Surgery for clinoidal meningiomas with cavernous sinus extension: Near-total excision and chiasmopexy.
Details
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State: Public
Version: author
License: CC BY 4.0
Serval ID
serval:BIB_9E989B51589F
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Surgery for clinoidal meningiomas with cavernous sinus extension: Near-total excision and chiasmopexy.
Journal
Acta neurochirurgica
ISSN
0942-0940 (Electronic)
ISSN-L
0001-6268
Publication state
Published
Issued date
09/2022
Peer-reviewed
Oui
Volume
164
Number
9
Pages
2511-2515
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Publication Status: ppublish
Abstract
The main factors limiting the extent of resection for clinoidal meningiomas are cavernous sinus extension and vessel adventitia involvement. The proximity to the optic apparatus and the risk of radiation-induced optic neuropathy often prevents many surgeons from proposing adjuvant radiosurgery.
We describe a simple technical solution that is to place a fat graft between the optic apparatus and the residual tumor to maintain the distance gained at surgery and facilitates the identification of anatomic structures.
This technique allows to deliver optimal therapeutic doses to the residue reduces the dose received by the optic nerve below 8 Gy.
We describe a simple technical solution that is to place a fat graft between the optic apparatus and the residual tumor to maintain the distance gained at surgery and facilitates the identification of anatomic structures.
This technique allows to deliver optimal therapeutic doses to the residue reduces the dose received by the optic nerve below 8 Gy.
Keywords
Cavernous Sinus/diagnostic imaging, Cavernous Sinus/pathology, Cavernous Sinus/surgery, Follow-Up Studies, Humans, Meningeal Neoplasms/diagnostic imaging, Meningeal Neoplasms/pathology, Meningeal Neoplasms/surgery, Meningioma/diagnostic imaging, Meningioma/pathology, Meningioma/surgery, Radiosurgery/methods, Retrospective Studies, Treatment Outcome, Chiasmopexy, Clinoid, Meningioma, Radiosurgery
Pubmed
Web of science
Open Access
Yes
Funding(s)
University of Lausanne
Create date
28/06/2022 21:43
Last modification date
15/09/2022 6:38