Characterization and prognostic implications of significant blood loss during intracranial meningioma surgery

2016 ◽  
Vol 5 (6) ◽  
pp. 797-804 ◽  
Author(s):  
Shih-Yuan Hsu ◽  
Yu-Hua Huang
Keyword(s):  
Blood Loss ◽  
Intracranial Meningioma ◽  
Prognostic Implications ◽  
Meningioma Surgery

scholarly journals Investigating Effective Factors on Estimated Hemorrhage Intraoperative in Brain Meningioma Surgery

2020 ◽  
Vol 11 (5) ◽  
pp. 631-638
Author(s):  
Alireza Tabibkhooei ◽  
◽  
Maziar Azar ◽  
Ahmad Alagha ◽  
Javad Jahandideh ◽  
...  
Keyword(s):  
Blood Loss ◽  
Preoperative Imaging ◽  
Intracranial Meningioma ◽  
Cross Sectional ◽  
Estimated Blood Loss ◽  
Duration Of Surgery ◽  
History Of ◽  
Main Determinants ◽  
Magnetic Resonance Imaging Mri ◽  
Meningioma Surgery

Introduction: The primary and definitive diagnosis of meningioma is based on histological assessment; however, employing imaging methods, like Magnetic Resonance Imaging (MRI) is very helpful to describe lesion’s characteristics. Accordingly, we decided to study the effect of imaging factors, like MRI data on the volume of hemorrhage (estimated blood loss) during meningioma surgery. Methods: This was a cross-sectional, retrospective, and analytical study. The eligible patients were those with meningioma who were candidates for surgery. A total of 40 patients with meningioma were selected and assessed. The preoperative imaging findings were recorded, then estimated blood loss during the surgery was determined Results: A reverse association was revealed between the degree of proximity to the nearest sinus and the rate of bleeding. Furthermore, the size of the mass was positively associated with the rate of bleeding; however, there was no significant correlation between the volume of bleeding and other parameters, including the degree of edema, the volume of mass, the site of the tumor in the brain, and the histological subtype of the tumor. The mean time of operation was strongly correlated with blood loss. The rate of bleeding was more expected in hypertensive versus normotensive patients. Conclusion: Bleeding in various volumes could be a frequent finding in intracranial meningioma surgery. Overall, tumor size, the duration of surgery, a history of hypertension, and distance to the nearest sinuses were the main determinants for the severity of hemorrhage in patients undergoing meningioma surgery.

scholarly journals Excess Charges in Intracranial Meningioma Surgery: The Influence of Patient and Hospital Characteristics

2018 ◽  
Vol 79 (S 01) ◽  
pp. S1-S188
Author(s):  
Sean McKee ◽  
Anthony Yang ◽  
Anthony Signore ◽  
Joshua Bederson ◽  
Alfred Iloreta ◽  
...  
Keyword(s):  
Intracranial Meningioma ◽  
Meningioma Surgery ◽  
Hospital Characteristics

P42 Predicting bleeding risk during meningioma surgery

2019 ◽  
Vol 90 (3) ◽  
pp. e35.3-e35
Author(s):  
A Tsyben ◽  
M Surour ◽  
K Budohoski ◽  
R Kirollos ◽  
A Helmy
Keyword(s):  
Multivariate Analysis ◽  
Blood Transfusion ◽  
Blood Loss ◽  
Univariate Analysis ◽  
Estimate Blood Loss ◽  
Bleeding Risk ◽  
Intraoperative Blood Loss ◽  
Dural Tail ◽  
Meningioma Surgery ◽  
Tumour Characteristics

