Differences in surgical outcome between petroclival meningioma and anterior petrous meningioma
Background Petroclival meningiomas (PC MNGs) and anterior petrous meningiomas (AP MNGs) have similar locations. However, these are different tumors clearly divided by the trigeminal nerve. There has never been a study on the comparison of the surgical outcomes of these two meningiomas. In this study...
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description | Background
Petroclival meningiomas (PC MNGs) and anterior petrous meningiomas (AP MNGs) have similar locations. However, these are different tumors clearly divided by the trigeminal nerve. There has never been a study on the comparison of the surgical outcomes of these two meningiomas. In this study, we compared and analyzed the surgical outcome of PC MNGs and AP MNGs.
Methods
The charts of 85 patients diagnosed with PC MNGs of AP MNGs who underwent surgical treatment were retrospectively reviewed. And we analyzed the characteristics of 49 PC MNGs (57.6%) and compared them with those of 36 AP MNGs.
Results
Preoperative brainstem edema was observed in 11 patients (22.4%) of the PC MNG group and 1 patient (2.8%) of the AP MNG group (
p
= 0.024). Total tumor removal was achieved in 21 patients (58.3%) of the AP MNG group, but only 17 patients (34.7%) of the PC MNG group were able to completely (
p
= 0.047). In addition, sixth cranial nerve palsy occurred in 17 patients (34.7%) of the PC MNG group and 4 patients (11.1%) of the AP MNG group (
p
= 0.025).
Conclusions
In this study, we found that PC MNGs has a worse surgical outcome than AP MNGs, because PC MNGs were difficult to completely remove and were more likely to damage abducens nerve. |
doi_str_mv | 10.1007/s00701-021-04753-y |
format | Article |
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Petroclival meningiomas (PC MNGs) and anterior petrous meningiomas (AP MNGs) have similar locations. However, these are different tumors clearly divided by the trigeminal nerve. There has never been a study on the comparison of the surgical outcomes of these two meningiomas. In this study, we compared and analyzed the surgical outcome of PC MNGs and AP MNGs.
Methods
The charts of 85 patients diagnosed with PC MNGs of AP MNGs who underwent surgical treatment were retrospectively reviewed. And we analyzed the characteristics of 49 PC MNGs (57.6%) and compared them with those of 36 AP MNGs.
Results
Preoperative brainstem edema was observed in 11 patients (22.4%) of the PC MNG group and 1 patient (2.8%) of the AP MNG group (
p
= 0.024). Total tumor removal was achieved in 21 patients (58.3%) of the AP MNG group, but only 17 patients (34.7%) of the PC MNG group were able to completely (
p
= 0.047). In addition, sixth cranial nerve palsy occurred in 17 patients (34.7%) of the PC MNG group and 4 patients (11.1%) of the AP MNG group (
p
= 0.025).
