[Intracranial meningiomas; standard diagnostic procedure and results of surgical treatment].
The aim of the study is to define radiological parameters which may indirectly indicate invasive expansion of a meningioma and thus forecast potential risks of postoperative neurological deficits. The study group includes 40 adult patients in comparable physical conditions (age 18-75, CRS 70-100, ASA 1-2) with meningiomas, affecting the brain tissue only. The results indicate that unfavorable parametres, predicting potential postoperative neurological deficits include: growth of a meningioma in eloquent regions and presence of a peritumoral oedema. Positive parametres, indicating that no neurological deficit would arise, include: dural supply, visible brain-tumor barrier, non-eloquent location of a meningioma and absence of a peritumoral oedema. The study results suggest that provided the two last parametres are present, a patient need not be exposed to risks of invasive selective angiography.
Kozler
P
P
Neurochirurgická klinika 1. LF UK a UVN, Subkatedra neurochirurgie IPVZ Praha. petr.kozler@uvn.cz
Benes
V
V
Netuka
D
D
Kramár
F
F
Charvát
F
F
D000328:Adult; D000368:Aged; D001932:Brain Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008577:Meningeal Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery; D008579:Meningioma / Q000000981:diagnostic imaging* / Q000601:surgery; D008875:Middle Aged; D011859:Radiography