ObjectivesSurgical treatment of meningioma is frequently accompanied by significant intraoperative blood loss and the associated risks of blood transfusion. Surgical adjuncts such as pre-operative embolisation and the use of tranexamic acid have attendant risks. An ability to estimate blood loss can appropriately target these interventions.DesignRetrospective studySubjectsPatients following surgery for meningioma between 2015–2018MethodsIntraoperative blood loss, pre- to post-operative haemoglobin difference and blood transfusion were evaluated. Pre-operative imaging included size, shape and location of meningioma, involvement of sinuses and blood vessels, T1 and T2 weighted characteristics, restricted diffusion, peritumoral oedema, dural tail and hyperostosis. Multivariate analysis was used to determine the relationship between meningioma characteristics and blood loss.ResultsTumour diameter and venous sinus opening were significantly related to blood loss on multivariate analysis (p=0.004 and p=0.001 respectively). Furthermore, on univariate analysis additional factors included procedure duration (p<0.0001), pre-operative radiotherapy (p=0.042) and pre-operative platelet count (p=0.03).ConclusionsOnly size of tumour and opening venous sinuses was related to intraoperative bloods loss in this cohort of patients. Further research is required to define tumour characteristics that can be used to identify patients suitable for pre- and intra-operative adjunct therapies.

scholarly journals Return to work following meningioma surgery: a Swedish nationwide registry-based matched cohort study

2019 ◽  
Vol 7 (3) ◽  
pp. 320-328 ◽  
Author(s):  
Erik Thurin ◽  
Alba Corell ◽  
Sasha Gulati ◽  
Anja Smits ◽  
Roger Henriksson ◽  
...  
Keyword(s):  
Sick Leave ◽  
Return To Work ◽  
Previous History ◽  
Tumor Grade ◽  
Neurological Impairment ◽  
Neurological Deficits ◽  
Intracranial Meningioma ◽  
Patients Âgés ◽  
Meningioma Surgery

Abstract Background Meningioma is the most common primary intracranial tumor. It is usually slow growing and benign, and surgery is the main treatment modality. There are limited data on return to work following meningioma surgery. The objective of this study was to determine the patterns of sick-leave rate prior to surgery, and up to 2 years after, in patients compared to matched controls. Methods Data on patients ages 18 to 60 years with histologically verified intracranial meningioma between 2009 and 2015 were identified in the Swedish Brain Tumor Registry (SBTR) and linked to 3 national registries after 5 matched controls were assigned to each patient. Results We analyzed 956 patients and 4765 controls. One year prior to surgery, 79% of meningioma patients and 86% of controls were working (P &lt; .001). The proportion of patients at work 2 years after surgery was 57%, in contrast to 84% of controls (P &lt; .001). Statistically significant negative predictors for return to work in patients 2 years after surgery were high (vs low) tumor grade, previous history of depression, amount of sick leave in the year preceding surgery, and surgically acquired neurological deficits. Conclusion There is a considerable risk for long term sick leave 2 years after meningioma surgery. Neurological impairment following surgery was a modifiable risk factor increasing the risk for long-term sick leave. More effective treatment of depression may facilitate return to work in this patient group.

scholarly journals Application of Surgical Apgar Score in intracranial meningioma surgery

PLoS ONE ◽  
2017 ◽  
Vol 12 (4) ◽  
pp. e0174328 ◽  
Author(s):  
Shih-Yuan Hsu ◽  
Chien-Yu Ou ◽  
Yu-Ni Ho ◽  
Yu-Hua Huang
Keyword(s):  
Apgar Score ◽  
Intracranial Meningioma ◽  
Meningioma Surgery ◽  
Surgical Apgar Score

Fluorescein Sodium in Intracranial Meningioma Surgery

2017 ◽  
Vol 108 ◽  
pp. 967 ◽  
Author(s):  
Karl-Michael Schebesch ◽  
Alexander Brawanski ◽  
Julius Höhne
Keyword(s):  
Intracranial Meningioma ◽  
Fluorescein Sodium ◽  
Meningioma Surgery

scholarly journals Prognostic value of the Simpson grading scale in modern meningioma surgery: Barrow Neurological Institute experience

2020 ◽  
pp. 1-9
Author(s):  
Colin J. Przybylowski ◽  
Benjamin K. Hendricks ◽  
Fabio A. Frisoli ◽  
Xiaochun Zhao ◽  
Claudio Cavallo ◽  
...  
Keyword(s):  
Multivariate Analysis ◽  
Skull Base ◽  
Prognostic Value ◽  
Tumor Recurrence ◽  
Intracranial Meningioma ◽  
Simpson Grade ◽  
Neurological Morbidity ◽  
Grade Ii ◽  
Grading Scale ◽  
Meningioma Surgery

