Abordajes quirúrgicos de los meningiomas petroclivales Parte 2 : revisión narrativa y lo que aprendimos con 30 casos
Autor(a) principal: | |
---|---|
Data de Publicação: | 2022 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | spa |
Título da fonte: | Repositório Institucional da UFRGS |
Texto Completo: | http://hdl.handle.net/10183/256566 |
Resumo: | Background: The surgical ressection of petroclival meningiomas is challenging due to its deep location and relationship with vital neurovascular structures. Usually they are benign injuries, but they can involve or infiltrate skull base bones, dura mater and brainstem. This makes the total removing very difficult or impossible without causing neurological deficits. The objective of this study is to review the surgical approaches used on the treatment of petroclival meningiomas and the knowledge which we achieved upon the surgical management of 30 cases. Methods: Series of 30 petroclival meningioma-cases. In the beginning of our series we used petrous approach for all the cases, however, with the acquiring of experience, we are indicating the retrosigmoid approach, leaving the petrous and skull-orbito-zigomatics approaches for selected cases. Results: Owing to the difficulty of the access, the petroclival meningiomas usually require different surgical approaches and have distint surgical difficulties. There are three main approaches: fronto-orbito-zigomatics and variants; petrous and variants and retrosigmoid, and they can be combined. The choice for a surgical approach is usually on the location and size of the tumor, on the skull shape, the involvement of venous structures and according to the surgeon´s experience. Conclusion: Petroclival meningiomas are rare and complex on the skull base. The adequate choice is crucial to achieve the good surgical result. |
id |
UFRGS-2_e280897b17a5051491873a04de7a3b24 |
---|---|
oai_identifier_str |
oai:www.lume.ufrgs.br:10183/256566 |
network_acronym_str |
UFRGS-2 |
network_name_str |
Repositório Institucional da UFRGS |
repository_id_str |
|
spelling |
Isolan, Gustavo RassierLavinsky, JoelMarques, Victor Matheus OlavesMonteiro, Jander MoreiraSantos, Ricardo Silva dosAguiar, Paulo Henrique Pires de2023-03-31T03:24:34Z20222152-7806http://hdl.handle.net/10183/256566001164273Background: The surgical ressection of petroclival meningiomas is challenging due to its deep location and relationship with vital neurovascular structures. Usually they are benign injuries, but they can involve or infiltrate skull base bones, dura mater and brainstem. This makes the total removing very difficult or impossible without causing neurological deficits. The objective of this study is to review the surgical approaches used on the treatment of petroclival meningiomas and the knowledge which we achieved upon the surgical management of 30 cases. Methods: Series of 30 petroclival meningioma-cases. In the beginning of our series we used petrous approach for all the cases, however, with the acquiring of experience, we are indicating the retrosigmoid approach, leaving the petrous and skull-orbito-zigomatics approaches for selected cases. Results: Owing to the difficulty of the access, the petroclival meningiomas usually require different surgical approaches and have distint surgical difficulties. There are three main approaches: fronto-orbito-zigomatics and variants; petrous and variants and retrosigmoid, and they can be combined. The choice for a surgical approach is usually on the location and size of the tumor, on the skull shape, the involvement of venous structures and according to the surgeon´s experience. Conclusion: Petroclival meningiomas are rare and complex on the skull base. The adequate choice is crucial to achieve the good surgical result.Antecedentes: La resección quirúrgica de los meningiomas petroclivales es un desafío debido a su ubicación profunda y su relación con las estructuras neurovasculares vitales. Por lo general, son