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Surgical Management of Meningioma of the Trigone Area of the Lateral Ventricle.
MedLine Citation:
PMID:  24878623     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECT: Lateral ventricular trigone meningioma is relatively rare and surgical resection is the main treatment strategy. It is a challenge to achieve total resection without any complication. We analyzed a series of cases with literature review.
METHODS: Retrospective data was collected for patients with surgical treatment for trigone meningioma at our department from 2007 to 2012.
RESULTS: 43 cases were included. 12 were male and 31 were female. The averaging age was 42.8 years old. The symptoms depend on tumor size and location. 38 had prominent symptoms. The pre-operative neuroimaging could help assessing the entity, size, location, and blood supply of the tumor. All lesions were resected using trans-sulcal temporal or parietal approach, with intra-operative ultrasound assistant. The total resection was achieved in all cases. 36 were given ventricular drainage, removed one to 14 days later. Of the patients having prominent symptoms, 31 relieved soon after the operation, the other seven improved to some extent in long-term follow-up. Two developed intra-operative distant epidural hematoma confirmed by ultrasound and underwent hematoma evacuation immediately. Two were re-operated on for extensive intra-cranial hypertension. Three developed localized hydrocephalus with two underwent ventriculo-peritoneal shunt several months later and one relieved spontaneously. One of grade II and two of grade III meningioma went on for adjuvant radiotherapy. The follow-up period ranged from two to 71 months, with no recurrence.
CONCLUSIONS: The surgical resection through trans-sulcal approach with intra-operative ultrasound assistant can achieve high rate of total resection and low rate of complication, promising a good prognosis. The management technique and peri-operative treatment have to be individualized.
Authors:
Jun Ma; Linggang Cheng; Guanghua Wang; Song Lin
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Publication Detail:
Type:  REVIEW     Date:  2014-5-27
Journal Detail:
Title:  World neurosurgery     Volume:  -     ISSN:  1878-8750     ISO Abbreviation:  World Neurosurg     Publication Date:  2014 May 
Date Detail:
Created Date:  2014-5-31     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101528275     Medline TA:  World Neurosurg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2014 Elsevier Inc. All rights reserved.
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