Background: Tentorial meningiomas represent about 5% of intracranial meningiomas. This article reviews our recent institutional series of patients with tentorial meningiomas, proposes a simplified classification and analyzes postoperative evolution, discussing the salient features in the management of these patients.
Methods: From 1998 to 2005, 30 patients (22 female and 8 male) with tentorial meningiomas were operated at our institution. Thirteen patients had tumor restricted to the infratentorial space; 12, to the supratentorial space; and in 5 cases, the tumor involved both compartments. Follow-up ranged from 1 to 8 years. A total of 35 surgical procedures were performed in 30 patients, where 26 procedures were performed through a single approach (2, ITSC; 10, RS; 5, SOIH; 5, ST; and 4, TT); and 9, through combined approaches (7, ITSC/ SOIH; and 2, RS/ST).
Results: Simpson I resection was achieved in 17 patients. Tumors involving both compartments, involving the petrous sinus, and attached to the torcula limited complete resection. Twenty-two out of 30 patients were able to return to their regular life with no or minimal neurological sequelae. Most frequent complications in our series were shunt dependence, CSF fistulae, diffuse brain injury and visual field defects. Overall, our series revealed 3% mortality and 23% morbidity.
Conclusion: Tentorial meningiomas are associated with significant morbidity related to the nervous and vascular structures surrounding the tumor. Partial tumor removal may be necessary in some cases.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2940096 | PMC |
| http://dx.doi.org/10.4103/2152-7806.66851 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
[Short-lasting tentorial herniation may cause cortical blindness. A case report and systematic literature review].
Zh Vopr Neirokhir Im N N Burdenko
October 2024
Burdenko Neurosurgical Center, Moscow, Russia.
Article Synopsis
- Cortical blindness results from damage to the visual cortex, often due to strokes affecting the posterior cerebral arteries, which can occur during tentorial herniation.
- A case study of a 40-year-old patient with a large right-sided sphenoidal meningioma showed postoperative complications, including headaches, coma, and eventual detection of cortical blindness lasting 1.5 years despite the absence of other neurological symptoms.
- The case underscores the importance of recognizing risks associated with neurosurgery, as timely interventions may still lead to complications like irreversible ischemia, highlighting the need for patient awareness.
Embolization of posterior fossa meningiomas supplied with meningohypophyseal trunk by using BCA and dual balloon protection.
AJNR Am J Neuroradiol
October 2024
From the Department of Neurosurgery, Fukuoka Seisyukai Hospital, Fukuoka, Japan (J.T.); Department of Neurosurgery, Faculty of Medicine, Fukuoka university, Fukuoka, Japan (K.T., T.K., D.K., S.Y., H.T., K.Y., T.E., H.K., T.M., H.A.); Department of Emergency and Critical Medicine, Faculty of Medicine, Fukuoka university, Fukuoka, Japan (H.F., Y.H., M.I.).
Background And Purpose: Efficacy of tumor embolization for posterior fossa meningioma is controversial due to the lack of adequate embolization for dangerous feeders. Of these, a meningohypophyseal trunk (MHT) has high therapeutic value despite the high risks associated with embolization.
Materials And Methods: To analyze the utility of preoperative MHT embolization for posterior fossa meningiomas using BCA with dual balloon protection, a single center retrospective record review was performed on eight consecutive patients who underwent preoperative tumor embolization via the MHT for posterior fossa meningiomas between 2020 and 2024.
Combined presigmoid approach: A literature review.
Surg Neurol Int
September 2024
Department of Neurosurgery, University of Cincinnati Medical Center, Cincinnati, United States.
Article Synopsis
- * Researchers conducted a systematic review of 27 studies involving 545 patients, identifying five main combined approaches: Anterior petrosal, Supra-tentorial, Infratemporal fossa, Retrosigmoid, and Far-lateral suboccipital.
- * The study found that these approaches, especially the Anterior petrosal, are effective in treating conditions like meningiomas while showing strong surgical outcomes and low complication rates.
Consensus guidelines for the management of primary supra-tentorial intraventricular tumour for low- and middle-income countries.
J Pak Med Assoc
March 2024
Department of Neurosurgery, The Aga Khan University, Karachi, Pakistan.
Almost any primary or metastatic brain tumour can manifest in intraventricular (IV) locations. These tumours may either originate within the ventricular system or extend into the IV space through growth. Such neoplasms represent a broad spectrum, with supratentorial IV tumours forming a heterogeneous group.
View Article and Find Full Text PDFSurgical outcome of sinodural meningiomas.
J Clin Neurosci
October 2024
National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru 560029, Karnataka, India.
Introduction: Meningiomas located in the posterior fossa and involving the sinodural angle at the junction of the transverse and sigmoid sinuses are uncommon and present unique challenges due to their complex anatomical location. Despite their distinctive features, they are frequently categorized with tentorial meningiomas in the literature.
Materials And Methods: This retrospective study conducted at a tertiary care center involved 64 patients with sinodural meningiomas who underwent surgical treatment between 2010 and 2023.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!