Clinical analysis of microsurgical treatment for parasagittal meningiomas in central sulcus region
Guo Zhihua
Duan Haifeng
Zhang Hao
Ru Xiaohong
Li Min
Cui Jie
Abstract：Objective To investigate the method and efficacy of microsurgery for the parasagittal meningiomas in central sulcus region.Methods Clinical data of 32 patients with parasagittal meningiomas in the central sulcus region who underwent microsurgical resection were analyzed retrospectively. Results SimpsonⅠresection was achieved in 3 patients, SimpsonⅡresection in 15 and Simpson Ⅳ in 14. No procedure-related death and no new seizure. The improvement of disturbance of motor function was observed in 14 patients and the improvement of sensory disturbance was observed in 9. The severe hydrocephalus and cerebral infarction occurred in 1 patient who recovered after decompressive craniectomy. All the patients were followed up for 6 months to 7 years with a mean period of 45 months.The relapse occurred in 6 patients including 2 of Simpson Ⅱ resection and 4 of Simpson Ⅳ, 2 of whom received reoperation.Conclusions Sufficient preoperative evaluation, intraoperative appropriate treatment of draining vein, the rolandic vein and the superior sagittal sinus, avoiding the injury of the brain tissues adjacent to the tumor as far as possible were the keys to increase the surgical outcome and improve the life quality. The pursuit of total tumor resection should be avoided.
Keywords：meningiomascentral sulcus regionsuperior sagittal sinusmicrosurgery
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 175-178 )