Multi-staged approach for safe removal of tentorial meningioma – A case report


Case Report

Author Details : Deepak Ranade, Ishant Rege*, Bhagirath More

Volume : 8, Issue : 3, Year : 2022

Article Page : 184-190

https://doi.org/10.18231/j.ijn.2022.037



Suggest article by email

Get Permission

Abstract

Falcotentorial meningiomas are rare and comprise only 0.3-1.1% of all meningiomas. The choice of surgical strategy for such lesions is not straightforward. 46 year old female came to our institute with complaints of gradually intensifying headache since 3 months which had aggravated over a period of 5 days. MRI Brain with contrast was done which showed a large, well circumscribed, lobulated, midline, extra-axial lesion attached to the posterior third of the falx and the anterior lip of the tentorium. The surgical plan was to excise the infra tentorial portion, for which a Steins (supra cerebellar infra tentorial) approach was deployed. Attempts to approach the supratentorial portion by incising the tentorium were unsuccessful as the required trajectory was far too acute. The supra tentorial portion would have to be approached by a more cranial trajectory, and hence it was decided to tackle that portion at a second stage. Some tumors may not be amenable to total excision in a single sitting. This case is being reported to underline the importance of a delayed 2 stage approach to excise this complex genre of Falcotentorial meningiomas which invade the supra and infra tentorial compartments.
 

Keywords: Falcotentorial meningioma, Multistaged, Safe resection


How to cite : Ranade D, Rege I, More B, Multi-staged approach for safe removal of tentorial meningioma – A case report. IP Indian J Neurosci 2022;8(3):184-190


This is an Open Access (OA) journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.







Article History

Received : 07-07-2022

Accepted : 30-07-2022


View Article

PDF File   Full Text Article


Copyright permission

Get article permission for commercial use

Downlaod

PDF File   XML File   ePub File


Digital Object Identifier (DOI)

Article DOI

https://doi.org/ 10.18231/j.ijn.2022.037


Article Metrics






Article Access statistics

Viewed: 691

PDF Downloaded: 354