ABSTRACT
OBJECTIVE: It was to observe whether a microsurgical gross total removal (GTR) of a parasagittal meningioma (PSM) outside the sinus is a safe and efficient procedure. METHOD: We identify 58 parasagittal meningiomas patients. Medical charts, operative reports, imaging studies and clinical follow-up evaluations were reviewed. RESULTS: GTR of the mass was achieved in 45 (77.7%) instances. The surgical mortality rate was 1.7%. The median follow-up time was 63 months. CONCLUSION: The surgical approach used in this group of patients afford that the great majority of tumors could be totally removed with low mortality, proving to be safe and effective.
Subject(s)
Cranial Sinuses/surgery , Meningioma/surgery , Microdissection/methods , Adult , Aged , Aged, 80 and over , Epidemiologic Methods , Female , Humans , Magnetic Resonance Imaging , Male , Meningioma/mortality , Meningioma/pathology , Microdissection/mortality , Middle Aged , Recurrence , Time Factors , Treatment Outcome , Young AdultABSTRACT
Objective: It was to observe whether a microsurgical gross total removal (GTR) of a parasagittal meningioma (PSM) outside the sinus is a safe and efficient procedure. Method: We identify 58 parasagittal meningiomas patients. Medical charts, operative reports, imaging studies and clinical follow-up evaluations were reviewed. Results: GTR of the mass was achieved in 45 (77.7%) instances. The surgical mortality rate was 1.7%. The median follow-up time was 63 months. Conclusion: The surgical approach used in this group of patients afford that the great majority of tumors could be totally removed with low mortality, proving to be safe and effective. .
Objetivo: Foi observar se a ressecção microcirúrgica extrassinusal dos meningiomas parasagitais é uma técnica segura e efetiva. Método: Foram estudados 58 pacientes portadores de meningiomas parasagitais. Quadros médicos, relatórios de operações, exames de imagem e seguimento clínico foram revisados. Resultados: A remoção total da lesão, fora do seio, ocorreu em 45 casos (77,7%). A taxa de mortalidade cirúrgica observada nesta série foi de 1,7%. O tempo médio de seguimento foi de 63 meses. Conclusão: A estratégia microcirúrgica empregada propiciou a remoção total dos meningiomas na maioria dos pacientes, com baixa mortalidade e morbidade, mostrando ser segura e efetiva. .
