The utilization of preoperative embolization is a well-established method for reducing intraoperative blood loss during surgery of meningiomas. However, the exact indications and contraindications for this technique remain controversial. The objective of this study is to determine the indications for preoperative embolization of brain meningiomas.
View Article and Find Full Text PDFAsian J Neurosurg
January 2019
Objectives: The occurrence of obstructive hydrocephalus (ObH) as sequelae of deep midline brain tumors (third and lateral ventricles, thalamic, pineal region, brainstem, and fourth ventricle) can be estimated up to 90% of cases. We believe that the mamillopontine distance (MPD) - the distance between the lower surface of the mammillary body and the upper surface of the pons in the sagittal images - can be a sufficiently reliable alternative to the Evans' index (EI) for the diagnosis of ObH.
Patients And Methods: The results of mamillopontine distance (MPD), Evans' index (EI), and angle of corpus callosum (ACC) measurement of 43 patients with non-communicative hydrocephalus were analyzed compared with results of 30 people without brain pathology.