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Updated: Jun 21, 2026
Microsurgical Clip Obliteration of Middle Cerebral Aneurysm Using Intraoperative Flow Assessment
Published on: September 25, 2009
Middle third falcine meningiomas-surgical nuances for cortical venous preservation
Chirag Bansal1, Het Shah1, Santanu Kumar Bora1
1Department of Neurosurgery, All India Institute of Medical Sciences - AIIMS, New Delhi, India.
Purpose:
To improve postoperative outcome in middle third falcine meningiomas by cortical venous preservation.
Background:
Falcine meningiomas arise from the falx and do not involve the superior sagittal sinus (SSS). Their complete resection is often associated with the risk of venous infarction in the eloquent cortex due to overlying superficial cortical veins on the tumors.
Method:
We report one case of middle third falcine meningioma, where we used the posterior interhemispheric corridor for tumor approach.
Conclusion:
Use of the posterior interhemispheric approach, carefully raised bone flap, along with sharp dissection and vein reinforcement using fibrin glue can help to preserve the cortical veins while resecting the falcine meningiomas.
