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E-raamat: Meningiomas of the Skull Base: Treatment Nuances in Contemporary Neurosurgery

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  • Formaat: 234 pages
  • Ilmumisaeg: 02-Aug-2018
  • Kirjastus: Thieme Publishing Group
  • Keel: eng
  • ISBN-13: 9783132582293
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Meningiomas of the Skull Base: Treatment Nuances in Contemporary NeurosurgerySuurem pilt
  • Formaat: 234 pages
  • Ilmumisaeg: 02-Aug-2018
  • Kirjastus: Thieme Publishing Group
  • Keel: eng
  • ISBN-13: 9783132582293
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A comprehensive overview of the contemporary management of skull base meningiomas

Meningiomas, the second most frequent of intracranial tumors, are characterized by a protean range of possible locations and appearances, due to their origin from the extensive and intricately formed meninges. As such, a wide variety of differential diagnoses is typical, and the therapies chosen are necessarily highly variable.

The introductory chapters of this book cover the pathology of these tumors, the evolution of special surgical methods, instrumentation, intraoperative monitoring, and the role of radiosurgery. Ten surgical chapters cover the individual regions of occurrence, including the sphenoid wing, olfactory groove, cerebellopontine angle, etc., all of which require a specialized approach and therapeutic strategy.

Key Features:





Discussion of pathology and therapy organized by anatomic location of the lesions with the goal of providing best patient outcomes New WHO meningioma classification system based on most recent research in growth patterns, gene sequencing, and molecular patterns of development Important updates on the newest developments in treatment modalities for meningioma, including the lesser invasive radiotherapy and radiosurgery for the smaller lesions and to avoid the necessity of performing radical surgery

Meningiomas of the Skull Base: Treatment Nuances in Contemporary Neurosurgery is an essential reference guide for neurosurgeons and neurologists (in training and in practice) and will also be welcomed by skull base surgeons and otolaryngologists.

This book includes complimentary access to a digital copy on https://medone.thieme.com.
Foreword xv
Preface xvii
Contributors xix
Abbreviations xxv
1 Introduction
Michael L.J. Apuzzo
1.1 Essential "Arrows" in the Technical Quiver: Fragments of Personal Memoirs
1(1)
1.2 Imaging (1973)
1(3)
1.2.1 The Operating Microscope (1955)
1(1)
1.2.2 Modern Endoscopy (1974)
2(1)
1.2.3 Imaging Directed Stereotaxy and Navigation (1977)
2(1)
1.2.4 Bipolar Forceps (1955)
3(1)
1.2.5 Ultrasonic Aspirator (1978)
3(1)
1.2.6 Microanatomy (1973)
3(1)
2 The Evolution of Surgery-the Soul of Neurosurgery 4(7)
Edward R. Laws Jr
Ian F. Dunn
2.1 Introduction: Early History
4(1)
2.2 Nomenclature
4(2)
2.3 Stages of Surgery for Meningiomas
6(1)
2.4 Initial Surgical Progress
6(1)
2.5 Extracranial Approaches to Skull Base Lesions
6(1)
2.6 Microneurosurgery
7(1)
2.7 Refined Skull Base Approaches and Anatomical Studies
8(1)
2.8 Allied Advances in Meningioma Management
8(1)
2.9 Modern Surgical Management
