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Daily bibliographic review of the Neurosurgery Department. La Fe University Hospital. Valencia, Spain

Surgical techniques for the dissection of encased perforators in giant clinoidal meningiomas

Encased perforators in giant clinoidal meningiomas

Acta Neurochir (2013) 155:1409–1412

Surgical treatment of giant clinoidal meningiomas remains a challenging task for neurosurgeons. Here, we present details of the surgical techniques for the dissection of encased perforators.

Methods The dissection of encased perforators is summarized as follows: (1) split the tumor above the encased arteries and perforators; (2) find the entrance and exit points of the perforators, and estimate the running course of the perforators within the tumor; (3) dissect and expose the perforators along the estimated line.

Conclusions The surgical techniques described in this article will aid in achieving maximum tumor resection while preserving encased perforators.

Category: Oncology, Outcome, Surgical technique

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