title: Modified temporal approach for a rostro-temporal basal meningioma in a cat.
abstract: An 11-year-old neutered female domestic shorthair indoor cat was presented to our hospital for treatment of a left-sided rostro-temporal basal meningioma. Focal seizures in the facial muscles had been observed sporadically for 1 year. Two weeks prior to presentation the cat had developed generalised seizures and was treated with symptomatic anticonvulsive treatment. Focal facial seizures, especially on the right side, persisted after medical therapy. From the computed tomography scan, a basal meningioma was suspected by the treating veterinarian. A left-sided suprazygomatical temporobasal approach to the zygomatic arch was chosen because it causes less soft tissue damage. After craniotomy, durotomy and gentle dorsal retraction of the left piriform lobe, the meningioma was removed. Postoperative magnetic resonance imaging confirmed complete excision of the tumour. One day after surgery the cat was alert and a left-sided facial nerve palsy was noticed. Otherwise the neurological examination was normal. Anticonvulsive and eye moistening therapy was continued for 3 months. Six months after surgery the cat was clinically normal without any recurrence of seizures.
authors.affiliation: Department of Clinical Veterinary Medicine, Division of Small Animal Surgery, Vetsuisse Faculty, University of Bern, CH-3012 Bern, Switzerland. frank.forterre@kkh.unibe.ch
authors.forename: Franck
authors.initials: F
authors.lastname: Forterre
authors.forename: André
authors.initials: A
authors.lastname: Jaggy
authors.forename: Helene
authors.initials: H
authors.lastname: Rohrbach
authors.forename: Marc
authors.initials: M
authors.lastname: Dickomeit
authors.forename: Martin
authors.initials: M
authors.lastname: Konar
mesh_terms: D000818:Animals; D002371:Cat Diseases / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*; D002415:Cats; D003399:Craniotomy / Q000662:veterinary; D005260:Female; D008577:Meningeal Neoplasms / Q000175:diagnosis / Q000601:surgery / Q000662:veterinary*; D008579:Meningioma / Q000175:diagnosis / Q000601:surgery / Q000662:veterinary*; D009460:Neurologic Examination / Q000662:veterinary; D016896:Treatment Outcome