Endoscopic Ipsilateral Interhemispheric Approach for Middle-Third Falcine Meningioma: A Case Report and Literature Review
Middle-third falcine meningiomas (FMs) are usually hidden deep under the eloquent cortex and abundant bridging veins, which represent the main hindrances to surgical access. The endoscopic approach has the advantages of wide visualization and free visual axis without areas of visual blindness, which...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2023-07-01
|
| Series: | Brain Sciences |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2076-3425/13/7/1085 |
| _version_ | 1797590052485726208 |
|---|---|
| author | Gang Zhang Junwei Wang Pan Wang Nan Wu |
| author_facet | Gang Zhang Junwei Wang Pan Wang Nan Wu |
| author_sort | Gang Zhang |
| collection | DOAJ |
| description | Middle-third falcine meningiomas (FMs) are usually hidden deep under the eloquent cortex and abundant bridging veins, which represent the main hindrances to surgical access. The endoscopic approach has the advantages of wide visualization and free visual axis without areas of visual blindness, which allows for the resection of FMs with good visualization in a narrow space, especially in deep operations. Here, we report a case of a middle-third FM treated using the endoscopic ipsilateral interhemispheric approach. A 55-year-old female who had suffered a headache for 6 months without other remarkable symptoms was diagnosed with middle-third FM combined with imaging evaluation. According to the imaging performance and anatomical features, we scheduled the endoscopic ipsilateral interhemispheric approach to access and remove the tumor. Consequently, gross total tumor resection was achieved without surgery-related complications. After the surgery, the patient had an uneventful recovery and was discharged with no neurological deficit. During the 24-month follow-up, the patient’s condition remained favorable, with no tumor recurrence. In our opinion, the endoscopic ipsilateral interhemispheric approach is a feasible surgical strategy for FMs, which deserves further exploration as a treatment option. |
| first_indexed | 2024-03-11T01:14:55Z |
| format | Article |
| id | doaj.art-bae787c4705146489b93e49c85975370 |
| institution | Directory Open Access Journal |
| issn | 2076-3425 |
| language | English |
| last_indexed | 2024-03-11T01:14:55Z |
| publishDate | 2023-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Brain Sciences |
| spelling | doaj.art-bae787c4705146489b93e49c859753702023-11-18T18:35:09ZengMDPI AGBrain Sciences2076-34252023-07-01137108510.3390/brainsci13071085Endoscopic Ipsilateral Interhemispheric Approach for Middle-Third Falcine Meningioma: A Case Report and Literature ReviewGang Zhang0Junwei Wang1Pan Wang2Nan Wu3Department of Neurosurgery, Chongqing General Hospital, Chongqing 401147, ChinaDepartment of Neurosurgery, Chongqing General Hospital, Chongqing 401147, ChinaDepartment of Neurosurgery, Chongqing General Hospital, Chongqing 401147, ChinaDepartment of Neurosurgery, Chongqing General Hospital, Chongqing 401147, ChinaMiddle-third falcine meningiomas (FMs) are usually hidden deep under the eloquent cortex and abundant bridging veins, which represent the main hindrances to surgical access. The endoscopic approach has the advantages of wide visualization and free visual axis without areas of visual blindness, which allows for the resection of FMs with good visualization in a narrow space, especially in deep operations. Here, we report a case of a middle-third FM treated using the endoscopic ipsilateral interhemispheric approach. A 55-year-old female who had suffered a headache for 6 months without other remarkable symptoms was diagnosed with middle-third FM combined with imaging evaluation. According to the imaging performance and anatomical features, we scheduled the endoscopic ipsilateral interhemispheric approach to access and remove the tumor. Consequently, gross total tumor resection was achieved without surgery-related complications. After the surgery, the patient had an uneventful recovery and was discharged with no neurological deficit. During the 24-month follow-up, the patient’s condition remained favorable, with no tumor recurrence. In our opinion, the endoscopic ipsilateral interhemispheric approach is a feasible surgical strategy for FMs, which deserves further exploration as a treatment option.https://www.mdpi.com/2076-3425/13/7/1085endoscopic surgeryfalcine meningiomamiddle-thirdipsilateral interhemispheric approachcase report |
| spellingShingle | Gang Zhang Junwei Wang Pan Wang Nan Wu Endoscopic Ipsilateral Interhemispheric Approach for Middle-Third Falcine Meningioma: A Case Report and Literature Review Brain Sciences endoscopic surgery falcine meningioma middle-third ipsilateral interhemispheric approach case report |
| title | Endoscopic Ipsilateral Interhemispheric Approach for Middle-Third Falcine Meningioma: A Case Report and Literature Review |
| title_full | Endoscopic Ipsilateral Interhemispheric Approach for Middle-Third Falcine Meningioma: A Case Report and Literature Review |
| title_fullStr | Endoscopic Ipsilateral Interhemispheric Approach for Middle-Third Falcine Meningioma: A Case Report and Literature Review |
| title_full_unstemmed | Endoscopic Ipsilateral Interhemispheric Approach for Middle-Third Falcine Meningioma: A Case Report and Literature Review |
| title_short | Endoscopic Ipsilateral Interhemispheric Approach for Middle-Third Falcine Meningioma: A Case Report and Literature Review |
| title_sort | endoscopic ipsilateral interhemispheric approach for middle third falcine meningioma a case report and literature review |
| topic | endoscopic surgery falcine meningioma middle-third ipsilateral interhemispheric approach case report |
| url | https://www.mdpi.com/2076-3425/13/7/1085 |
| work_keys_str_mv | AT gangzhang endoscopicipsilateralinterhemisphericapproachformiddlethirdfalcinemeningiomaacasereportandliteraturereview AT junweiwang endoscopicipsilateralinterhemisphericapproachformiddlethirdfalcinemeningiomaacasereportandliteraturereview AT panwang endoscopicipsilateralinterhemisphericapproachformiddlethirdfalcinemeningiomaacasereportandliteraturereview AT nanwu endoscopicipsilateralinterhemisphericapproachformiddlethirdfalcinemeningiomaacasereportandliteraturereview |