OBJECTIVERecently, the prognostic value of the Simpson resection grading scale has been called into question for modern meningioma surgery. In this study, the authors analyzed the relationship between Simpson resection grade and meningioma recurrence in their institutional experience.METHODSThis study is a retrospective review of all patients who underwent resection of a WHO grade I intracranial meningioma at the authors’ institution from 2007 to 2017. Binary logistic regression analysis was used to assess for predictors of Simpson grade IV resection and postoperative neurological morbidity. Cox multivariate analysis was used to assess for predictors of tumor recurrence. Kaplan-Meier analysis and log-rank tests were used to assess and compare recurrence-free survival (RFS) of Simpson resection grades, respectively.RESULTSA total of 492 patients with evaluable data were included for analysis, including 394 women (80.1%) and 98 men (19.9%) with a mean (SD) age of 58.7 (12.8) years. The tumors were most commonly located at the skull base (n = 302; 61.4%) or the convexity/parasagittal region (n = 139; 28.3%). The median (IQR) tumor volume was 6.8 (14.3) cm3. Simpson grade I, II, III, or IV resection was achieved in 105 (21.3%), 155 (31.5%), 52 (10.6%), and 180 (36.6%) patients, respectively. Sixty-three of 180 patients (35.0%) with Simpson grade IV resection were treated with adjuvant radiosurgery. In the multivariate analysis, increasing largest tumor dimension (p < 0.01) and sinus invasion (p < 0.01) predicted Simpson grade IV resection, whereas skull base location predicted neurological morbidity (p = 0.02). Tumor recurrence occurred in 63 patients (12.8%) at a median (IQR) of 36 (40.3) months from surgery. Simpson grade I resection resulted in superior RFS compared with Simpson grade II resection (p = 0.02), Simpson grade III resection (p = 0.01), and Simpson grade IV resection with adjuvant radiosurgery (p = 0.01) or without adjuvant radiosurgery (p < 0.01). In the multivariate analysis, Simpson grade I resection was independently associated with no tumor recurrence (p = 0.04). Simpson grade II and III resections resulted in superior RFS compared with Simpson grade IV resection without adjuvant radiosurgery (p < 0.01) but similar RFS compared with Simpson grade IV resection with adjuvant radiosurgery (p = 0.82). Simpson grade IV resection with adjuvant radiosurgery resulted in superior RFS compared with Simpson grade IV resection without adjuvant radiosurgery (p < 0.01).CONCLUSIONSThe Simpson resection grading scale continues to hold substantial prognostic value in the modern neurosurgical era. When feasible, Simpson grade I resection should remain the goal of intracranial meningioma surgery. Simpson grade IV resection with adjuvant radiosurgery resulted in similar RFS compared with Simpson grade II and III resections.

Augmented reality in intracranial meningioma surgery: report of a case and systematic review

2020 ◽  
Vol 64 (4) ◽  
Author(s):  
Alexandre Lavé ◽  
Torstein R. Meling ◽  
Karl Schaller ◽  
Marco V. Corniola
Keyword(s):  
Systematic Review ◽  
Augmented Reality ◽  
Intracranial Meningioma ◽  
Meningioma Surgery

Intracranial meningioma surgery in the elderly (over 65 years): prognostic factors and outcome

2015 ◽  
Vol 157 (9) ◽  
pp. 1549-1557 ◽  
Author(s):  
Zhi-Yi Chen ◽  
Chuan-Hua Zheng ◽  
Tang Li ◽  
Xiao-Yan Su ◽  
Gui-Hua Lu ◽  
...  
Keyword(s):  
Prognostic Factors ◽  
The Elderly ◽  
Intracranial Meningioma ◽  
Surgery In The Elderly ◽  
Meningioma Surgery

Long-term control and predictors of seizures in intracranial meningioma surgery: a population-based study

2018 ◽  
Vol 160 (3) ◽  
pp. 589-596 ◽  
Author(s):  
Hai Xue ◽  
Olafur Sveinsson ◽  
Jiri Bartek ◽  
Petter Förander ◽  
Simon Skyrman ◽  
...  
Keyword(s):  
Population Based ◽  
Intracranial Meningioma ◽  
Population Based Study ◽  
Meningioma Surgery
Sign in / Sign up

Export Citation Format

Share Document