PMID: 9007855Feb 1, 1997Paper

The surgical resectability of meningiomas of the cavernous sinus

Neurosurgery
M G O'SullivanJ M Tew

Abstract

The optimal management for patients with cavernous sinus meningiomas remains controversial. We attempt to contribute to the ongoing debate of appropriate surgical indications. In this retrospective review, 39 patients, including 27 women and 12 men ranging in age from 24 to 73 years (median, 48 yr), underwent surgical treatment for this condition. Completeness of tumor resection, cranial nerve morbidity, general morbidity, and long-term outcome were studied. The cavernous internal carotid artery was partially encased in 15 patients, totally encased in 11 patients, and narrowed by tumor in 13 patients. Of eight patients who underwent complete tumor resection, seven had partial encasement of the internal carotid artery. Of 31 patients who underwent subtotal resection, 11 underwent postoperative radiotherapy. There were no deaths in the series. Morbidity was 17.9% for cranial nerves controlling extraocular motor function. Trigeminal nerve function did not improve after surgical treatment. The median follow-up period was 2 years (range, 6 mo-5.3 yr). Symptomatic and radiographic recurrence occurred in two patients who underwent complete tumor resection and in two patients who underwent subtotal resection. Based on our findings and ...Continue Reading

Citations

May 27, 2011·Neurosurgical Review·Chien-Min ChenYong-Kwang Tu
Oct 19, 2011·Neurosurgical Review·Ulf WesterlundTiit Mathiesen
Mar 22, 2003·Surgical Neurology·Rajesh BindalBenjamin Kuzma
Jul 4, 2002·International Journal of Radiation Oncology, Biology, Physics·Antonio NicolatoMassimo Gerosa
Apr 29, 1999·International Journal of Radiation Oncology, Biology, Physics·P D MaguireE C Halperin
Feb 2, 2013·Journal of Neurological Surgery. Part B, Skull Base·Michael E IvanAndrew T Parsa
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Oct 16, 2009·Radiation Oncology·Giuseppe MinnitiRiccardo Maurizi Enrici
Apr 14, 2011·Radiation Oncology·Giuseppe MinnitiRiccardo Maurizi Enrici
Oct 27, 2011·The Oncologist·Santosh SarafJ Lee Villano
Apr 16, 2014·Clinical Neurology and Neurosurgery·Carlos Eduardo da SilvaJefferson Luis Braga da Silva
Dec 3, 2010·Surgical Neurology International·Carlos Eduardo da SilvaVinicius Duval da Silva
Feb 11, 2009·International Journal of Radiation Oncology, Biology, Physics·Christos BoskosJean-Jacques Mazeron
Jun 27, 2015·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Neda HaghighiMichael Dally
Mar 26, 2016·Neurosurgery Clinics of North America·Marko SpasicIsaac Yang
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Jan 28, 2017·Clinical Neurology and Neurosurgery·Moinay KimDo Hoon Kwon
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Apr 1, 2006·Neurosurgery·Makoto NakamuraMadjid Samii
Feb 7, 1998·Cephalalgia : an International Journal of Headache·W PöllmannV Pfaffenrath

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