Conclusions
In this study, we found that PC MNGs has a worse surgical outcome than AP MNGs, because PC MNGs were difficult to completely remove and were more likely to damage abducens nerve.</description><identifier>ISSN: 0001-6268</identifier><identifier>EISSN: 0942-0940</identifier><identifier>DOI: 10.1007/s00701-021-04753-y</identifier><identifier>PMID: 33555377</identifier><language>eng</language><publisher>Vienna: Springer Vienna</publisher><subject>Abducens nerve ; Brain cancer ; Brain stem ; Brain tumors ; Cranial nerves ; Edema ; Interventional Radiology ; Medicine ; Medicine & Public Health ; Meningioma ; Minimally Invasive Surgery ; Neurology ; Neuroradiology ; Neurosurgery ; Original Article - Brain Tumors ; Paralysis ; Surgical Orthopedics ; Surgical outcomes ; Trigeminal nerve ; Tumors</subject><ispartof>Acta neurochirurgica, 2021-06, Vol.163 (6), p.1697-1704</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH, AT part of Springer Nature 2021</rights><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH, AT part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-6a1ffc58901ba8f5ecf57af447b36fb0957e23f0a427830ae2378354422e5f503</citedby><cites>FETCH-LOGICAL-c375t-6a1ffc58901ba8f5ecf57af447b36fb0957e23f0a427830ae2378354422e5f503</cites><orcidid>0000-0002-2761-0373</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00701-021-04753-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00701-021-04753-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33555377$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jung, In-Ho</creatorcontrib><creatorcontrib>Yoo, Jihwan</creatorcontrib><creatorcontrib>Park, Hun Ho</creatorcontrib><creatorcontrib>Hong, Chang-Ki</creatorcontrib><title>Differences in surgical outcome between petroclival meningioma and anterior petrous meningioma</title><title>Acta neurochirurgica</title><addtitle>Acta Neurochir</addtitle><addtitle>Acta Neurochir (Wien)</addtitle><description>Background
Petroclival meningiomas (PC MNGs) and anterior petrous meningiomas (AP MNGs) have similar locations. However, these are different tumors clearly divided by the trigeminal nerve. There has never been a study on the comparison of the surgical outcomes of these two meningiomas. In this study, we compared and analyzed the surgical outcome of PC MNGs and AP MNGs.
Methods
The charts of 85 patients diagnosed with PC MNGs of AP MNGs who underwent surgical treatment were retrospectively reviewed. And we analyzed the characteristics of 49 PC MNGs (57.6%) and compared them with those of 36 AP MNGs.
Results
Preoperative brainstem edema was observed in 11 patients (22.4%) of the PC MNG group and 1 patient (2.8%) of the AP MNG group (
p
= 0.024). Total tumor removal was achieved in 21 patients (58.3%) of the AP MNG group, but only 17 patients (34.7%) of the PC MNG group were able to completely (
p
= 0.047). In addition, sixth cranial nerve palsy occurred in 17 patients (34.7%) of the PC MNG group and 4 patients (11.1%) of the AP MNG group (
p
= 0.025).
Conclusions
In this study, we found that PC MNGs has a worse surgical outcome than AP MNGs, because PC MNGs were difficult to completely remove and were more likely to damage abducens nerve.</description><subject>Abducens nerve</subject><subject>Brain cancer</subject><subject>Brain stem</subject><subject>Brain tumors</subject><subject>Cranial nerves</subject><subject>Edema</subject><subject>Interventional Radiology</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Meningioma</subject><subject>Minimally Invasive Surgery</subject><subject>Neurology</subject><subject>Neuroradiology</subject><subject>Neurosurgery</subject><subject>Original Article - Brain Tumors</subject><subject>Paralysis</subject><subject>Surgical Orthopedics</subject><subject>Surgical outcomes</subject><subject>Trigeminal nerve</subject><subject>Tumors</subject><issn>0001-6268</issn><issn>0942-0940</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kMlOxDAMhiMEYn8BDqgSFy6FNEvTHhG7hMQFrkRpxhll1KZD0oLm7TGUTRw4xI71f3acn5CDgp4UlKrThIEWOWV4hJI8X62RbVoLlmOg63inKJesrLbITkoLrJgSfJNscS6l5Eptk6cL7xxECBZS5kOWxjj31rRZPw627yBrYHgFCNkShtjb1r-g1kHwYe77zmQmzPAMEH0fJ2ZMv_Q9suFMm2D_M--Sx6vLh_Ob_O7--vb87C63XMkhL03hnJVVTYvGVE6CdVIZJ4RqeOkaWksFjDtqBFMVpwYLzFIIxkA6SfkuOZ7mLmP_PEIadOeThbY1AXAjzUSFPy-qukT06A-66McYcDvNJJM1RS9rpNhE2dinFMHpZfSdiStdUP3uvp7c1-i-_nBfr7Dp8HP02HQw-275shsBPgEJpTCH-PP2P2PfAAUwkOE</recordid><startdate>20210601</startdate><enddate>20210601</enddate><creator>Jung, In-Ho</creator><creator>Yoo, Jihwan</creator><creator>Park, Hun