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Meningiomas in the region of the cavernous sinus: a review of 21 patients.
- Source :
- British Journal of Neurosurgery; Oct96, Vol. 10 Issue 5, p439-444, 6p, 2 Charts
- Publication Year :
- 1996
-
Abstract
- This is a review of 21 patients with meningiomas involving the region of the cavernous sinus. All underwent surgery, and the fronto-zygomatic (F-Z) approach, first described by Fujitsu and Kubawara, was employed in every case. The mean age at presentation was 47 years; seven patients were male and 14 female. The mean duration of symptoms before surgery was 4 years. In 10 patients, resection was considered to be complete. Peri-operatively there were two deaths, but the majority of deficits in the survivors were temporary and quickly resolved. The mean follow-up period was 48 months. In that time, five patients experienced recurrence or progression of tumour, of whom three required repeat operation (followed by radiotherapy); and two patients were referred for radiotherapy alone. These five patients appear to be disease-free 2-5 years after their additional treatment. Of the 19 patients who left hospital, 17 were able to live independent lives. It would appear from this review that: (1) F-Z craniotomy usually gives excellent exposure to the region of the cavernous sinus; (2) selected patients should undergo angiography with balloon occlusion to evaluate the collateral vascular supply; (3) regular review should include annual MRI. Evaluation over a much longer time of both surgery and radiotherapy, individually and in combination, is needed before it will be possible to furnish a treatment protocol for individual cases at initial presentation or recurrence. [ABSTRACT FROM AUTHOR]
- Subjects :
- MENINGIOMA
MENINGES
CAVERNOUS sinus
BRAIN surgery
BRAIN tumors
SURGERY
THERAPEUTICS
Subjects
Details
- Language :
- English
- ISSN :
- 02688697
- Volume :
- 10
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- British Journal of Neurosurgery
- Publication Type :
- Academic Journal
- Accession number :
- 9612052366
- Full Text :
- https://doi.org/10.1080/02688699647050