Microsurgical treatment of parafalcine meningiomas: a retrospective study of 126 cases

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Xiangyi Kong1,2, Shun Gong3,4,5, I-Ting Lee6,7

  • 1Department of Neurosurgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, People's Republic of China, yangyipumc@163.com.

Oncotargets and Therapy
|September 15, 2018
PubMed
Abstract

Insights

This study reviews 126 parafalcine meningioma cases, detailing diagnosis, surgical techniques, and outcomes. Careful preoperative analysis and surgical planning are crucial for minimizing complications and achieving successful tumor resection.

Area of Science:

  • Neurosurgery
  • Oncology
  • Radiology

Background:

  • Parafalcine meningiomas are tumors located along the falx cerebri.
  • Accurate diagnosis and surgical planning are essential for effective treatment.

Purpose of the Study:

  • To discuss the diagnosis, operation methods, and clinical effects of parafalcine meningiomas.
  • To analyze factors influencing surgical outcomes and complications.

Main Methods:

  • Retrospective review of 126 parafalcine meningioma cases.
  • Analysis of clinical data, preoperative imaging (MRI, digital subtractional angiography), and surgical records.

Main Results:

  • 126 cases of parafalcine meningiomas were analyzed.
  • Surgical resection grades included G1 (13 cases), G2 (105 cases), G3 (4 cases), and G4 (4 cases).
  • No deaths occurred; 16 patients experienced temporary contralateral extremity dyskinesia, with recovery over several months.

Conclusions:

  • Preoperative assessment of patient condition, venous drainage anatomy, and tumor-brain relationship is vital.
  • Adequate surgical field exposure is critical for minimizing postoperative complications.
  • Comprehensive analysis aids in achieving successful parafalcine meningioma resection.
Keywords:
image-based typesmicrosurgeryparafalcine meningioma

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