Impact of optic canal decompression on visual outcome in subtotal resected skull base meningiomas

被引:1
作者
Unteroberdoerster, Meike [1 ]
Muller, Oliver [1 ]
Oezkan, Neriman [1 ]
Pierscianek, Daniela [1 ]
Hadamitzky, Martin [2 ]
Kleist, Bernadette [1 ]
Sure, Ulrich [1 ]
El Hindy, Nicolai [1 ]
机构
[1] Univ Duisburg Essen, Univ Hosp Essen, Dept Neurosurg, Essen, Germany
[2] Univ Duisburg Essen, Univ Hosp Essen, Inst Med Psychol & Behav Immunobiol, Essen, Germany
关键词
Optic nerve; Decompression; Skull base; Meningioma; EXTRADURAL ANTERIOR CLINOIDECTOMY; TUBERCULUM SELLAE MENINGIOMAS; ASSISTED BRAIN SURGERY; SUBFRONTAL APPROACH; RADIOTHERAPY; EVOLUTION; TUMORS;
D O I
10.23736/S0390-5616.17.04020-6
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
BACKGROUND: Visual impairment (VI) due to neoplastic infiltration of the optic canal (OC) is frequently seen in skull base meningiomas representing a significant restriction in patients' quality of life. However, the delicate anatomy of this region often prevents gross total tumor resection. The aim of the present study was to evaluate the impact of intradural OC decompression and postoperative ontological procedure on preservation of visual acuity in subtotal resected skull base meningiomas. METHODS: A retrospective analysis of 31 consecutive patients (19 females, 12 males; mean age 53 [range 18-78]), treated in our institution between 01/2011- 09/2014 was performed. Patients' charts were analyzed with special respect to operative procedure. postoperative treatment and procedural impact on late visual function. RESULTS: Most patients (74.2%) had VI prior to surgery. A pterional craniotomy (97%) facilitated subtotal tumor removal in 71% of the patients with no intraoperative and a low rate (6.4%) of postoperative complications. Adjunctive radiotherapy was performed in 19.3% of the patients. Preoperative visual acuity was preserved or improved in 92% of the patients. Substantial tumor regrowth occurred in only 11.2% of the patients. CONCLUSIONS: Intradural decompression of the OC stabilizes visual function in subtotally resected skull base meningiomas. Moreover, adjuvant radiotherapy seems to further benefit visual outcome which has to be evaluated in further prospective studies.
引用
收藏
页码:440 / 445
页数:6
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