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CC BY-NC-ND 4.0 · Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery 2022; 41(04): e368-e374
DOI: 10.1055/s-0041-1740593
Review Article

Falcotentorial Meningiomas: Optimal Surgical Planning and Intraoperative Challenges - Case Report and a Review

Luiz Severo Bem Junior 
1   Department of Neurological Surgery, Hospital Da Restauração, Recife, PE, Brazil
,
Pedro Lukas do Rêgo Aquino 
2   Facuty of Medical Sciences, Universidade de Pernambuco, Recife, PE, Brazil
,
Luiz Euripedes Almondes Santana Lemos
1   Department of Neurological Surgery, Hospital Da Restauração, Recife, PE, Brazil
,
Maria Améllia do Rêgo Aquino 
3   Faculty of Medical Sciences, Universidade Federal de Pernambuco, Recife, PE, Brazil
,
Marcelo Moraes Valença 
4   Neurosurgery Department, Hospital das Clínicas, Universidade Federal de Pernambuco, Recife, PE, Brazil
,
Hildo Rocha Cirne de Azevedo Filho 
1   Department of Neurological Surgery, Hospital Da Restauração, Recife, PE, Brazil
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Abstract

Meningiomas arising from the falcotentorial junction are rare, and the selection of the optimal surgical approach is essential. We report a falcotentorial meningioma (FTM) case approached by occipitotranstentorial resection and subtotal tumor resection presenting a satisfactory clinical outcome. The present review sought to reveal the current knowledge regarding the clinical presentation, radiological imaging, and the microsurgical anatomy of FTMs as a form of improving the surgical approach. The selection of the optimal surgical approach is essential for the safe and effective removal of an FTM. Preoperative imaging analysis should identify the anatomical relations of the tumor and guide toward the least disruptive route that preserves the neurovascular structures.

Keywords

falcotentorial meningioma - occipital transtentorial approach - pineal region meningioma - outcome

Ethical Approval

For this type of study, formal consent is not required.


Informed Consent

The authors state that the patient his given their written informed consent for publication of data and images.


Previous Presentation

None.


Disclosure of Funding and Financial Support

None.


Contributions of the Authors

1. Bem Junior L. S.: Conceptualization, data curation, formal analysis, visualization, writing, reviewing, and editing.


2. Aquino P. L. R.: Data curation, writing of the original draft, reviewing and editing.


3. Lemos L. E. A. S.: Data curation, writing of the original draft, reviewing and editing.


4. Aquino M. A. R.: Data curation, writing, reviewing, and editing.


5. Valença M. M.: Conceptualization, writing, reviewing, and editing, supervision.


6. Azevedo Filho H. R. C.: Conceptualization, writing, reviewing, and editing, supervision.




Publication History

Received: 10 October 2020

Accepted: 30 July 2021

Article published online:
16 December 2022

© 2022. Sociedade Brasileira de Neurocirurgia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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