Management of Vascular Invasion During Radical Resection of Medial Sphenoid Wing Meningiomas

Keith A. Kattner; Takanori Fukushima

doi:10.1055/s-2001-14430

Skull Base, Table of Contents

Skull Base 2001; 11(2): 099-104
DOI: 10.1055/s-2001-14430

ORIGINAL ARTICLES

Management of Vascular Invasion During Radical Resection of Medial Sphenoid Wing Meningiomas

Keith A. Kattner¹ , Takanori Fukushima²

¹Cerebrovascular and Skull Base Surgery, Central Illinois Neuroscience Foundation, Bloomington, Illinois
²Department of Skull Base Surgery, Carolina Neuroscience Institute, Raleigh, North Carolina

Abstract

ABSTRACT

Invasive meningiomas involving the medial sphenoid wing are difficult tumors to resect completely. They often have invaded the surrounding arteries at the time of diagnosis making total resection challenging. Attempts at removing these tumors from adherent carotid or middle cerebral arteries have resulted in high complication rates. Nine cases of medial sphenoid wing meningiomas with arterial invasion were operated between March 1994 and August 1998. Total resection was possible in only four cases. Two arterial-related complications occurred during resection with one resulting in permanent hemiplegia.

KEYWORD

Meningioma - vascular - invasion

Full Text

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