title: Surgical treatment of meningiomas involving the cavernous sinus: evolving ideas based on a ten year experience.
abstract: The outcomes of 114 patients with meningiomas operated at the University of Pittsburgh were analyzed. Cerebrospinal fluid leakage was the most frequent complication, observed in 25 patients (21%). Complications were more frequent in patients who had recurrent (previously operated) tumors and patients with extensive tumors. Our current analysis also indicates that patients with prior radio-therapy (usually external beam) have unacceptably high complication rates after microsurgery. Early results indicate that regrowth rates are much higher in patients with incomplete resection (20%) than those with gross total excision (5%). Of the 114 patients, 108 returned to independent living and/or their previous occupation.
authors: Department of Neurological Surgery, George Washington University Medical Center, Washington, DC, USA.
authors: L N
authors: LN
authors: Sekhar
authors: S
authors: S
authors: Patel
authors: M
authors: M
authors: Cusimano
authors: D C
authors: DC
authors: Wright
authors: C N
authors: CN
authors: Sen
authors: W O
authors: WO
authors: Bank
mesh_terms: D002426:Cavernous Sinus / Q000473:pathology / Q000601:surgery*; D002533:Cerebral Angiography; D002548:Cerebral Revascularization; D005500:Follow-Up Studies; D006801:Humans; D008279:Magnetic Resonance Imaging; D008577:Meningeal Neoplasms / Q000175:diagnosis / Q000601:surgery*; D008579:Meningioma / Q000175:diagnosis / Q000601:surgery*; D008866:Microsurgery; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology; D016634:Radiosurgery; D012086:Reoperation; D016896:Treatment Outcome