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Microsurgical Treatment of Parasagittal and Parafalx Meningiomas |
WEI Meng-guang, XU Hao-xiang, DONG Jun-qiang |
Second Department of Neurology,Chinese People's Armed Police Force Characteristic Medical Center, Tianjin, 300162 |
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Abstract 【Objective】To analyze the efficacy and safety of microsurgery for parasagittal and parafalx meningiomas, and to summarize the clinical experience.【Methods】The clinical data of 95 patients with parasagittal and parafalx meningiomas admitted to our department from April 2010 to April 2018 were analyzed retrospectively. The analysis included baseline data, imaging examination, surgical method, resection effect, follow-up outcome, etc. Based on this, the effect and safety of microsurgery were summarized, and the clinical experience was discussed.【Results】The total resection rate of 95 cases (grade Ⅰ~Ⅲ) was 92.63%. Postoperative intracranial hemorrhage occurred in 2 cases and recovered after craniotomy. There was no recurrence in grade Ⅰ resection, 6 cases (10.71%) in grade Ⅱ resection, 5 cases (83.33%) in grade Ⅲ resection and 6 cases (100.00%) in grade Ⅳ resection.【Conclusion】The total resection rate of parasagittal sinus and parafalx meningiomas should be confirmed. Grade I resection should be achieved to reduce the risk of recurrence and improve the quality of prognosis.
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Received: 03 April 2019
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