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Venous Compromise/Deep Venous Thrombosis During Parasagittal Meningiomas Resection
Benedicto Oscar Colli1, Carlos Gilberto Carlotti Junior2, Ricardo Santos de Oliveira2
1Division of Neurosurgery, Department of Surgery, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil. bocolli@fmrp.usp.br.
Acta Neurochirurgica. Supplement
|November 21, 2024
Summary
A rare parasagittal tumor caused progressive head deformity and seizures. Surgical resection led to temporary paralysis but ultimately pulmonary embolism, highlighting the need for improved management strategies.
Area of Science:
- Neurosurgery
- Oncology
Background:
- A 28-year-old male presented with a deforming head mass and seizures.
- Imaging revealed a hyperostotic, contrast-enhancing parasagittal tumor obstructing the superior sagittal sinus.
Purpose of the Study:
- To report a rare case of a parasagittal tumor.
- To analyze contributing factors to observed complications.
- To suggest management strategies to avoid complications.
Main Methods:
- Craniotomy and tumor resection with cranioplasty.
- Intraoperative identification of a draining cortical vein that could not be preserved.
- Postoperative management and complication analysis.
Main Results:
- Complete tumor resection was not achieved due to proximity to the superior sagittal sinus.
- The patient experienced temporary paraplegia, followed by recovery of leg movement.
- The patient unfortunately died from a pulmonary embolism in the second postoperative week.
Conclusions:
- Parasagittal tumors pose significant surgical challenges due to their location and vascular involvement.
- Careful surgical planning and management are crucial to minimize complications such as venous compromise and embolism.
- Further research into optimal surgical techniques and postoperative care for these rare tumors is warranted.
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