Management of Intracranial Meningiomas Using Keyhole Techniques
dc.contributor.author | Burks, Joshua D. | |
dc.contributor.author | Conner, Andrew K. | |
dc.contributor.author | Bonney, Phillip A. | |
dc.contributor.author | Archer, Jacob B. | |
dc.contributor.author | Christensen, Blake | |
dc.contributor.author | Smith, Jacqueline | |
dc.contributor.author | Safavi-Abbasi, Sam | |
dc.contributor.author | Sughrue, Michael | |
dc.contributor.department | Department of Neurological Surgery, IU School of Medicine | en_US |
dc.date.accessioned | 2017-04-10T17:33:58Z | |
dc.date.available | 2017-04-10T17:33:58Z | |
dc.date.issued | 2016-04-27 | |
dc.description.abstract | BACKGROUND: Keyhole craniotomies are increasingly being used for lesions of the skull base. Here we review our recent experience with these approaches for resection of intracranial meningiomas. METHODS: Clinical and operative data were gathered on all patients treated with keyhole approaches by the senior author from January 2012 to June 2013. Thirty-one meningiomas were resected in 27 patients, including 9 supratentorial, 5 anterior fossa, 7 middle fossa, 6 posterior fossa, and 4 complex skull base tumors. Twenty-nine tumors were WHO Grade I, and 2 were Grade II. RESULTS: The mean operative time was 8 hours, 22 minutes (range, 2:55-16:14) for skull-base tumors, and 4 hours, 27 minutes (range, 1:45-7:13) for supratentorial tumors. Simpson Resection grades were as follows: Grade I = 8, II = 8, III = 1, IV = 15, V = 0. The median postoperative hospital stay was 4 days (range, 1-20 days). In the 9 patients presenting with some degree of visual loss, 7 saw improvement or complete resolution. In the 6 patients presenting with cranial nerve palsies, 4 experienced improvement or resolution of the deficit postoperatively. Four patients experienced new neurologic deficits, all of which were improved or resolved at the time of the last follow-up. Technical aspects and surgical nuances of these approaches for management of intracranial meningiomas are discussed. CONCLUSIONS: With careful preoperative evaluation, keyhole approaches can be utilized singly or in combination to manage meningiomas in a wide variety of locations with satisfactory results. | en_US |
dc.eprint.version | Final published version | en_US |
dc.identifier.citation | Burks, J. D., Conner, A. K., Bonney, P. A., Archer, J. B., Christensen, B., Smith, J., … Sughrue, M. (2016). Management of Intracranial Meningiomas Using Keyhole Techniques. Cureus, 8(4), e588. http://doi.org/10.7759/cureus.588 | en_US |
dc.identifier.uri | https://hdl.handle.net/1805/12221 | |
dc.language.iso | en_US | en_US |
dc.publisher | Cureus, Inc. | en_US |
dc.relation.isversionof | 10.7759/cureus.588 | en_US |
dc.relation.journal | Cureus | en_US |
dc.rights | Attribution 3.0 United States | |
dc.rights.uri | http://creativecommons.org/licenses/by/3.0/us/ | |
dc.source | PMC | en_US |
dc.subject | craniotomy | en_US |
dc.subject | eyebrow | en_US |
dc.subject | keyhole | en_US |
dc.subject | meningioma | en_US |
dc.subject | pterional | en_US |
dc.subject | retrosigmoid | en_US |
dc.subject | supraorbital | en_US |
dc.subject | tumor resection | en_US |
dc.title | Management of Intracranial Meningiomas Using Keyhole Techniques | en_US |
dc.type | Article | en_US |
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