Surgical resection of anterior cranial base and sphenoid ridge meningioma: clinical experience with 33 cases
10.3760/cma.j.issn.1671-8925.2009.07.015
- VernacularTitle:手术切除前颅底及蝶骨嵴脑膜瘤33例临床体会
- Author:
Zheng-Jiang ZHA
1
;
Peng ZHAO
;
Xin-Sheng CHEN
;
Hui FANG
;
Bin LUO
;
Wen-Bing WANG
;
Zhi-Hong LI
;
Jun WANG
Author Information
1. 安徽医科大学附属安庆医院
- Keywords:
Meningeoma;
Anter/orcranial base;
Sphenoidal crest
- From:
Chinese Journal of Neuromedicine
2009;8(7):704-707
- CountryChina
- Language:Chinese
-
Abstract:
Objective To review the surgical approach and skills of craniotomy for resecting anterior cranial base and sphenoidal ridge meningioma. Methods The clinical data of 33 patients with anterior cranial base and sphenoidal ridge meningioma treated between July, 1998 and April, 2008 were analyzed retrospectively. The meningioma was resected via the unilateral subfrontai approach in 4 cases, via the bilateral subfrontal approach in 17 cases, via the pterion approach in 5 cases and via modified ptetion approach in 7 cases. Results Total resection of the meningioma was achieved in 30 cases, subtotal resection in 2 cases and partial resection in 1 case. The clinical symptoms were improved after the operation in 28 cases. One patient showed paralytic aphonia, 1 developed hemiplegia, 1 had psychiatric symptom, 1 died and 2 experienced tumor relapse after the operation. Conclusion The selection of appropriate surgical approach according to the location of the tumor in relation to the skull base, blood vessels and nerves before the operation, careful operation and protection of the blood vessels and nerves during the operation are crucial to reduce the rate of disability, mortality and tumor recurrence following surgical resection of anterior cranial base and sphenoidal ridge meningioma.
