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Image-guided surgery for meningioma.

Danilo Silva1, Telmo Belsuzarri2, Gene H Barnett3

  • 1Department of Neurosurgery, Phelps Hospital, Northwell Health, New York, NY, United States.

Handbook of Clinical Neurology
|June 27, 2020
PubMed
Summary
This summary is machine-generated.

Image-guided surgery (IGS), or neuronavigation, enhances meningioma resection by improving access to deep tumors and critical structures. Minimal brain shift ensures accurate navigation throughout meningioma surgeries.

Keywords:
CraniotomyImage-guided surgeryMeningiomaNeuronavigation

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Area of Science:

  • Neurosurgery
  • Medical Imaging
  • Surgical Navigation

Background:

  • Image-guided surgery (IGS), also known as neuronavigation, has significantly advanced neurosurgical procedures.
  • While widely used for gliomas and metastases, its application in meningioma surgery is increasingly recognized.

Purpose of the Study:

  • To highlight the utility of IGS in meningioma surgery.
  • To detail the specific benefits of IGS for various meningioma locations and complexities.

Main Methods:

  • Review of IGS applications in neurosurgery, with a focus on meningioma cases.
  • Analysis of IGS benefits including tumor access, craniotomy planning, and neurovascular structure identification.

Main Results:

  • IGS facilitates access to deep-seated meningiomas.
  • It aids in creating optimal craniotomies for superficial lesions.
  • IGS effectively visualizes critical neurovascular structures, especially in skull base meningiomas.
  • Brain shift is minimal in meningioma surgery, ensuring sustained navigation accuracy.

Conclusions:

  • Image-guided surgery is a valuable tool in meningioma management.
  • Its benefits extend to improved surgical precision, safety, and efficiency for diverse meningioma presentations.