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[Intraventricular meningiomas].

J Vilalta1, F Gastón, E Rubio

  • 1Servicio de Neurocirugía, Hospital General de la Vall d'Hebron, Barcelona.

Neurologia (Barcelona, Spain)
|March 1, 1992
PubMed
Summary
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This study presents eight surgically treated intraventricular meningiomas, highlighting common symptoms like headaches and cognitive changes. Surgical outcomes varied, with some patients experiencing good recovery and others facing severe complications.

Area of Science:

  • Neurosurgery
  • Neuropathology
  • Oncology

Context:

  • Intraventricular meningiomas are rare tumors arising within the brain's ventricles.
  • These tumors can cause significant neurological deficits due to mass effect and cerebrospinal fluid obstruction.
  • Surgical intervention is the primary treatment modality, but outcomes can be variable.

Purpose:

  • To present a series of surgically treated intraventricular meningiomas.
  • To analyze the clinical presentation, diagnostic methods, surgical approaches, and outcomes in these patients.
  • To identify factors influencing surgical results and complications.

Summary:

  • Eight patients (6 males, 2 females; mean age 41.7 years) with intraventricular meningiomas underwent surgical treatment.

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  • Common presenting symptoms included cephalea and alterations in upper functions, with papilloedema and long tract signs on examination.
  • Diagnosis was confirmed via computerized tomography and angiography. Surgical approaches included transtemporal and parietal-occipital routes.
  • Post-operative outcomes were mixed, with two deaths and two cases of bilateral amaurosis, while the remaining patients achieved good recovery.

    • Impact:

    • This case series contributes to understanding the clinical spectrum and surgical management of intraventricular meningiomas.
    • Findings highlight the importance of accurate pre-operative diagnosis and tailored surgical strategies.
    • The study underscores the potential for significant morbidity and mortality associated with these tumors, emphasizing the need for careful patient selection and post-operative care.