Two cases of atypical foramen magnum meningioma presenting as rotatory paralysis

Chaurasia, Bipin; Haque, Moududul; Jahan, Nwoshin; ., S.M. Abdul Bari; Islam, KM Tarekul; Alam, Shamsul; Hossain, Amjad; Bijou, Ashifur Rahman; Bhattacharya, Rajib

doi:10.15406/jnsk.2019.09.00373

Cited by 2 publications

(1 citation statement)

References 8 publications

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“…The visual deficits are often asymmetric, reflecting the off-midline origin and then of the pattern of optic nerve and chiasmal compression [7]. Other less-common symptoms and signs are represented by headaches, dizziness, seizures, endocrine disturbances, altered behavior, and cranial nerve deficits [3,[9][10][11][12][13]. The primary goal of surgery is to improve or at least maintain visual function, but this objective poses a formidable surgical challenge because of the risk of postoperative visual impairment [14].…”

Section: Introductionmentioning

confidence: 99%

Skull Base Approaches for Tuberculum Sellae Meningiomas: Institutional Experience in a Series of 34 Patients

Alam

Ferini²,

Muhammad

et al. 2022

Life

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(1) Background: The aim of the present study was to evaluate our institutional outcome in tuberculum sellae meningioma (TSM) patients treated microsurgically using multiple skull base approaches, including a transcranial approach and an extended endonasal transsphenoidal approach. (2) Materials and Methods: This is a retrospective study that includes 34 patients with TSM. The study aimed to observe the efficacy of the different common approaches used by a single neurosurgeon. All the patients were evaluated preoperatively and during follow-up with campimetry, head CT scan, and post-contrast MRI. (3) Results: After a transcranial approach, visual acuity improved in 86.20%, was stable in 10.34%, and deteriorated in 3.45%. Through transsphenoidal surgery, vision improved in 80%, was static in 20%, and deteriorated in 0%. Transcranial approaches included pterional, mini-bifrontal basal, and supraciliary keyhole microscopic craniotomies. Gross total removal was performed in 58.82%, near total in 10.34%, and partial removal in 3.45%. The transcranial/supraciliary keyhole endoscopic-assisted approach showed a gross total removal rate of 80%, and near total in 20%. The transsphenoidal approach showed a gross total removal rate of 60%, near total in 20%, and partial removal in 20%. (4) Conclusion: Endoscopic-assisted keyhole supraciliary mini craniotomy for resection of tuberculum sellae meningioma offers low morbidity and good visual outcome. The endonasal route is preferred for the removal of TSM when they are small and midline placed. The major limitation of this approach is a narrow surgical corridor and the restriction on midline-placed lesions. Gross total removal was better achieved with mini-bifrontal basal and pterional craniotomies.

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Section: Introductionmentioning

confidence: 99%

Skull Base Approaches for Tuberculum Sellae Meningiomas: Institutional Experience in a Series of 34 Patients

Alam

Ferini²,

Muhammad

et al. 2022

Life

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Surgical Approach for Spinal Tumors: Our Experience in Combined Military Hospital Dhaka

Islam¹,

Afreen²,

Montemurro

et al. 2021

Surgeries

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(1) Background: spinal tumors not only causes structural problem but also it affects body functionality, too. Surgery has a key role in management of patients with spinal tumor. The aim of this study is that to observe their clinical profile, functional outcomes and prognostic factors. (2) Methods: 20 retrospectively consecutive patients with spinal tumors operated over a period of 2 years were analyzed. (3) Results: nine (45%) were intradural and 11(55%) were extradural. Mean age at surgery was 45.05 years (range 20–80 years). The common clinical features were pain, limb weakness and autonomic involvement. Schwannoma was common in intradural extramedullary group whereas astrocytoma and ependymoma was common in intramedullary group. In this case, 16 (80%) patients had improvement following surgery and 4 (20%) remained the same, none had deterioration. Common complications were persistent pain (1 case) and autonomic involvement (1 case). (4) Conclusion: spinal tumors need early exploration and excision and usually patients recover well without any residual effect.

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Two cases of atypical foramen magnum meningioma presenting as rotatory paralysis

Cited by 2 publications

References 8 publications

Skull Base Approaches for Tuberculum Sellae Meningiomas: Institutional Experience in a Series of 34 Patients

Skull Base Approaches for Tuberculum Sellae Meningiomas: Institutional Experience in a Series of 34 Patients

Surgical Approach for Spinal Tumors: Our Experience in Combined Military Hospital Dhaka

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