lesiones benignas, pero pueden involucrar o infiltrar huesos en la base del cráneo, la duramadre y el tronco encefálico. Esto hace que la extirpación total sea muy difícil o imposible sin causar déficits neurológicos. El objetivo de este estudio es revisar los abordajes quirúrgicos utilizados para tratar los meningiomas petroclivales y las lecciones que hemos aprendido en el manejo quirúrgico de 30 casos. Métodos: Serie de casos de 30 meningiomas petroclivales. Al comienzo de nuestra serie, utilizamos el abordaje petroso para todos los casos, pero con la adquisición de experiencia comenzamos a indicar cada vez más el abordaje retrosigmoideo, reservando los abordajes petrosos y cráneo-orbito cigomático para casos seleccionados. Resultados: Debido a la dificultad de acceso, los meningiomas petroclivales generalmente requieren diferentes abordajes quirúrgicos y presentan diferentes dificultades quirúrgicas. Hay tres abordajes principales: fronto-orbito-cigomático y variantes; petroso y variantes; y retrosigmoideo, pudiendo ser combinados. La elección del abordaje quirúrgico generalmente se basa en la ubicación y extensión del tumor, la forma del cráneo y la participación de las estructuras venosas, y la experiencia del cirujano. Conclusión: Los meningiomas petroclivales son raros y complejos en la base del cráneo. Elegir el abordaje correcto es crucial para un resultado quirúrgico exitoso.application/pdfspaSurgical neurology international. Pittsford, NY. Vol. 13 (2022), 515, 10 p.MeningiomaNeoplasias encefálicasAccessBrain tumorPetrocilval meningiomaSkull baseSurgical approachMeningioma petroclivalAbordaje quirúrgicoAccesoBase del cráneoAbordajes quirúrgicos de los meningiomas petroclivales Parte 2 : revisión narrativa y lo que aprendimos con 30 casosSurgical approaches to petroclival meningiomas Part 2 : narrative review of what we learned with 30 casesEstrangeiroinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFRGSinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSTEXT001164273.pdf.txt001164273.pdf.txtExtracted Texttext/plain46648http://www.lume.ufrgs.br/bitstream/10183/256566/2/001164273.pdf.txt6f508f08249ef51007c8d4d48838977eMD52ORIGINAL001164273.pdfTexto completo (espanhol)application/pdf1622878http://www.lume.ufrgs.br/bitstream/10183/256566/1/001164273.pdf0249b76f41292313aa5887fbfd22f50cMD5110183/2565662023-04-02 03:25:05.230138oai:www.lume.ufrgs.br:10183/256566Repositório de PublicaçõesPUBhttps://lume.ufrgs.br/oai/requestopendoar:2023-04-02T06:25:05Repositório Institucional da UFRGS - Universidade Federal do Rio Grande do Sul (UFRGS)false |
dc.title.pt_BR.fl_str_mv |
Abordajes quirúrgicos de los meningiomas petroclivales Parte 2 : revisión narrativa y lo que aprendimos con 30 casos |
dc.title.alternative.en.fl_str_mv |
Surgical approaches to petroclival meningiomas Part 2 : narrative review of what we learned with 30 cases |
title |
Abordajes quirúrgicos de los meningiomas petroclivales Parte 2 : revisión narrativa y lo que aprendimos con 30 casos |
spellingShingle |
Abordajes quirúrgicos de los meningiomas petroclivales Parte 2 : revisión narrativa y lo que aprendimos con 30 casos Isolan, Gustavo Rassier Meningioma Neoplasias encefálicas Access Brain tumor Petrocilval meningioma Skull base Surgical approach Meningioma petroclival Abordaje quirúrgico Acceso Base del cráneo |
title_short |
Abordajes quirúrgicos de los meningiomas petroclivales Parte 2 : revisión narrativa y lo que aprendimos con 30 casos |
title_full |
Abordajes quirúrgicos de los meningiomas petroclivales Parte 2 : revisión narrativa y lo que aprendimos con 30 casos |
title_fullStr |
Abordajes quirúrgicos de los meningiomas petroclivales Parte 2 : revisión narrativa y lo que aprendimos con 30 casos |
title_full_unstemmed |
Abordajes quirúrgicos de los meningiomas petroclivales Parte 2 : revisión narrativa y lo que aprendimos con 30 casos |
title_sort |
Abordajes quirúrgicos de los meningiomas petroclivales Parte 2 : revisión narrativa y lo que aprendimos con 30 casos |
