Microsurgical treatment for parasagittal meningioma in the central gyrus region

Bi,Na; Xu,Rui‑Xue; Liu,Rong‑Yao; Wu,Chun‑Ming; Wang,Jian; Chen,Wei‑Dong; Liu,Jun; Xu,You‑Song; Wei,Zhen‑Qing; Li,Tao; Zhang,Jian; Bai,Jing‑Yang; Dong,Bin; Fan,Shu‑Jun; Xu,Ying‑Hui

doi:10.3892/ol.2013.1429

Microsurgical treatment for parasagittal meningioma in the central gyrus region

Authors:
- Na Bi
- Rui‑Xue Xu
- Rong‑Yao Liu
- Chun‑Ming Wu
- Jian Wang
- Wei‑Dong Chen
- Jun Liu
- You‑Song Xu
- Zhen‑Qing Wei
- Tao Li
- Jian Zhang
- Jing‑Yang Bai
- Bin Dong
- Shu‑Jun Fan
- Ying‑Hui Xu
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Affiliations: Department of Nursing, Chinese PLA General Hospital, Beijing 100853, P.R. China, Department of Neurosurgery, The First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning 116044, P.R. China, Department of Pathology, Dalian Medical University, Dalian, Liaoning 116044, P.R. China
Published online on: June 26, 2013 https://doi.org/10.3892/ol.2013.1429
Pages: 781-784

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Abstract

The aim of the present study was to determine the efficacy of microsurgery treatment for parasagittal meningioma in the central gyrus region. A microsurgical technique was used to treat 26 patients with large parasagittal meningioma in the central gyrus region. The Rolandic and draining veins and the peritumoral normal brain tissue were retained, and the associated sagittal sinus was appropriately protected. A Simpson grade I, II or III resection was performed in 8 (30.8%), 12 (46.2%) and 6 (23.1%) patients, respectively, with no post‑operative mortalities. Following treatment, 9 patients exhibited hemiparalysis. No tumor recurrence was found in 21 patients during the follow‑up examination. The treatment protocol described in the current study included sufficient pre‑operative imaging evaluations, a skilled microsurgical technique, improved protection of the Rolandic vein and treatment of the sagittal sinus, and was found to significantly increase the total tumor removal rate and decrease post‑operative recurrence.

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