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Analysis of the common complications and recurrence-related factors of superior parasagittal sinus meningioma. | LitMetric

AI Article Synopsis

  • - The study investigates complications and tumor recurrence in patients who underwent surgery for parasagittal meningiomas, particularly those affecting the superior sagittal sinus, highlighting reasons for high recurrence rates.
  • - A retrospective review of 212 cases from 2008 to 2017 found a 23.6% rate of complications, with significant predictors identified as peritumoral edema ≥1 cm and high Sindou invasion classes (V-VI) for complications, while classes (III-IV and V-VI) were linked to recurrence.
  • - The findings suggest that specific tumor characteristics, particularly how they invade surrounding areas, can help in anticipating surgical outcomes, underscoring the need for careful preoperative evaluation in these cases. *

Article Abstract

Objectives: Parasagittal meningioma resection is prone to postoperative complications and tumor recurrence because the tumor invades the superior sagittal sinus. This study aimed to clarify the incidence of perioperative complications and the recurrence of superior sagittal paranasal meningiomas and explored potential predictors in this context.

Methods: The study retrospectively reviewed the clinical, imaging, and follow-up data of parasagittal meningiomas among patients who underwent microsurgical resection in the authors' institution from January 2008 to December 2017. Univariate and multivariate logistic regression analyses were conducted to explore independent predictors of perioperative complications and tumor recurrence.

Results: A total of 212 parasagittal meningioma patients were included in this study. The incidence of perioperative complications was 23.6% (50/212), and perioperative death occurred in 6 (2.8%) patients. In univariate and multivariate logistic regression analyses of perioperative complications, peritumoral edema ≥1 cm (odds ratio [OR] 2.163, 95% confidence interval [CI] 1.057-4.428,  = 0.035) and the Sindou invasion Class V-VI(OR0.018, 95% CI 1.248-11.064,  = 0.018) were independent predictors. After an average of 83 (39-154) months of clinical follow up among the living 206 patients, 22 (10.7%) patients showed tumor recurrence. In univariate and multivariate logistic regression analyses of tumor recurrence, the Sindou invasion Class III-IV (OR 5.539, 95%CI 1.469-20.884,  = 0.011) and the Sindou invasion Class V-VI (OR 9.144, 95%CI 2.215-37.757,  = 0.002) were independent predictors.

Conclusions: Peritumoral edema ≥1 cm and the Sindou invasion Class V-VI were the independent predictors of perioperative complications, and the Sindou invasion Class III-IV and the Sindou invasion Class V-VI were the independent predictors of tumor recurrence. The part of the parasagittal meningioma involving the sinus wall should be actively removed to the largest degree possible to reduce the recurrence rate.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9852056PMC
http://dx.doi.org/10.3389/fsurg.2022.1023021DOI Listing

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