Block resection of giant tumor meningioma 22 Cases.docVIP

 PAGE \* MERGEFORMAT 8 Block resection of giant tumor meningioma 22 Cases [Keywords:] huge meningioma; tumor resection block Skull base meningiomas, especially large or functional area from a huge meningioma surgery is still a difficult problem. Huge intracranial pressure is high because of meningioma patients, revealed difficulties in the beginning of tumor resection surgical procedures is not enough space, if the pulling force to increase the operating space in brain tissue, will inevitably cause dysfunction is difficult to recover. our department from June 2004 to June 2008, the use of dura mater incision, block tumor resection, the final disposition of City Department of approach, a huge total of 22 cases of surgical treatment of patients with meningiomas, the report is as follows. Materials and Methods 1. General Information The group of 8 males and 14 females, aged 43 to 69 years, duration of 2 to 8 years, the main clinical symptoms and signs were headache, dizziness, progressive increase in motor dysfunction, seizures, vision loss, vomiting, memory decreased retinal edema, incomplete paralysis, loss of sense of smell and so on. tumor growth areas: the olfactory groove meningiomas in 4 cases, 5 cases of sphenoid ridge meningioma, 2 cases of tuberculum sellae meningiomas, 6 cases of parasagittal meningioma (coronal suture the first 2 cases, 4 cases the vicinity of the central sulcus, parietal convexity meningioma in 3 cases, 2 cases of meningioma sky. tumor size: All over 7 cm, the largest are up to 11 cm. All patients underwent preoperative CT, MR scan, 5 cases with preoperative DSA. 2. Surgical methods Intubation, according to the site of tumor growth, select the appropriate position, dural opening with the general surgical procedures prior to craniotomy, subdural suspension under the microscope after the operation, open the 2 ~ 3 cm dural incision, the tumor is located The first open side of the sphenoid ridge released cistern CSF a