En plaque sphenoid wing meningiomas: recurrence factors and surgical strategy in a series of 71 patients

Neurosurgery
Giuseppe MironeBernard George

Abstract

En plaque sphenoid wing meningiomas are complex tumors involving the sphenoid wing, the orbit, and sometimes the cavernous sinus. Complete removal is difficult, so these tumors have high rates of recurrence and postoperative morbidity. The authors report a series of 71 patients with sphenoid wing meningiomas that were managed surgically. The clinical records of 71 consecutive patients undergoing surgery for sphenoid wing meningiomas at Lariboisière Hospital, Paris, were prospectively collected in a database during a 20-year period and analyzed for presenting symptoms, surgical technique, clinical outcome, and follow-up. Among the 71 patients (mean age, 52. 7 years; range, 12-79 years), 62 were females and 9 were males. The most typical symptoms recorded were proptosis in 61 patients (85.9%), visual impairment in 41 patients (57.7%), and oculomotor paresis in 9 patients (12.7%). Complete removal was achieved in 59 patients (83%). At 6 months of follow-up, magnetic resonance imaging scans revealed residual tumor in 12 patients (9 in the cavernous sinus and 3 around the superior orbital fissure). Mean follow-up was 76.8 months (range, 12-168 months). Tumor recurrence was recorded in 3 of 59 patients (5%) with total macroscopic rem...Continue Reading

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Citations

Aug 19, 2014·Disability and Rehabilitation·Elite Bor-ShavitHadas Stiebel-Kalish
Aug 22, 2012·British Journal of Neurosurgery·Nicola BoariPietro Mortini
Oct 1, 2013·Neurologia Medico-chirurgica·Satoshi TsutsumiMasanori Ito
Aug 2, 2019·Acta neurochirurgica·Svenja MaschkeStefan Wolfsberger
Aug 24, 2019·Journal of Neurosurgery·Satoshi KiyofujiMichael J Link

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