Ho</creator><creator>Hong, Chang-Ki</creator><general>Springer Vienna</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2761-0373</orcidid></search><sort><creationdate>20210601</creationdate><title>Differences in surgical outcome between petroclival meningioma and anterior petrous meningioma</title><author>Jung, In-Ho ; Yoo, Jihwan ; Park, Hun Ho ; Hong, Chang-Ki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-6a1ffc58901ba8f5ecf57af447b36fb0957e23f0a427830ae2378354422e5f503</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Abducens nerve</topic><topic>Brain cancer</topic><topic>Brain stem</topic><topic>Brain tumors</topic><topic>Cranial nerves</topic><topic>Edema</topic><topic>Interventional Radiology</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Meningioma</topic><topic>Minimally Invasive Surgery</topic><topic>Neurology</topic><topic>Neuroradiology</topic><topic>Neurosurgery</topic><topic>Original Article - Brain Tumors</topic><topic>Paralysis</topic><topic>Surgical Orthopedics</topic><topic>Surgical outcomes</topic><topic>Trigeminal nerve</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jung, In-Ho</creatorcontrib><creatorcontrib>Yoo, Jihwan</creatorcontrib><creatorcontrib>Park, Hun Ho</creatorcontrib><creatorcontrib>Hong, Chang-Ki</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Acta neurochirurgica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jung, In-Ho</au><au>Yoo, Jihwan</au><au>Park, Hun Ho</au><au>Hong, Chang-Ki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Differences in surgical outcome between petroclival meningioma and anterior petrous meningioma</atitle><jtitle>Acta neurochirurgica</jtitle><stitle>Acta Neurochir</stitle><addtitle>Acta Neurochir (Wien)</addtitle><date>2021-06-01</date><risdate>2021</risdate><volume>163</volume><issue>6</issue><spage>1697</spage><epage>1704</epage><pages>1697-1704</pages><issn>0001-6268</issn><eissn>0942-0940</eissn><abstract>Background
Petroclival meningiomas (PC MNGs) and anterior petrous meningiomas (AP MNGs) have similar locations. However, these are different tumors clearly divided by the trigeminal nerve. There has never been a study on the comparison of the surgical outcomes of these two meningiomas. In this study, we compared and analyzed the surgical outcome of PC MNGs and AP MNGs.
Methods
The charts of 85 patients diagnosed with PC MNGs of AP MNGs who underwent surgical treatment were retrospectively reviewed. And we analyzed the characteristics of 49 PC MNGs (57.6%) and compared them with those of 36 AP MNGs.
Results
Preoperative brainstem edema was observed in 11 patients (22.4%) of the PC MNG group and 1 patient (2.8%) of the AP MNG group (
p
= 0.024). Total tumor removal was achieved in 21 patients (58.3%) of the AP MNG group, but only 17 patients (34.7%) of the PC MNG group were able to completely (
p
= 0.047). In addition, sixth cranial nerve palsy occurred in 17 patients (34.7%) of the PC MNG group and 4 patients (11.1%) of the AP MNG group (
p
= 0.025).
Conclusions
In this study, we found that PC MNGs has a worse surgical outcome than AP MNGs, because PC MNGs were difficult to completely remove and were more likely to damage abducens nerve.</abstract><cop>Vienna</cop><pub>Springer Vienna</pub><pmid>33555377</pmid><doi>10.1007/s00701-021-04753-y</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-2761-0373</orcidid></addata></record> |
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source | SpringerNature Journals |
subjects | Abducens nerve Brain cancer Brain stem Brain tumors Cranial nerves Edema Interventional Radiology Medicine Medicine & Public Health Meningioma Minimally Invasive Surgery Neurology Neuroradiology Neurosurgery Original Article - Brain Tumors Paralysis Surgical Orthopedics Surgical outcomes Trigeminal nerve Tumors |
title | Differences in surgical outcome between petroclival meningioma and anterior petrous meningioma |
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