Erschienen in:
01.03.2016 | Editorial (by Invitation)
Surgical management of medium and large petroclival meningiomas: benchmark and limits
verfasst von:
Hans-Jakob Steiger
Erschienen in:
Acta Neurochirurgica
|
Ausgabe 3/2016
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Excerpt
Da Li and co-workers present a detailed sub-analysis of their series of petroclival meningiomas, which is the largest monocentric series published to date [
5,
6]. In the current work, they restrict the analysis to medium and large tumours of more than 2 cm in diameter—the tumours that really cause difficulties for microsurgery as well as stereotactic radiosurgery. Gross total resection was achieved in 56 % of patients; dysfunctions of the cranial nerves were the most common complication and occurred in two-thirds of the patients. Immediately following surgery, morbidity temporarily increased and the Karnovsky Performance Scale temporarily decreased on average. The case fatality rate amounted to 2 %. Permanent surgical morbidity remained in 20 % of patients during the average long-term follow-up of almost 10 years, but significantly more patients lived independently after than before surgery (61 vs 46 %). One-fourth of patients were lost to long-term follow-up, so that the numbers regarding long-term outcome must be appreciated with sound judgment. …
