Abstract
BackgroundThere are several surgical strategies involved in the treatment of patients with tentorial meningioma, and choosing the most appropriate one is not straight forward. Our study aims to illustrate our experience in the management of tentorial meningiomata at our center.ResultsThis study included 32 patients with tentorial meningiomas, operated upon, with assessment of the extent of resection and the Glasgow outcome score (GOS). The mean age at the time of surgery for the studied group was 48.4 years ranging from 20 to 70 years. Total removal was considered as Simpson grade I or II and was achieved in 26 cases (81.25%). Subtotal removal was considered as Simpson grade III or IV and was achieved in 6 cases (18.75%). The final Glasgow outcome score (GOS) for all cases was GOS 1 in 4 cases (12.5%), GOS 4 in 9 cases (28.2%), and GOS 5 in 19 cases (59.3%).ConclusionTentorial meningiomas can be very challenging during surgery due to their proximity to vital structures. Subtotal resection should be considered when total removal can be hazardous to the patient or result in severe morbidity.
Highlights
There are several surgical strategies involved in the treatment of patients with tentorial meningioma, and choosing the most appropriate one is not straight forward
Our study aims to illustrate our experience in the management of tentorial meningiomata at our center
Total removal was considered as Simpson grade I or II and was achieved in 26 cases (81.25%)
Summary
There are several surgical strategies involved in the treatment of patients with tentorial meningioma, and choosing the most appropriate one is not straight forward. Meningiomas are the most frequently reported intracranial tumors, accounting for approximately one-fourth of all reported brain neoplasms as stated by the literature. Tentorial meningiomas are rather uncommon and represent about 5% of intracranial meningiomas [2]. The tentorium seems to have a simple structural design; its edges are close to the brain stem [3]. Its role in venous drainage of the brain and cerebellum makes the surgical approach a challenge, even for experienced neurosurgical teams [4]. There are several surgical strategies involved in the treatment of patients with tentorial meningioma, and choosing the most appropriate one is not straight
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