Endoscopic Ipsilateral Interhemispheric Approach for Middle-Third Falcine Meningioma: A Case Report and Literature Review

作者全名："Zhang, Gang; Wang, Junwei; Wang, Pan; Wu, Nan"

作者地址："[Zhang, Gang; Wang, Junwei; Wang, Pan; Wu, Nan] Chongqing Gen Hosp, Dept Neurosurg, Chongqing 401147, Peoples R China; [Zhang, Gang] Chongqing Med Univ, Grad Inst, Chongqing 400016, Peoples R China"

通信作者："Wu, N (通讯作者)，Chongqing Gen Hosp, Dept Neurosurg, Chongqing 401147, Peoples R China."

来源：BRAIN SCIENCES

ESI学科分类：NEUROSCIENCE & BEHAVIOR

WOS号：WOS:001035283000001

JCR分区：Q3

影响因子：2.7

年份：2023

卷号：13

期号：7

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结束页：　

文献类型：Review

关键词：endoscopic surgery; falcine meningioma; middle-third; ipsilateral interhemispheric approach; case report

摘要："Middle-third falcine meningiomas (FMs) are usually hidden deep under the eloquent cortex and abundant bridging veins, which represent the main hindrances to surgical access. The endoscopic approach has the advantages of wide visualization and free visual axis without areas of visual blindness, which allows for the resection of FMs with good visualization in a narrow space, especially in deep operations. Here, we report a case of a middle-third FM treated using the endoscopic ipsilateral interhemispheric approach. A 55-year-old female who had suffered a headache for 6 months without other remarkable symptoms was diagnosed with middle-third FM combined with imaging evaluation. According to the imaging performance and anatomical features, we scheduled the endoscopic ipsilateral interhemispheric approach to access and remove the tumor. Consequently, gross total tumor resection was achieved without surgery-related complications. After the surgery, the patient had an uneventful recovery and was discharged with no neurological deficit. During the 24-month follow-up, the patient's condition remained favorable, with no tumor recurrence. In our opinion, the endoscopic ipsilateral interhemispheric approach is a feasible surgical strategy for FMs, which deserves further exploration as a treatment option."

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