Totally Endoscopic Resection of Recurrent
Convexity Meningioma Following Multiple Surgeries: Oblique Trajectory to Avoid Manipulation of a Vascularized Free Flap: A Technical Note.
World Neurosurg 2021;
158:152-155. [PMID:
34838771 DOI:
10.1016/j.wneu.2021.11.078]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2021] [Revised: 11/17/2021] [Accepted: 11/18/2021] [Indexed: 11/28/2022]
Abstract
BACKGROUND
Endoscopic surgery is widely used for intraventricular and skull base tumor resections; however, its utility is not limited to deep parts of the brain.
METHODS
A 73-year-old female presented with left-side hemiparesis and seizures due to a relapsed atypical meningioma of convexity. The tumor was located just under a synthetic bone substitute and was covered by a delicate myocutaneous free flap, preventing the usual skin incision route to approach the lesion.
RESULTS
The tumor was successfully removed using an endoscope without damaging the flap.
CONCLUSIONS
With the aid of an endoscope, a superficial meningioma could be removed with the affected dura through a small craniotomy.
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