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How I do it: total resection of a giant sphenoclinoidal meningioma with normalization of near blind vision.

Publication ,  Journal Article
Bawornvaraporn, U; Zomorodi, AR; Friedman, AH; Fukushima, T
Published in: Acta Neurochir (Wien)
September 2021

BACKGROUND: Resection of giant sphenoclinoidal meningiomas (SCLM) remains difficult. We discuss a patient presenting with right eye near blindness who underwent total removal of a giant SCLM, resulting in normal vision and no recurrence. METHOD: Utilizing frontotemporal craniotomy, devascularization, debulking, and detachment was achieved. Microdissection of tumor off the optic nerve and carotid perforators was accomplished, resulting in total resection, visual normalization, and no deficits using efficient face-to-face microscope set-up, 2-surgeon 4-hand technique, and double bipolar-suction arrangement. CONCLUSION: Frontotemporal craniotomy was adequate. Preservation of the optic nerve and carotid artery is key. Meticulous microsurgical techniques and refined instruments are important for success.

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Published In

Acta Neurochir (Wien)

DOI

EISSN

0942-0940

Publication Date

September 2021

Volume

163

Issue

9

Start / End Page

2447 / 2452

Location

Austria

Related Subject Headings

  • Treatment Outcome
  • Sphenoid Bone
  • Neurosurgical Procedures
  • Neurology & Neurosurgery
  • Meningioma
  • Meningeal Neoplasms
  • Humans
  • Blindness
  • 3209 Neurosciences
  • 3202 Clinical sciences
 

Citation

APA
Chicago
ICMJE
MLA
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Bawornvaraporn, U., Zomorodi, A. R., Friedman, A. H., & Fukushima, T. (2021). How I do it: total resection of a giant sphenoclinoidal meningioma with normalization of near blind vision. Acta Neurochir (Wien), 163(9), 2447–2452. https://doi.org/10.1007/s00701-021-04891-3
Bawornvaraporn, Udom, Ali R. Zomorodi, Allan H. Friedman, and Takanori Fukushima. “How I do it: total resection of a giant sphenoclinoidal meningioma with normalization of near blind vision.Acta Neurochir (Wien) 163, no. 9 (September 2021): 2447–52. https://doi.org/10.1007/s00701-021-04891-3.
Bawornvaraporn U, Zomorodi AR, Friedman AH, Fukushima T. How I do it: total resection of a giant sphenoclinoidal meningioma with normalization of near blind vision. Acta Neurochir (Wien). 2021 Sep;163(9):2447–52.
Bawornvaraporn, Udom, et al. “How I do it: total resection of a giant sphenoclinoidal meningioma with normalization of near blind vision.Acta Neurochir (Wien), vol. 163, no. 9, Sept. 2021, pp. 2447–52. Pubmed, doi:10.1007/s00701-021-04891-3.
Bawornvaraporn U, Zomorodi AR, Friedman AH, Fukushima T. How I do it: total resection of a giant sphenoclinoidal meningioma with normalization of near blind vision. Acta Neurochir (Wien). 2021 Sep;163(9):2447–2452.
Journal cover image

Published In

Acta Neurochir (Wien)

DOI

EISSN

0942-0940

Publication Date

September 2021

Volume

163

Issue

9

Start / End Page

2447 / 2452

Location

Austria

Related Subject Headings

  • Treatment Outcome
  • Sphenoid Bone
  • Neurosurgical Procedures
  • Neurology & Neurosurgery
  • Meningioma
  • Meningeal Neoplasms
  • Humans
  • Blindness
  • 3209 Neurosciences
  • 3202 Clinical sciences