[Early resection of the orbital band in coronal craniostenosis]. / Résection précoce du bandeau orbitaire dans les craniosténoses coronales.

The authors report a case history of bilateral coronal synostosis in Apert's syndrome, treated by fronto-orbital band resection and linear craniectomy of the pathologic sutures. The authors emphasize the rapidity of this procedure, its safety for fragile children and its immediate results.

[Surgical approaches of the trigonoseptal region]. / Les voies d'abord de la région trigono-septale.

Surgical approaches to the trigone and septum are described with the help of dissections of anatomical specimens under operative conditions and using a microscope: the anterior frontal approach which gives access to the anterior pillars and to the body of the trigone; the ventricular junction route which provides an approach to the body of the trigone and to the hippocampal commissure; the anterior transcallosal approach.

[Outcome of intracranial meningioma in adults. Retrospective study of a medicosurgical series of 161 meningiomas]. / Devenir des méningiomes intracrâniens chez l'adulte. Etude rétrospective d'une série médico-chirurgicale de 161 méningiomes.

The authors report the retrospective study of a medico-surgical series of 161 patients with intracranial meningiomas, diagnosed over a period of 9 years, with a follow-up period varying from 18 months to 9 years. Out of 185 cases studied, 24 were excluded because information or perspective were inadequate. Of the 161 cases retained, 133 (82.6%) were given surgical treatment and 28 (17.4%) were given conservative treatment because the clinical state was poor or the location was deemed inoperable. The sex ratio was 3 women to 1 man. The average age was 58 years. The most frequent locations were the convexity (27.9%) and the sphenoid ridge (24.7%). Among the clinical signs, apart from the usual general seizures or pyramidal signs should be noted the importance of psychological disorders. The operative mortality rate was 14.3% with a very high peak in the sixth decade, reaching 27%, while it was only 9% in the seventh decade and 13% in those over seventy. The internal sphenoid ridge location had a mortality rate of 31.5%, which is significantly higher than for all the other locations. Quality of survival was identical for all age groups. Complications were mainly seizures, functional deficits and psychological disorders. Recurrences were relatively few (10%), but insufficient lapse of time and the presence of only one malignant meningioma explain the lowness of this figure. The use of scanner was not determinant in our series, neither on the earliness of diagnosis, nor on prognosis, comparison of figures before and since scanning showing no significant differences.