Objectives: To evaluate clinical and preclinical characteristics and results of microsurgery of meningioma under preoperative selective embolization. Subjects and methods: A descriptive research on 9 patients with meningioma who experienced selective embolization preoperation and microsurgery in Military Hospital 103 from January 2016 to July 2021. Evaluating the tumor extent of resection by Simpson, surgery result by Ojemann. Results: Clinical characteristics include consciousness disorder 11.1%, increased intracranial pressure 88.9%, epilepsy 33.3%, movement disorder 33.3% often in the parietial-temporal lobe, psychosis 11.1% often in the frontal lobe. 100% of patients under total resection, medium duration was 155.56 ± 33.58 minutes. Blood transfusion was 0.33 ± 0.5 units. None of the patients had surgery complications postoperation. The good result was 100%. Conclusion: Symptomatic meningioma depends on the situation. Preoperative selective embolization enables to decline the surgery duration, blood transfusion, to remove tumor totally, and to have good results post-operation.
Tài liệu tham khảo
Cushing H. (1938) Meningiomas. Their Classification, Regional Behaviour, Life History, and Surgical End Results. Bulletin of the Medical Library Association; 27(2): 185.
Raper, D.M., et al. (2014) Preoperative embolization of intracranial meningiomas: Efficacy, technical considerations, and complications. AJNR Am J Neuroradiol; 35(9): 1798- 1804.
Ishihara, H., et al. (2015) The safety and efficacy of preoperative embolization of meningioma with N-butyl cyanoacrylate. Interv Neuroradiol; 21(5): 624-630.
Simpson D. (1957) The recurrence of intracranial meningiomas after surgical treatment. Journal of Neurology, Neurosurgery, and Psychiatry; 20(1): 22-39.
Ojemann M.D. (1992) Management of Cranial and Spinal meningiomas: Falx meningioma. Clinical Neurosurgery; 40(17): 321-383.
Dương Đại Hà. (2010) Nghiên cứu chẩn đoán, kết quả phẫu thuật và yếu tố tiên lượng u màng não tại Bệnh viện Việt Đức. Luận văn Tiến sỹ Y học. Đại học Y Hà Nội.
Kawaguchi T., Kameyama S., Tanaka R. (1996) Peritumoral edema and seizure in patients with cerebral convexity and parasagittal meningiomas. Neurol Med Chir (Tokyo); 36(8): 568-573.
Hattori K., Miyachi S., Kobayashi N., et al. (2005) Contralateral meningeal artery supply of paramedian meningiomas. Surg Neurol; 64(3): 242-248.
Maiuri F., Iaconetta G., Divitiis O., et al. (1999) Intracranial meningiomas: correlations between MR imaging and histology. Eur J Radiol; 31(1): 69-75.
Watts J., Box G., Galvin A., et al. (2014) Magnetic resonance imaging of meningiomas: a pictorial review. Insights into Imaging; 5(1): 113-122.
Hurst R W., Rosenwasser R H. (2008) Interventional Neuroradiplogy. Standard Book, Healthcare New York.
Shah A., Choudhri O., Jung H., et al. (2015) Preoperative endovascular embolization of meningiomas: Update on therapeutic options. Neurosurg Focus; 38(3): E7.