Abstract | BACKGROUND: There are several treatment approaches for pineal region meningiomas, such as Poppen's approach, Krause's approach and combinations of the two approaches. We present our experience with the use of 3D-computed tomography angiography for planning the surgical removal of pineal region meningiomas using a suboccipital transtentorial approach (Poppen's approach) and evaluate the role of Poppen's approach. METHODS: During the period from January 2005 to June 2010, ten patients presented to us with pineal region meningioma. MRI was routinely used to define the tumor size, position, and its relevant complications while 3D-CTA was applied to define the blood supply of the tumor and the venous complex (VC) shift before operations. Most of the meningiomas had developed at both sides of the tentorial plane and extended laterally with typical characteristics of a pineal region tumor. RESULTS: CONCLUSION: We found that the use of Poppen's approach is strongly supported for the successful removal of pineal region meningiomas without serious complications.
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Authors | Yunqian Li, Gang Zhao, Honglei Wang, Wanan Zhu, Limei Qu, Ye Li, Jinlu Yu |
Journal | World journal of surgical oncology
(World J Surg Oncol)
Vol. 9
Pg. 64
(Jun 15 2011)
ISSN: 1477-7819 [Electronic] England |
PMID | 21676231
(Publication Type: Journal Article)
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Topics |
- Adult
- Angiography
- Brain Neoplasms
(diagnostic imaging, surgery)
- Female
- Humans
- Male
- Meningeal Neoplasms
(diagnostic imaging, surgery)
- Meningioma
(diagnostic imaging, surgery)
- Middle Aged
- Pineal Gland
- Tomography, X-Ray Computed
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