Visual field restoration after Simpson grade I resection of symptomatic occipital lobe meningioma: illustrative case and review of the literature

Corniola, Marco Vincenzo; Bouthour, Walid; Vargas, Maria Isabel; Meling, Torstein R.

doi:10.1007/s00701-020-04569-2

Cited by 3 publications

(5 citation statements)

References 22 publications

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“…The efficacy of craniotomy for brain tumors has been well established with regard to quality of life [ 2 , 4 , 28 , 34 ] and prolongation of life [ 16 , 20 , 27 , 28 , 40 , 43 , 44 ]. Although the primary aim may be to cure disease or restore neurological function [ 7 ], risks of surgery such as infection [ 30 ], bleeding [ 15 , 22 , 30 ], surgical morbidity and mortality [ 2 , 3 , 30 , 42 ], neurological deficits [ 5 , 6 , 25 , 32 ], and changes to cerebrospinal fluid (CSF) dynamics leading to hydrocephalus (HC) and subsequent ventriculoperitoneal (VP) shunt dependency [ 18 , 19 ] remain significant concerns to the neurosurgeon.…”

Section: Introductionmentioning

confidence: 99%

Long-term risk of shunt failure after brain tumor surgery

2021

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Long-term risks and survival times of ventriculoperitoneal (VP) shunts implanted due to hydrocephalus (HC) after craniotomy for brain tumors are largely unknown. The aim of this study was to establish the overall VP shunt survival rates during a decade after shunt insertion and to determine risks of shunt failure after brain tumor surgery in the long-term period. In this population-based cohort from a well-defined geographical region, all adult patients (> 18 years) from 2004 to 2013 who underwent craniotomies for intracranial tumors leading to VP shunt dependency were included. Our brain tumor database was cross-linked to procedure codes for shunt surgery (codes AAF) to extract brain tumor patients who became VP shunt dependent after craniotomy. The VP shunt survival time, i.e. the shunt longevity, was calculated from the day of shunt insertion after brain tumor surgery until the day of its failure. A total of 4174 patients underwent craniotomies, of whom 85 became VP shunt dependent (2%) afterwards. Twenty-eight patients (33%) had one or more shunt failures during their long-term follow-up, yielding 1-, 5-, and 10-year shunt success rates of 77%, 71%, and 67%, respectively. Patient age, sex, tumor location, primary/repeat craniotomy, placement of external ventricular drainage (EVD), ventricular entry, post-craniotomy hemorrhage, post-shunting meningitis/infection, and multiple shunt revisions were not statistically significant risk factors for shunt failure. Median shunt longevity was 457.5 days and 21.5 days for those with and without pre-craniotomy HC, respectively (p < 0.01). This study can serve as benchmark for future studies.

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Section: Introductionmentioning

confidence: 99%

Long-term risk of shunt failure after brain tumor surgery

2021

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“…First, a horseshoe incision and occipital craniotomy were used in this case to expose the meningioma [16,46]. An occipital craniotomy is a versatile approach to the occipital lobe, that not only offers adequate exposure to brain lesions, but also provides a safer surgical method (i.e., dynamic retraction) to prevent the damage of the visual field cortex [8,33]. Furthermore, hemostatic products, including Surgicels and Floseal, were applied in this case to control intraoperative bleeding [45].…”

Section: Discussionmentioning

confidence: 99%

“…Since several regions can be affected, diverse surgical approaches are designed to expose meningiomas in different lobes [5]. Among various locations, occipital lobe surgery carries a high risk of complications, such as visual impairment or injury to vital structures, such as the transverse and occipital sinuses [2,[5][6][7][8][9]. Consequently, it could be an additional risk factor for patients of advanced age, as they are more vulnerable to intraoperative blood loss [10].…”

Section: Introductionmentioning

confidence: 99%

“…In addition, the restricted working space in brain surgery makes it difficult to control bleeding effectively [18]. Thus, patient selection for surgical resection should be executed carefully because it is uncertain whether the elderly can recover from neurological deficits after surgery, let alone given the high risk of surgery in this population [7,8].…”

