Faquini Igor, Fonseca Ricardo Brandão, Vale de Melo Sérgio Luís, Negri Herika, Vieira Eduardo, Saboia Tammy, Azevedo-Filho Hildo
Department of Neurosurgery, Hospital of Restoration-University of Pernambuco, Recife, Brazil ; Department of Pediatric Neurosurgery, IMIP, Recife, Brazil.
Department of Neurosurgery, Universitary Hospital, Federal University of Vale do São Francisco, Petrolina, Brazil ; Department of Pediatric Neurosurgery, IMIP, Petrolina, Brazil.
Surg Neurol Int. 2015 Nov 26;6:180. doi: 10.4103/2152-7806.170540. eCollection 2015.
Intraventricular meningiomas constitute 2% of intracranial meningiomas, representing a challenging disease for neurosurgeons; we report our experience through a case series, emphasizing surgical approaches and results.
Between 2009 and 2012, four patients underwent microsurgical resection in our department. Clinical and imaging findings, surgical approaches, outcomes, and follow-up were analyzed.
Four patients (three females and one male) were included and the signs of intracranial hypertension were the main clinical presentation in all cases. The parietal approach through intraparietal sulcus was performed in 3 cases and parieto-occipital interhemispheric surgical route in 1 case. Gross total resection was achieved in all the patients without additional deficits and without the aid of neuronavigation, intraoperative monitoring, and intraoperative magnetic resonance imaging.
Gross total resection is the gold standard treatment for such tumors and the intraparietal sulcus approach is an excellent choice for most of the cases. Careful anatomical knowledge contributes to a safer procedure even in the absence of high tech equipment assistance.
脑室内脑膜瘤占颅内脑膜瘤的2%，对神经外科医生来说是一种具有挑战性的疾病；我们通过一个病例系列报告我们的经验，重点介绍手术方法和结果。
2009年至2012年期间，我们科室有4例患者接受了显微手术切除。对临床和影像学检查结果、手术方法、结果及随访情况进行了分析。
纳入4例患者（3例女性，1例男性），所有病例的主要临床表现均为颅内高压症状。3例行经顶叶沟的顶叶入路，1例行顶枕叶间大脑镰旁手术入路。所有患者均实现了肿瘤全切除，且无额外神经功能缺损，手术过程中未借助神经导航、术中监测及术中磁共振成像。
肿瘤全切除是此类肿瘤的金标准治疗方法，顶叶沟入路对大多数病例来说是一个很好的选择。即使在没有高科技设备辅助的情况下，仔细的解剖学知识也有助于更安全地进行手术。