8(1)
References
9(2)
3 Inside the Pathology 11(10)
Marialaura Del Basso De Caro
Elia Guadagno
Felice Giangaspero
3.1 Skull Base: Elements of Anatomy and Embryology
11(1)
3.2 Surgical Resectability
11(1)
3.3 Meningiomas
12(6)
3.3.1 Definition and Epidemiology
12(1)
3.3.2 Hi stopathology
12(4)
3.3.3 Immunohistochemistry
16(1)
3.3.4 Molecular Features
16(1)
3.3.5 Prognostic Factors
17(1)
3.4 Solitary Fibrous Tumor/Hemangiopericytoma
18(1)
3.5 Meningiomas of the Skull Base
18(1)
3.5.1 Skull Base Meningiomas in Pediatric Age
19(1)
3.6 Future Perspectives
19(1)
References
19(2)
4 Exogenous Factors Affecting Meningiomas 21(8)
Moujahed Labidi
Anne Laure Bernat
Sebastien Froelich
4.1 Introduction
21(1)
4.2 Ionizing Radiation
21(1)
4.3 Exogenous Hormones
22(2)
4.3.1 Link between Cyproterone Acetate and Meningiomas
22(2)
4.4 Radiofrequency Electromagnetic Fields
24(1)
4.5 Metabolic Syndrome and Obesity
25(1)
4.6 Occupational Exposures
25(1)
4.7 Smoking
26(1)
4.8 Immunity
26(1)
4.9 Trauma
26(1)
4.10 Conclusion
26(1)
References
26(3)
5 Instrumentation (Micro, Endo, IGS, MRI Application) 29(8)
Oreste de Divitiis
Phillip A. Bonney
Teresa Somma
Federico Frio
Gabriel Zada
5.1 Introduction
29(1)
5.2 The Role of the Microscopy in Skull Base Surgery
29(3)
5.2.1 Positioning
29(1)
5.2.2 Operating Microscope
30(1)
5.2.3 Microsurgical Instruments and Techniques
31(1)
5.3 Endoscopy
32(2)
5.3.1 Introduction
32(1)
5.3.2 The Endoscope
32(1)
5.3.3 Pure Endoscopic Approaches
33(1)
5.3.4 Endoscope-Assisted Microneurosurgery
34(1)
5.4 Image-Guided Surgery
34(1)
5.5 Reconstruction Materials
35(1)
5.5.1 Duraplasty and Hemostasis
35(1)
References
35(2)
6 Intraoperative Neurophysiologic Monitoring during Surgery 37(12)
Pietro Meneghelli
Francesco Sala
6.1 Introduction
37(1)
6.2 Intraoperative Neurophysiologic Monitoring Techniques
38(5)
6.2.1 Mapping Techniques to Identify Cranial Motor Nerves
38(1)
6.2.2 Monitoring Techniques
39(3)
6.2.3 Anesthetic Considerations
42(1)
6.3 Clinical Application in Skull Base Surgery
43(3)
6.3.1 IONM for Sellar and Cavernous Sinus Surgery
43(1)
6.3.2 IONM for Cerebellopontine Angle Surgery
44(1)
6.3.3 IONM for Jugular Foramen-Clival and Foramen Magnum Surgery
45(1)
6.4 IONM Changes and Surgical Strategy
46(1)
6.5 Conclusions
47(1)
References
47(2)
7 Role of Stereotactic Radiosurgery 49(6)
Gautam U. Mehta
Jeyan Kumar
Mohana Rao Patibandla
Jason P. Sheehan
7.1 Introduction
49(1)
7.2 Radiobiology of Skull Base Meningiomas
49(1)
7.4.1 General Indications
51(1)
7.4.2 Specific Tumor Locations
51(1)
7.4.3 Primary, Residual, and Recurrent Disease
52(1)
7.4.4 Atypical and Anaplastic Meningiomas
52(1)
7.4.5 Case Example
52
7.3 Outcomes of Stereotactic Radiosurgery for Skull Base Meningiomas
49(2)
7.3.1 Radiological Response
49(1)
7.3.2 Cranial Neuropathy
50(1)
7.3.3 Brainstem Toxicity
50(1)
7.3.4 Other Complications
51(1)
7.4 Management of Skull Base Meningiomas and Indications for Stereotactic Radiosurgery
51(2)
7.5 Conclusions
53(1)
References
53(2)
8 Sphenoid Wing Meningiomas 55(8)
Francesco Tomasello
Domenico La Torre
Filippo Flavio Angileri
Alfredo Conti
Salvatore Massimiliano Cardali
Antonino F. Germano
8.1 General Considerations and Definition
