Prise en charge chirurgicale des méningiomes intracrâniens au service de neurochirurgie au CHU Constantine

  • 01/07/2020
Fares Laouar, K. ATTIK, S. DJERBOUA, Boublata Lotfi

Meningiomas are benign extra parenchymal tumors developed at the expense of arachnoid villi. The difficult surgical management of intracranial meningiomas (ICM) depends on their location in hyperfunctional areas. The aim of this study is to evaluate the management of ICMs in the neurosurgery department of Constantine University Hospital. In this retrospective study, we reviewed the observations of patients operated for an ICM, between January 2016 and December 2018. 47 patients were operated for an ICM (25%). The average age was 54 years (± 13 years) with extremes of 32 to 78 years of which 62% were women. The clinical manifestations were mainly motor deficit (57%), intracranial hypertension (53%) and comitiality (43%). MRI was performed in 49% as a supplement to brain CT-scan. In our series, 57% of the ICMs are located on the convexity. The quality of surgical excision according to Simpson’s score was Grade I and Grade II: 70%, Grade III and IV: 30%. The histological type of the 2007 WHO classification was Grade I (62%), Grade II (32%) and III (6%). The overall rate operative mortality was n = 3. 6%. The management of ICMs has benefited from advances in microsurgery and neuroanesthesia, which contributes to the improvement of our results and the reduction of the mortality rate. Key words: Intracranial meningioma, Primary brain tumor, Surgical excision.

Articles similaires