Multiple Meningioma Resection by Bilateral Extended Rostrotentorial Craniotomy with a 3D-Print Guide in a Cat
A 13-year-old castrated male domestic shorthair cat was referred for the surgical removal of multiple meningiomas. The cat experienced generalized tonic–clonic seizures, altered mentation, mild proprioceptive ataxia, and circling. Magnetic resonance imaging (MRI) revealed two round, solitary, well-d...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2022-09-01
|
| Series: | Veterinary Sciences |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2306-7381/9/10/512 |
| _version_ | 1797469605963235328 |
|---|---|
| author | Kyohyuk Song Haebeom Lee Jaemin Jeong Yoonho Roh |
| author_facet | Kyohyuk Song Haebeom Lee Jaemin Jeong Yoonho Roh |
| author_sort | Kyohyuk Song |
| collection | DOAJ |
| description | A 13-year-old castrated male domestic shorthair cat was referred for the surgical removal of multiple meningiomas. The cat experienced generalized tonic–clonic seizures, altered mentation, mild proprioceptive ataxia, and circling. Magnetic resonance imaging (MRI) revealed two round, solitary, well-delineated, space-occupying lesions suggestive of multiple meningiomas in the right frontal and occipital lobes. Before surgery, patient-specific three-dimensional (3D) printed models and guides were produced using a 3D program based on MRI and computed tomography (CT), and a rehearsal surgery was performed. With a 3D guide to find the location of the craniotomy lines, bilateral extended rostrotentorial craniotomy allowed en bloc resection of multiple meningiomas. The bone fragment was replaced and secured to the skull with a craniofacial plate and screws with an artificial dura. All of the surgical steps were performed without complications. The preoperative presenting signs were resolved by the time of follow-up examinations 2 weeks after surgery. Twelve months after the removal of the multiple meningiomas, the cat survived without further neurological progression. For the resection of multiple meningiomas, surgery can result in large bone defects and risk of massive hemorrhage. For this challenging surgery, patient-specific 3D models and guides can be effective for accurate and safe craniotomies. |
| first_indexed | 2024-03-09T19:23:43Z |
| format | Article |
| id | doaj.art-235f0a375df24ba5b5cfdc8dc3231a60 |
| institution | Directory Open Access Journal |
| issn | 2306-7381 |
| language | English |
| last_indexed | 2024-03-09T19:23:43Z |
| publishDate | 2022-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Veterinary Sciences |
| spelling | doaj.art-235f0a375df24ba5b5cfdc8dc3231a602023-11-24T03:05:51ZengMDPI AGVeterinary Sciences2306-73812022-09-0191051210.3390/vetsci9100512Multiple Meningioma Resection by Bilateral Extended Rostrotentorial Craniotomy with a 3D-Print Guide in a CatKyohyuk Song0Haebeom Lee1Jaemin Jeong2Yoonho Roh3Department of Veterinary Surgery, College of Veterinary Medicine, Chungnam National University, Daejeon 34134, KoreaDepartment of Veterinary Surgery, College of Veterinary Medicine, Chungnam National University, Daejeon 34134, KoreaDepartment of Veterinary Surgery, College of Veterinary Medicine, Chungnam National University, Daejeon 34134, KoreaDivision of Small Animal Surgery, Department of Clinical Veterinary Medicine, Vetsuisse-Faculty University of Bern, 63012 Bern, SwitzerlandA 13-year-old castrated male domestic shorthair cat was referred for the surgical removal of multiple meningiomas. The cat experienced generalized tonic–clonic seizures, altered mentation, mild proprioceptive ataxia, and circling. Magnetic resonance imaging (MRI) revealed two round, solitary, well-delineated, space-occupying lesions suggestive of multiple meningiomas in the right frontal and occipital lobes. Before surgery, patient-specific three-dimensional (3D) printed models and guides were produced using a 3D program based on MRI and computed tomography (CT), and a rehearsal surgery was performed. With a 3D guide to find the location of the craniotomy lines, bilateral extended rostrotentorial craniotomy allowed en bloc resection of multiple meningiomas. The bone fragment was replaced and secured to the skull with a craniofacial plate and screws with an artificial dura. All of the surgical steps were performed without complications. The preoperative presenting signs were resolved by the time of follow-up examinations 2 weeks after surgery. Twelve months after the removal of the multiple meningiomas, the cat survived without further neurological progression. For the resection of multiple meningiomas, surgery can result in large bone defects and risk of massive hemorrhage. For this challenging surgery, patient-specific 3D models and guides can be effective for accurate and safe craniotomies.https://www.mdpi.com/2306-7381/9/10/512meningiomamultiple meningiomascraniotomy3D-guidefeline |
| spellingShingle | Kyohyuk Song Haebeom Lee Jaemin Jeong Yoonho Roh Multiple Meningioma Resection by Bilateral Extended Rostrotentorial Craniotomy with a 3D-Print Guide in a Cat Veterinary Sciences meningioma multiple meningiomas craniotomy 3D-guide feline |
| title | Multiple Meningioma Resection by Bilateral Extended Rostrotentorial Craniotomy with a 3D-Print Guide in a Cat |
| title_full | Multiple Meningioma Resection by Bilateral Extended Rostrotentorial Craniotomy with a 3D-Print Guide in a Cat |
| title_fullStr | Multiple Meningioma Resection by Bilateral Extended Rostrotentorial Craniotomy with a 3D-Print Guide in a Cat |
| title_full_unstemmed | Multiple Meningioma Resection by Bilateral Extended Rostrotentorial Craniotomy with a 3D-Print Guide in a Cat |
| title_short | Multiple Meningioma Resection by Bilateral Extended Rostrotentorial Craniotomy with a 3D-Print Guide in a Cat |
| title_sort | multiple meningioma resection by bilateral extended rostrotentorial craniotomy with a 3d print guide in a cat |
| topic | meningioma multiple meningiomas craniotomy 3D-guide feline |
| url | https://www.mdpi.com/2306-7381/9/10/512 |
| work_keys_str_mv | AT kyohyuksong multiplemeningiomaresectionbybilateralextendedrostrotentorialcraniotomywitha3dprintguideinacat AT haebeomlee multiplemeningiomaresectionbybilateralextendedrostrotentorialcraniotomywitha3dprintguideinacat AT jaeminjeong multiplemeningiomaresectionbybilateralextendedrostrotentorialcraniotomywitha3dprintguideinacat AT yoonhoroh multiplemeningiomaresectionbybilateralextendedrostrotentorialcraniotomywitha3dprintguideinacat |