A Radiology - Pathological Correlation Of Intracranial Meningioma in a Tertiary Care Hospital-A Retrospective Study

Abstract

Background:The study was conducted to understand the clinical algorithm of intracranial meningioma. Correlation was done by clinical presentation with radiological features and histopathology .The stress upon to understand the necessity for a team-approach between Clinician, Radiologist and Pathologist and vice versa is emphasised. Aim: To correlate histopathology of intracranial brain tumours with the Radiological features. Methods: This is a retrospective study ofintracranial brain tumours, diagnosed by histopathology as various types of meningioma. All the relevant clinical data of the patients were searched from the ward records. The various Radiological features were collected. Results: The total number of intracranial brain tumours studied at during the 5 years period was 51 cases among which 25 cases were diagnosed by histopathology as various types of meningioma conclusively . Spectroscopy provides molecular information with regard to meningiomas and potentially aid in biopsy planning. Surgical resections were done as follows: 17 cases resected as Simpson Grade 1, 3 cases resected as Simpson Grade 2, and 2 cases resected as Simpson grade 3. Venous thromboembolism was seen in 1 patient . Seven patients underwent Stereotactic radiosurgery, among which four patients attended SRS after surgery. Conclusion: The Simpsongrading of resection of meningioma correlated the degree of surgical resection completeness with symptomatic recurrence. Stereotactic radiosurgery is a safe and effective treatment for benign intracranial meningiomas with or without surgical resection. Intracranial meningioma needs correlation between Radiologist, Pathologist and Clinician.