285

DOI https://doi.org/10.2147/OTT.S162274

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Cristina Weinberg

Peer reviewer comments 2

Editor who approved publication: Professor Jianmin Xu


Xiangyi Kong,1,2,* Shun Gong,3–5,* I-Ting Lee6,7,* Yi Yang1

1Department of Neurosurgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, People’s Republic of China; 2Department of Breast Surgical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, People’s Republic of China; 3Department of Neurosurgery, The General Hospital of Shenyang Military, Army Institute of Neurology, Shenyang, People’s Republic of China; 4Department of Neurosurgery, Shanghai Institute of Neurosurgery, PLA Institute of Neurosurgery, Shanghai Changzheng Hospital, Second Military Medical University, Shanghai, People’s Republic of China; 5Department of Radiology, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA; 6Peking University Health Science Center, Peking University, Beijing, People’s Republic of China; 7Department of Dermatology, Beijing Hospital of the Ministry of Health, Beijing, People’s Republic of China

*These authors contribute equally to this work

Objective: To discuss the diagnosis, operation methods, and clinical effects of parafalcine meningiomas.
Methods: The clinical and preoperative imaging characteristics, operative methods, and effects of operations of 126 cases of parafalcine meningiomas were respectively discussed.
Results: G1 resection was achieved in 13 cases, G2 in 105 cases, G3 in four cases, and G4 in four cases, with no deaths. Among these, there were 16 patients with dyskinesia of the contralateral extremities after surgery, but they recovered after several months.
Conclusion: In order to avoid postoperative complications, we consider it vital to analyze the patients’ condition, the anatomy of venous drainage in by digital subtractional angiography, the relationship between tumor location and brain tissue according to MRI, and to remove the tumor in an adequately exposed surgical field.

Keywords:
parafalcine meningioma, image-based types, microsurgery

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