55(2)
8.2 Lateral or Pterional Sphenoid Wing Meningiomas
57(1)
8.2.1 General Aspects and Clinical Presentation
57(1)
8.2.2 Evaluation
57(1)
8.2.3 Indications for Procedure
57(1)
8.2.4 Surgical Approach
58(1)
8.3 Medial Sphenoid Wing Meningioma
58(3)
8.3.1 General Aspects and Clinical Presentation
58(1)
8.3.2 Evaluation
59(1)
8.3.3 Indications for Procedure
59(1)
8.3.4 Surgical Procedure
60(1)
8.4 Final Considerations
61(1)
References
61(2)
9 Clival Meningiomas 63(5)
Rami O. Almefty
Ossama Al-Mefty
9.1 Preoperative Definition of Lesion Features
63(1)
9.1.1 Definition
63(1)
9.1.2 Anatomical Considerations
63(1)
9.2 Surgical Indications
63(1)
9.3 Surgical Techniques
64(1)
9.3.1 Preoperative Assessment
64(1)
9.3.2 Approach Selection
64(1)
9.4 Complications
65(2)
9.4.1 Vascular
65(1)
9.4.2 Cranial Nerve
66(1)
9.4.3 Brainstem
66(1)
9.4.4 CSF Leak
66(1)
9.4.5 Cholesteatoma
67(1)
9.5 Early and Long-term Postoperative Management
67(1)
References
67(1)
10 Petroclival Meningiomas 68(8)
Danica Grujicic
Rosanda Ilic
Teresa Somma
Rosa Maria Gerardi
Luigi Maria Cavallo
Dragon Savic
Mihailo Milicevic
10.1 Introduction
68(1)
10.2 Anatomical Considerations
68(1)
10.3 Clinical Presentation
68(1)
10.4 Preoperative Evaluation
69(1)
10.5 Surgical Indications
70(1)
10.6 Surgical Techniques
70(4)
10.6.1 Retrosigmoid Approach
70(2)
10.6.2 Transpetrosal Approaches
72(1)
10.6.3 Anterior Petrosal Approach
73(1)
10.6.4 Posterior Petrosal Approach
73(1)
10.7 Complications
74(1)
10.8 Early and Long-term Postoperative Management
74(1)
10.9 Conclusion
74(1)
References
75(1)
11 Olfactory Groove Meningiomas 76(11)
Daniel M. Prevedello
Alaa S. Montaser
Matias Gomez G.
Bradley A. Otto
Ricardo L. Carrau
11.1 Introduction
76(1)
11.2 Preoperative Definition of the Lesion Features
76(1)
11.2.1 Anatomical Consideration
76(1)
11.2.2 Clinical Presentation and Workup
77(1)
11.3 Surgical indications
77(1)
11.3.1 Planning the Surgical Strategy
77(1)
11.3.2 Preoperative Embolization
78(1)
11.4 Surgical Techniques
78(3)
11.4.1 Subfrontal Approach with Unilateral or Bilateral Frontal Craniotomy
78(1)
11.4.2 Transbasal Approach
79(1)
11.4.3 Pterional Approach
79(1)
11.4.4 Frontolateral Approach
79(1)
11.4.5 Supraorbital Keyhole Approach
80(1)
11.4.6 Endoscopic Endonasal Approach
80(1)
11.4.7 Algorithm for Surgical Management of Olfactory Groove Meningiomas (Endoscopic Endonasal Approaches vs. Craniotomy vs. Two-stages Strategy)
81(1)
11.5 Illustrative Cases
81(3)
11.5.1 Case 1
81(1)
11.5.2 Case 2
82(1)
11.5.3 Case 3
83(1)
11.6 Complications
84(1)
11.7 Early and Long-term Follow-up
85(1)
11.7.1 Functional Outcomes
85(1)
11.7.2 Recurrence
85(1)
References
86(1)
12 Middle Fossa Floor Meningiomas 87(8)
Roberto Delfini
Benedetto Fazzolari
Davide Colistra
12.1 Introduction
87(1)
12.2 Preoperative Definition of Lesion Features
87(3)
12.2.1 Surgical Anatomy of the Middle Cranial Fossa
87(1)
12.2.2 Middle Cranial Fossa Floor Meningiomas
88(2)
12.3 Preoperative Management
90(1)
12.4 Surgical indications
90(1)
12.5 Surgical Approaches
90(3)
12.5.1 Pterional Approach
90(1)
12.5.2 Fronto-temporo-(orbito)-zygomatic Approach
91(1)
12.5.3 Temporal Approach
92(1)
12.5.4 Operative Techniques
92(1)
12.6 Complications
93(1)
