[Convexity Meningioma, Parasagittal Meningioma, Falx Meningioma].


Journal

No shinkei geka. Neurological surgery
ISSN: 0301-2603
Titre abrégé: No Shinkei Geka
Pays: Japan
ID NLM: 0377015

Informations de publication

Date de publication:
Jul 2024
Historique:
medline: 22 7 2024
pubmed: 22 7 2024
entrez: 22 7 2024
Statut: ppublish

Résumé

During surgery for meningioma, basic surgical techniques and strategies required for the removal of the tumor are common, particularly for tumors located superficially, such as convexity, parasagittal, and falx meningiomas. Four basic surgical techniques, including detachment; devascularization; debulking; and dissection should be combined and repeated in appropriate sequence, tailored to the specific conditions of each tumor. This eventually enables the total circumferential dissection of the tumor from the surrounding tissues. It is essential to retract the tumor towards the space created at the tumor center through internal debulking, rather than retracting the normal brain, to avoid damage to the surrounding brain tissue. During surgery for parasagittal meningioma with venous sinus occlusion, it is crucial to preserve the cortical veins that have developed as collateral pathways to prevent venous complications. During surgery for falx meningioma, the selection of a surgical approach including a contralateral approach based on factors such as the development of bridging veins and significant peritumoral brain edema is required. In this article, detailed surgical procedures for convexity meningioma, parasagittal meningioma, and falx meningioma were described focusing on the application of fundamental surgical techniques tailored to each tumor type.

Identifiants

pubmed: 39034511
pii: 1436204972
doi: 10.11477/mf.1436204972
doi:

Types de publication

Journal Article Review

Langues

jpn

Sous-ensembles de citation

IM

Pagination

726-735

Auteurs

Masahide Matsuda (M)

Department of Neurosurgery, Institute of Medicine, University of Tsukuba.

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Classifications MeSH