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Updated: Jul 3, 2026
Microvascular Decompression: Salient Surgical Principles and Technical Nuances
Published on: July 5, 2011
[Microsurgical treatment of tentorial meningiomas]
1Department of Neurosurgery, Xiangya Hospital, Central South University, Changsha 410008, China. Lming163@yahoo.com.cn
Objective:
To discuss microsurgery in the treatment of tentorial meningiomas to reduce the operative mortality.
Methods:
Clinical data of 32 patients were retrospectively analyzed. The operative approaches and outcomes and postoperative management of tentorial meningiomas were discussed.
Results:
Of the 32 patients, tumors in 27 patients(84.37%) were removed totally, and 5(15.63%) were removed subtotally. In the 5 patients whose tumors were resected subtotally, 3 patients were related to major sinus, and the other 2 related to adhering compactly to the brain stem invaded by tumors, major vessels, or cranial nerves.
Conclusion:
Total resection can be achieved in most patients with microneurosurgical technique. Proper choice of operative approaches may raise the total removal rate and lower the operative mortality.