12.6.1 How to Avoid Complications?
93(1)
12.7 Long-term Outcome
94(1)
12.8 Conclusion
94(1)
12.9 Acknowledgment
94(1)
References
94(1)
13 Cerebellopontine Angle Meningiomas 95(18)
Marcos Tatagiba
Toma Yuriev Spiriev
Florian H. Ebner
13.1 Introduction
95(1)
13.2 Clinical Presentation and Preoperative Evaluation
95(1)
13.3 Neuroradiological Evaluation
96(1)
13.4 Patient Evaluation and Decision-making
97(1)
13.5 Preoperative Surgical Planning and Complication Avoidance
98(1)
13.6 Surgical Approaches
99(3)
13.6.1 Anterior Petroesectomy Approach
100(2)
13.7 Posterior and Combined Petrosal Approaches
102(2)
13.7.1 Retrolabyrinthine Approach
102(1)
13.7.2 Translabyrinthine Approach
103(1)
13.7.3 Combined Petrosal Approach
103(1)
13.7.4 Closure of Posterior and Combined Petrosal Approaches
104(1)
13.8 Retrosigmoid Approach for the Treatment of Cerebellopontine Angle Meningiomas
104(3)
13.9 Postoperative Complications Avoidance
107(1)
13.10 Radiosurgery for Cerebellopontine Angle Meningiomas
108(1)
13.11 Conclusion
109(1)
References
109(4)
14 Foramen Magnum Meningioma 113(14)
Devi Prasad Patra
Anil Nanda
14.1 Introduction
113(1)
14.2 History
113(1)
14.3 Surgical Anatomy
113(1)
14.3.1 Occipital Condyle
114(1)
14.3.2 Vertebral Artery
114(1)
14.4 Epidemiology, Clinical Presentation, and Imaging
114(2)
14.5 Classification of Foramen Magnum Meningioma
116(1)
14.6 Operative Approaches
117(2)
14.6.1 Posterior Suboccipital Approach
117(1)
14.6.2 Far Lateral Approach
117(2)
14.6.3 Extreme Lateral Approach
119(1)
14.7 Controversies in Surgical Approaches
119(1)
14.7.1 Need for Condyle Resection
119(1)
14.7.2 Need for C1 Laminectomy
120(1)
14.7.3 Need of Vertebral Artery Mobilization
120(1)
14.8 Choosing the Right Approach
120(1)
14.9 Complications
121(1)
14.10 Outcome
122(1)
14.11 Role of Radiosurgery
123(1)
14.12 Personal Experience
123(2)
14.13 Conclusion
125(1)
References
125(2)
15 Tuberculum Sellae/Planum Meningiomas 127(11)
Luigi Maria Cavallo
Norberto Andaluz
Alberto Di Somma
Domenico Solari
Paolo Cappabianca
15.1 Introduction
127(1)
15.2 Preoperative Definition of Lesion Features
128(1)
15.3 Surgical Indications
128(2)
15.3.1 Indications for the Endoscopic Endonasal Approach
129(1)
15.3.2 Indications for the Supraorbital Approach
130(1)
15.4 Surgical Techniques
130(4)
15.4.1 Endoscopic Endonasal Approach
130(1)
15.4.2 Supraorbital Eyebrow Approach
130(4)
15.5 Complications
134(1)
15.6 Surgical Results
135(1)
15.6.1 Endoscopic Endonasal Surgery
135(1)
15.6.2 Supraorbital Surgery
135(1)
15.7 Early- and Long-term Postoperative Management
135(1)
15.8 Conclusion
136(1)
References
136(2)
16 Cavernous Sinus Meningiomas 138(13)
Antonio Bernardo
Philip E. Stieg
16.1 Introduction
138(1)
16.2 Anatomy
138(1)
16.3 Development
138(2)
16.4 Symptoms
140(1)
16.5 Diagnosis
140(1)
16.6 Treatment
140(1)
16.7 Surgical Approaches
141(8)
16.7.1 Preoperative Preparation
141(1)
16.7.2 Positioning and Incision
142(1)
16.7.3 Fronto-Orbitozygomatic Osteotomy
142(1)
16.7.4 Drilling of the Sphenoid Ridge
143(1)
