Abstract：
BACKGROUND:In the management of meningiomas invading the major venous sinuses, balance between tumor control and complication prevention is desirable. The aim of this study was to describe an institutional experience in management of meningiomas involving major venous sinuses. METHODS:A retrospective study was carried out over 18 years, between 1999 and 2017, in patients with meningiomas involving major venous sinuses. Clinical features, operative strategy, histology, postoperative complications, adjuvant therapy, and long-term follow-up were studied. RESULTS:The study included 84 patients. Neurologic deficits were seen in 26 (31%) patients at presentation. The recurrence rates in Simpson grade I, II, and III excision were 7.6%, 25%, and 29.4% at a mean follow-up of 45.4 months (range, 1-192 months). No intervention of the involved sinus was done in 64 (76%) cases, venotomy was done in 3 (3.5%) cases, sinus resection without graft was done in 14 (16.6%) cases, and sinus reconstruction with patch was done in 3 (3.5%) cases. There were 53 (67.0%) patients with World Health Organization grade I histology and 25 (31.6%) patients with World Health Organization grade II histology. Fifteen recurrences were treated with Gamma Knife radiosurgery. In univariate analysis using Cox proportional hazards model, World Health Organization grade (P = 0.036, hazard ratio 2.90, 95% confidence interval = 1.07-7.87) and Simpson grade (P = 0.017, hazard ratio 2.90, 95% confidence interval = 1.18-5.29) were found to be significant factors to predict tumor recurrence. CONCLUSIONS:Management of meningiomas involving major venous sinus with microsurgical techniques and adjuvant Gamma Knife radiosurgery achieves a good tumor control rate with an acceptable complication rate.
journal_name
World Neurosurgjournal_title
World neurosurgeryauthors
Mohammed N,Narayan V,Patra D,Savardekar AR,Riaz M,Nanda Adoi
10.1016/j.wneu.2019.03.043subject
Has Abstractpub_date
2019-07-01 00:00:00pages
e179-e185eissn
1878-8750issn
1878-8769pii
S1878-8750(19)30669-2journal_volume
127pub_type
杂志文章abstract：OBJECTIVE:Realistic, safe, and efficient modalities for simulation-based training are highly warranted to enhance the quality of surgical education, and they should be incorporated in resident training. The aim of this study was to develop a patient-specific virtual cerebral aneurysm-clipping simulator with haptic forc...
journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2018.01.042
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journal_title：World neurosurgery
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journal_title：World neurosurgery
pub_type： 杂志文章,meta分析,评审
doi：10.1016/j.wneu.2011.07.011
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abstract：OBJECTIVE:To report a series of patients with aneurysmal subarachnoid hemorrhage (SAH) and associated intracranial hematoma (ICH) who underwent coiling of the aneurysm followed immediately by open surgical decompression with evacuation of the hematoma. METHODS:With the hypothesis that aneurysm coiling before hematoma ...
journal_title：World neurosurgery
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doi：10.1016/j.wneu.2010.06.051
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journal_title：World neurosurgery
pub_type： 杂志文章,评审
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pub_type： 杂志文章
doi：10.1016/j.wneu.2018.09.237
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pub_type： 杂志文章,多中心研究
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2018.08.025
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pub_type： 杂志文章
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journal_title：World neurosurgery
pub_type： 杂志文章
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journal_title：World neurosurgery
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pub_type： 杂志文章,评审
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更新日期：2020-09-01 00:00:00
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更新日期：2020-12-19 00:00:00
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更新日期：2018-02-01 00:00:00
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pub_type： 杂志文章
doi：10.1016/j.wneu.2017.07.052
更新日期：2017-11-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章
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pub_type： 历史文章,杂志文章,评审
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更新日期：2019-06-01 00:00:00
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更新日期：2019-03-01 00:00:00
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pub_type： 杂志文章,meta分析,评审
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更新日期：2020-02-01 00:00:00
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更新日期：2018-11-01 00:00:00
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更新日期：2019-11-01 00:00:00
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更新日期：2016-05-01 00:00:00
