Perioperative treatment of the medial sphenoid ridge meningioma
Li Zhongsen
Fu Xianming
Fei Xiaorui
Qian Ruobing
He Jinchao
Jia Li
Niu Chaoshi
Abstract：Objective To investigate the perioperative management strategies for medial sphenoid ridge meningioma (MSRM). Methods The clinical data of 46 MSRM patients undergoing neuro-microsurgery were analyzed retrospectively. The pterional or extended pterional approach was adopted in 45 patients and subfrontal approach in 1. Results According to Simpson resection grade for meningioma, grade Ⅰ was in 4 cases, grade Ⅱ in 16, grade Ⅲ in 17 and grade Ⅳ in 9. The consciousness alteration and hemiplegia appeared in 4 patients, neuropsychiatric symptoms in 3 and tumor cavity bleeding in 1. The recover was good in 24 patients, fair in 18, and poor in 3, and one patient died. Conclusions The surgical resection is the most effective treatment for sphenoid ridge meningiomas. The detailed and comprehensive preoperative evaluation, individualized surgical treatment strategy, solid anatomical knowledge on the skull base and skilled surgical techniques and timely treatment of postoperative complications are key factors for improving therapeutic efficacy and prognosis of MSRM.
Keywords：meningiomasphenoid ridgemicrosurgeryperioperative period
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 256-258 )