Petroclival meningiomas: radiological features essential for surgeons

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Current Management of Petroclival Meningiomas

Lesions of the petroclival area have long been considered by neurosurgeons as unreachable,I,2 and until recently, patients afflicted with meningiomas in this region have carried poor prognoses, usually with a lethal outcome.1,39 Refined approaches and advances in microsurgery techniques, along with the aid of intraoperative monitoring, have encouraged neurosurgeons to reevaluate the ef1icacy of...

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True petroclival meningiomas: results of surgical management.

OBJECT The relentless natural progression of petroclival meningiomas mandates their treatment. The management of these tumors, however, is challenging. Among the issues debated are goals of treatment, outcomes, and quality of life, appropriate extent of surgical removal, the role of skull base approaches, and the efficacy of combined decompressive surgery and radiosurgery. The authors report on...

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Microsurgery with or without Neuroendoscopy in Petroclival Meningiomas.

AIM This study aimed to investigate the operative procedure for neuroendoscope-assisted microscopic resection of petroclival meningioma to improve prognosis. MATERIAL AND METHODS Twelve patients with petroclival meningioma who had undergone neuroendoscope-assisted microscopic resection at the Department of Neurosurgery, First Affiliated Hospital of Xinjiang Medical University were selected. I...

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Developmental patterns and characteristic symptoms of petroclival meningiomas.

Thirty-six cases of petroclival meningiomas with clearly defined anatomical features were selected to analyze the site of tumor attachment and the displacement of the trigeminal nerve. The tumors were classified into four categories according to the origin and extension of the tumor: clival origin medial to the trigeminal nerve (upper clivus type), clival origin with dumbbell extension to the c...

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Petroclival meningiomas: is radical resection always the best option?

BACKGROUND The surgical management of petroclival meningiomas is, despite the invaluable technical achievements in the past decade, still burdened by a high operative morbidity. It seems doubtful whether radical surgical removal should always be the primary goal in those lesions as advocated until very recently. METHODS A series was critically analysed and the literature discussed to elucidat...

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ژورنال

عنوان ژورنال: ecancermedicalscience

سال: 2019

ISSN: 1754-6605

DOI: 10.3332/ecancer.2019.907