[Microsurgical treatment of tentorial meningiomas].
OBJECTIVE
To discuss microsurgery in the treatment of tentorial meningiomas to reduce the operative mortality.


METHODS
Clinical data of 32 patients were retrospectively analyzed. The operative approaches and outcomes and postoperative management of tentorial meningiomas were discussed.


RESULTS
Of the 32 patients, tumors in 27 patients(84.37%) were removed totally, and 5(15.63%) were removed subtotally. In the 5 patients whose tumors were resected subtotally, 3 patients were related to major sinus, and the other 2 related to adhering compactly to the brain stem invaded by tumors, major vessels, or cranial nerves.


CONCLUSIONS
Total resection can be achieved in most patients with microneurosurgical technique. Proper choice of operative approaches may raise the total removal rate and lower the operative mortality.
Lu
Ming
M
Department of Neurosurgery, Xiangya Hospital, Central South University, Changsha 410008, China. Lming163@yahoo.com.cn
Liu
Yun-Sheng
YS
D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D015192:Infratentorial Neoplasms / Q000601:surgery*; D008297:Male; D008577:Meningeal Neoplasms / Q000601:surgery*; D008579:Meningioma / Q000601:surgery*; D008866:Microsurgery / Q000379:methods*; D008875:Middle Aged; D012189:Retrospective Studies; D015173:Supratentorial Neoplasms / Q000601:surgery; D016896:Treatment Outcome