| Combined subtemporal and retrosigmoid keyhole approach for extensive petroclival meningioma surgery: report of experience with 7 cases. | |
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MedLine Citation:
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PMID: 17674298 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: Resection of petroclival meningiomas offers great challenges to the neurosurgeons. Our experience of 7 cases using a combined subtemporal and retrosigmoid keyhole approach surgery was evaluated for the treatment of extensive petroclival meningiomas. METHODS: From July 2002 to July 2005, resections of 7 petroclival meningiomas, which involved both supra- and infratentorial regions, were performed via a combined subtemporal and retrosigmoid keyhole approach. The extent of tumor resection was evaluated by MRI 3 months after surgery, and postoperative complications were investigated. RESULTS: The maximum diameter of the tumors ranged from 3.4 to 6.0 cm (mean: 4.4 cm). Gross total resection (GTR) was achieved in 3 cases, giving a GTR rate of 43%. Subtotal resection (STR) was carried out in 4 cases. Neurological status remained intact in one case, while others presented with cranial nerve deficits (VII, VI, V, III and lower CN). No death was reported in the cases during the postoperative period. CONCLUSION: The combined keyhole approach is suitable for the treatment of extensive petroclival meningiomas. It provides easy and quick access to the supra- and infratentorial juxtaclival region without any petrous bone drilling. Complications related to the approach can be minimized. |
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Authors:
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W Zhu; Y Mao; L-F Zhou; R Zhang; L Chen |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Minimally invasive neurosurgery : MIN Volume: 50 ISSN: 0946-7211 ISO Abbreviation: Minim Invasive Neurosurg Publication Date: 2007 Apr |
Date Detail:
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Created Date: 2007-08-03 Completed Date: 2007-10-17 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9440973 Medline TA: Minim Invasive Neurosurg Country: Germany |
Other Details:
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Languages: eng Pagination: 106-10 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, Huashan Hospital of Fudan University, Shanghai Neurosurgical Center, Shanghai, P.R. China. |
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Brain / pathology, radiography, surgery Cavernous Sinus / anatomy & histology, pathology, surgery Cranial Fossa, Middle / anatomy & histology, pathology, surgery Cranial Fossa, Posterior / anatomy & histology, pathology, surgery* Cranial Nerves / pathology, physiopathology, surgery Craniotomy / methods* Dura Mater / anatomy & histology, pathology, surgery Female Humans Infratentorial Neoplasms / pathology, radiography, surgery* Magnetic Resonance Imaging Male Meningeal Neoplasms / pathology, radiography, surgery* Meningioma / pathology, radiography, surgery* Middle Aged Neurosurgical Procedures / methods* Occipital Bone / anatomy & histology, pathology, surgery Postoperative Complications / etiology, prevention & control Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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