16.7.5 Identification and Dissection of the Meningoorbital Band
143(1)
16.7.6 Anterior Clinoidectomy
144(1)
16.7.7 Unroofing the Optic Nerve
144(1)
16.7.8 Extradural Exposure of the Cavernous Sinus
145(1)
16.7.9 Cavernous Sinus Exploration
146(3)
16.8 Surgery and Radiosurgery
149(1)
16.9 Acknowledgments
149(1)
References
150(1)
17 Reconstruction of the Skull Base 151(10)
Sebastien Froelich
Domenico Solari
Moujahed Labidi
Shunya Hanakita
Anne Laure Bernat
Philippe Herman
Paolo Cappabianca
17.1 Introduction
151(1)
17.2 Reconstruction Techniques and Materials
151(3)
17.2.1 Free Autografts
152(1)
17.2.2 Nonautologous Materials
153(1)
17.2.3 Vascularized Flaps
154(1)
17.3 Current Reconstruction Techniques
154(4)
17.3.1 Transcranial Approaches
154(2)
17.3.2 Endoscopic Endonasal Approaches
156(2)
17.4 Discussion and Conclusions
158(1)
References
158(3)
18 Management of Recurrent Skull Base Meningiomas 161(15)
Sheri K. Palejwala
Garni Barkhoudarian
Walavan Sivakumar
Daniel F. Kelly
18.1 Introduction
161(1)
18.2 Recurrence
161(2)
18.2.1 Presentation
161(1)
18.2.2 Extent of Resection
161(1)
18.2.3 Location
162(1)
18.2.4 Histopathology
162(1)
18.2.5 Radiation-induced Meningiomas
163(1)
18.2.6 Adjuvant Therapy of De Novo Meningiomas
163(1)
18.2.7 Multiple Recurrences
163(1)
18.3 Management
163(11)
18.3.1 Surveillance
164(1)
18.3.2 Surgical Resection
164(8)
18.3.3 Radiation
172(1)
18.3.4 Chemotherapy
173(1)
18.4 Conclusion
174(1)
References
174(2)
19 Natural History and Adjunctive Modalities of Treatment 176(9)
Peter F. Morgenstern
Jonathan Forbes
Theodore H. Schwartz
19.1 Introduction
176(1)
19.2 Natural History
176(2)
19.2.1 WHO Grade I
177(1)
19.2.2 WHO Grade II
177(1)
19.2.3 WHO Grade III
178(1)
19.3 Adjunct Treatment Modalities
178(4)
19.3.1 Radiation
178(1)
19.3.2 Brachytherapy
179(1)
19.3.3 Medical Therapies
180(2)
19.4 Conclusion
182(1)
References
182(3)
20 Complications in the Management of Skull Base Meningioma 185(13)
Deopujari C.E.
Vikram S. Karmarkar
20.1 Overview
185(1)
20.2 Preoperative Factors for Prediction of Complications
185(2)
20.2.1 Clinicoradiological Factors
185(2)
20.2.2 Multidisciplinary Approach
187(1)
20.2.3 Surgeon Factors
187(1)
20.2.4 Patient Factors
187(1)
20.3 Perioperative, Operative Complications and Prevention
187(3)
20.3.1 Anesthesia Considerations
187(1)
20.3.2 Operative Complications
188(2)
20.4 Postoperative Complications and Prevention
190(1)
20.5 Approach-related Problems
190(2)
20.5.1 Transcranial Approaches
190(2)
20.5.2 Transnasal Endoscopic Skull Base Approaches
192(1)
20.6 Location-related Complications
192(4)
20.6.1 Olfactory Groove
192(3)
20.6.2 Planum and Tuberculum Sellae
195(1)
20.6.3 Cavernous Sinus/Parasellar
195(1)
20.6.4 Sphenoid Wing Meningioma
195(1)
20.6.5 Middle Cranial Fossa Meningioma
195(1)
20.6.6 Petroclival Meningioma
196(1)
20.6.7 Petrous-tentorial
196(1)
20.6.8 Foramen Magnum Meningioma
196(1)
20.7 Conclusion
196(1)
20.8 Acknowledgment
197(1)
References
197(1)
Index 198
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