Section: Introductionmentioning

confidence: 99%

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Use of Computed Tomography and Magnetic Resonance Angiograms Combined with a 3D Surgical Guide in an Elderly Cat with an Occipital Lobe Meningioma

Byun

Roh

Lee

et al. 2023

Veterinary Sciences

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We present a case of occipital lobe meningioma resection in an elderly cat. The surgery was performed with the goal of avoiding major bleeding. An 11-year-old castrated indoor-only male Persian Chinchilla (5.5 kg) was presented with a month-long history of progressive tetraparesis for a left occipital lobe meningioma. Magnetic resonance imaging revealed a T2-weighted heterogeneously hyperintensity and a T1-weighted well-contrast enhancing extradural mass in the left occipital lobe of the brain. Cerebral angiographic data were obtained using magnetic resonance (MRA) and computed tomography angiography (CTA). Advanced angiograms and virtual reconstruction of images revealed that the tumor was surrounded by the caudal parasagittal meningeal vein. A left caudal rostrotentorial craniotomy and en bloc resection of the tumor were performed, and histopathology revealed a meningioma. Complete neurological recovery was achieved within 10 days after surgery. To the best of our knowledge, this is the first case report describing CTA and MRA findings and favorable clinical outcomes after surgical management of a brain meningioma without severe perioperative complications.

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“…Although the primary aim may be to cure disease or restore neurological function [7], risks of surgery such as infection [30], bleeding [22,30,15], surgical morbidity and mortality [41,2,3,30], neurological de cits [25,5,31,6] and changes to cerebrospinal uid (CSF) dynamics leading to hydrocephalus (HC) and subsequent ventriculoperitoneal (VP) shunt dependency [19,18] remain signi cant concerns to the neurosurgeon.…”

Section: Introductionmentioning

confidence: 99%

Long-term Risk of Shunt Failure After Brain Tumor Surgery

Hosainey¹,

Lykkedrang

Meling

2021

Preprint

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Long-term risks and survival times of ventriculoperitoneal (VP) shunts implanted due to hydrocephalus (HC) after craniotomy for brain tumors are largely unknown. The aim of this study was to establish the overall VP shunt survival rates during a decade post-shunt insertion and to determine risks of failure after brain tumor surgery in the long-term period. In this population-based cohort from a well-defined geographical region, all adult patients (> 18 years) from 2004-2013 who underwent craniotomies for intracranial tumors leading to VP shunt dependency were included. Our brain tumor database was cross-linked to procedure codes for shunt surgery (codes AAF) to extract brain tumor patients who became VP shunt dependent after craniotomy. The VP shunt survival times, i.e. the shunt longevity, was calculated from the day of shunt insertion after brain tumor surgery until the day of its failure. A total of 4174 patients underwent craniotomies, of whom 85 became VP shunt-dependent (2%) afterwards. Twenty-eight patients (33%) had one or more shunt failures during their long-term follow-up, yielding 1-, 5- and 10-year shunt success rates of 77%, 71%, and 67%, respectively. Patient age, sex, tumor location, primary/repeat craniotomy, ventricular entry, post-craniotomy hemorrhage, post-shunting meningitis/infection and multiple shunt revisions were not statistically significant risk factors for shunt failure. Median shunt longevity was 457.5 days and 21.5 days for those with and without pre-craniotomy HC, respectively (p < 0.01). This study can serve as benchmark for future studies.

show abstract

Visual field restoration after Simpson grade I resection of symptomatic occipital lobe meningioma: illustrative case and review of the literature

Cited by 3 publications

References 22 publications

Long-term risk of shunt failure after brain tumor surgery

Long-term risk of shunt failure after brain tumor surgery

Use of Computed Tomography and Magnetic Resonance Angiograms Combined with a 3D Surgical Guide in an Elderly Cat with an Occipital Lobe Meningioma

Long-term Risk of Shunt Failure After Brain Tumor Surgery

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