author |
Isolan, Gustavo Rassier |
author_facet |
Isolan, Gustavo Rassier Lavinsky, Joel Marques, Victor Matheus Olaves Monteiro, Jander Moreira Santos, Ricardo Silva dos Aguiar, Paulo Henrique Pires de |
author_role |
author |
author2 |
Lavinsky, Joel Marques, Victor Matheus Olaves Monteiro, Jander Moreira Santos, Ricardo Silva dos Aguiar, Paulo Henrique Pires de |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Isolan, Gustavo Rassier Lavinsky, Joel Marques, Victor Matheus Olaves Monteiro, Jander Moreira Santos, Ricardo Silva dos Aguiar, Paulo Henrique Pires de |
dc.subject.por.fl_str_mv |
Meningioma Neoplasias encefálicas |
topic |
Meningioma Neoplasias encefálicas Access Brain tumor Petrocilval meningioma Skull base Surgical approach Meningioma petroclival Abordaje quirúrgico Acceso Base del cráneo |
dc.subject.eng.fl_str_mv |
Access Brain tumor Petrocilval meningioma Skull base Surgical approach |
dc.subject.spa.fl_str_mv |
Meningioma petroclival Abordaje quirúrgico Acceso Base del cráneo |
description |
Background: The surgical ressection of petroclival meningiomas is challenging due to its deep location and relationship with vital neurovascular structures. Usually they are benign injuries, but they can involve or infiltrate skull base bones, dura mater and brainstem. This makes the total removing very difficult or impossible without causing neurological deficits. The objective of this study is to review the surgical approaches used on the treatment of petroclival meningiomas and the knowledge which we achieved upon the surgical management of 30 cases. Methods: Series of 30 petroclival meningioma-cases. In the beginning of our series we used petrous approach for all the cases, however, with the acquiring of experience, we are indicating the retrosigmoid approach, leaving the petrous and skull-orbito-zigomatics approaches for selected cases. Results: Owing to the difficulty of the access, the petroclival meningiomas usually require different surgical approaches and have distint surgical difficulties. There are three main approaches: fronto-orbito-zigomatics and variants; petrous and variants and retrosigmoid, and they can be combined. The choice for a surgical approach is usually on the location and size of the tumor, on the skull shape, the involvement of venous structures and according to the surgeon´s experience. Conclusion: Petroclival meningiomas are rare and complex on the skull base. The adequate choice is crucial to achieve the good surgical result. |
publishDate |
2022 |
dc.date.issued.fl_str_mv |
2022 |
dc.date.accessioned.fl_str_mv |
2023-03-31T03:24:34Z |
dc.type.driver.fl_str_mv |
Estrangeiro info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10183/256566 |
dc.identifier.issn.pt_BR.fl_str_mv |
2152-7806 |
dc.identifier.nrb.pt_BR.fl_str_mv |
001164273 |
identifier_str_mv |
2152-7806 001164273 |
url |
http://hdl.handle.net/10183/256566 |
dc.language.iso.fl_str_mv |
spa |
language |
spa |
dc.relation.ispartof.pt_BR.fl_str_mv |
Surgical neurology international. Pittsford, NY. Vol. 13 (2022), 515, 10 p. |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UFRGS instname:Universidade Federal do Rio Grande do Sul (UFRGS) instacron:UFRGS |
instname_str |
Universidade Federal do Rio Grande do Sul (UFRGS) |
instacron_str |
UFRGS |
institution |
UFRGS |
reponame_str |
Repositório Institucional da UFRGS |
collection |
Repositório Institucional da UFRGS |
bitstream.url.fl_str_mv |
http://www.lume.ufrgs.br/bitstream/10183/256566/2/001164273.pdf.txt http://www.lume.ufrgs.br/bitstream/10183/256566/1/001164273.pdf |
bitstream.checksum.fl_str_mv |
6f508f08249ef51007c8d4d48838977e 0249b76f41292313aa5887fbfd22f50c |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 |
repository.name.fl_str_mv |
Repositório Institucional da UFRGS - Universidade Federal do Rio Grande do Sul (UFRGS) |
repository.mail.fl_str_mv |
|
_version_ |
1801225085411917824 |