In Reply to the Letter to the Editor Regarding “Effect of Surgeon Experience on Surgical Outcome of 80-Year-Old or Older Intracranial Meningioma Patients”

2021 ◽  
Vol 151 ◽  
pp. 319
Author(s):  
Ilari Rautalin ◽  
Christoph Schwartz ◽  
Mika Niemelä ◽  
Miikka Korja
Keyword(s):  
Surgical Outcome ◽  
Intracranial Meningioma ◽  
Letter To The Editor ◽  
Surgeon Experience

Letter to the Editor Regarding “Effect of Surgeon Experience on Surgical Outcome of 80-Year-Old or Older Intracranial Meningioma Patients”

2021 ◽  
Vol 151 ◽  
pp. 318
Author(s):  
Vitor Nagai Yamaki ◽  
Iuri Santana Neville ◽  
Eduardo Carvalhal Ribas ◽  
Wellingson Silva Paiva
Keyword(s):  
Surgical Outcome ◽  
Intracranial Meningioma ◽  
Letter To The Editor ◽  
Surgeon Experience

scholarly journals Evaluation of surgical outcome of giant intracranial meningiomas

2020 ◽  
Vol 35 (1) ◽  
Author(s):  
Ramy Teama ◽  
Mohamed Adawy ◽  
Mohamed Emara
Keyword(s):  
Surgical Outcome ◽  
Intraoperative Complications ◽  
Intracranial Meningioma ◽  
Surgical Removal ◽  
Study Group ◽  
Main Body ◽  
Total Removal ◽  
Large Size ◽  
Intracranial Meningiomas

Abstract Background The surgery of giant intracranial meningiomas (GIM) is difficult due to its large size, prominent vascularity, including and limiting visualization of various neurovascular structures, and severe cerebral edema. In this study, we will evaluate the surgical outcome of giant meningiomas according to our experience at our hospital in management of giant intracranial meningioma. Main body A retrospective analysis of 48 patients with histologically proven meningioma (≥ 6-cm diameter) who underwent surgical treatment at Benha University hospitals over a period of 5 years (June 2014/June 2019) is presented. Details regarding clinical presentation, imaging findings, surgical results and complications, and follow-up status were collected. The study group was composed of 41 females and 7 males. The age of the study group ranged from 38 to 69 years with an average of 49 years. The mean follow-up period was 36 months. Different approaches were used according to tumor location with the aim of gross total removal. Gross total removal was achieved in 90% of cases (43 cases). There were 2 cases with intraoperative complications not related to surgery. Recurrence was present in 4 cases. Mortality in this series was 4% (2 cases) with no reported intraoperative mortality. Conclusion Management of giant intracranial meningioma is a relatively common practice in neurosurgical centers in developing countries with the aim of radical total surgical removal being the first and most optimum option. Large size makes surgery difficult, but young age, meticulous surgical techniques, proper localization, trying to minimize operative time, and Simpson grade are of special value. Interdisciplinary cooperation is essential to avoid the common complications like pulmonary embolism (PE), postoperative hematoma in tumor bed that leads to bad surgical outcome.

scholarly journals Features of tumor texture influence surgery and outcome in intracranial meningioma

2020 ◽  
Vol 2 (1) ◽  
Author(s):  
Thomas Sauvigny ◽  
Franz L Ricklefs ◽  
Lena Hoffmann ◽  
Raphael Schwarz ◽  
Manfred Westphal ◽  
...  
Keyword(s):  
Surgical Management ◽  
Surgical Outcome ◽  
Clinical Presentation ◽  
Intracranial Meningioma ◽  
Tumor Vascularization ◽  
Related Factors ◽  
Duration Of Surgery ◽  
Tumor Consistency ◽  
Neurovascular Structures ◽  
Significant Factors

Abstract Background Texture-related factors such as consistency, vascularity, and adherence vary considerably in meningioma and are thought to be linked with surgical resectability and morbidity. However, data analyzing the true impact of meningioma texture on the surgical management is sparse. Methods Patients with intracranial meningioma treated between 08/2014 and 04/2018 at our institution were prospectively collected for demographics, clinical presentation, histology, and surgical treatment with related morbidity and extend of resection. Tumor characteristics were reported by the surgeon using a standardized questionnaire including items such as tumor consistency, homogeneity, vascularization, and adherence to surrounding neurovascular structure and analyzed for their impact surgical outcome parameters using univariate and logistic regression analyses. Results Tumor texture-related parameters of 300 patients (72.3% female) with meningioma were analyzed. Meningioma localizations were grouped into 3 different cohorts namely convexity, skull base, and posterior. Postoperative occurrence of a neurological deficit (transient 23.0%; permanent 6.1%) was associated with the duration of surgery (P = .001), size of tumor (P = .046), tumor vascularization (P = .015), and adherence to neurovascular structures (P = .002). Coherently, the duration of surgery (mean 230.99 ± 101.33 min) was associated with size of tumor (P < .0001), vascularization (P < .0001), and adherence (P < .0001). Similar associations were recapitulated in subgroup analyses of different tumor localizations. Noteworthy, tumor rigidity had no significant impact on time of surgery and neurological outcome. Conclusions Our analysis demonstrates that tumor texture has an impact on the surgical management of meningioma and provides data that tumor vascularization and adherence are significant factors influencing surgical outcome whereas the influence of tumor consistency has less impact than previously thought.

scholarly journals Lessons from surgical outcome for intracranial meningioma involving major venous sinus

Medicine ◽  
2016 ◽  
Vol 95 (35) ◽  
pp. e4705 ◽  
Author(s):  
Moon-Soo Han ◽  
Yeong-Jin Kim ◽  
Kyung-Sub Moon ◽  
Kyung-Hwa Lee ◽  
Jung-In Yang ◽  
...  
Keyword(s):  
Surgical Outcome ◽  
Venous Sinus ◽  
Intracranial Meningioma
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