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前床突脑膜瘤的外科治疗:EANS 颅底分会的共识声明。

Surgical management of anterior clinoidal meningiomas: consensus statement on behalf of the EANS skull base section.

机构信息

Department of Neurosurgery, University Hospital of Lausanne and Faculty of Biology and Medicine, University of Lausanne, Rue du Bugnon 46, CH-1011, Lausanne, Switzerland.

Signal Processing Laboratory (LTS 5), Ecole Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland.

出版信息

Acta Neurochir (Wien). 2021 Dec;163(12):3387-3400. doi: 10.1007/s00701-021-04964-3. Epub 2021 Aug 16.

DOI:10.1007/s00701-021-04964-3
PMID:34398339
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8599327/
Abstract

BACKGROUND

The optimal management of clinoidal meningiomas (CMs) continues to be debated.

METHODS

We constituted a task force comprising the members of the EANS skull base committee along with international experts to derive recommendations for the management of these tumors. The data from the literature along with contemporary practice patterns were discussed within the task force to generate consensual recommendations.

RESULTS AND CONCLUSION

This article represents the consensus opinion of the task force regarding pre-operative evaluations, patient's counselling, surgical classification, and optimal surgical strategy. Although this analysis yielded only Class B evidence and expert opinions, it should guide practitioners in the management of patients with clinoidal meningiomas and might form the basis for future clinical trials.

摘要

背景

岩斜脑膜瘤(CMs)的最佳治疗方案仍存在争议。

方法

我们成立了一个由 EANS 颅底委员会成员以及国际专家组成的工作组,旨在为这些肿瘤的治疗提供建议。工作组对文献中的数据和当前的实践模式进行了讨论,以达成共识性建议。

结果和结论

本文代表了工作组对术前评估、患者咨询、手术分类和最佳手术策略的共识意见。虽然这项分析仅提供了 B 级证据和专家意见,但它应该指导临床医生对岩斜脑膜瘤患者的治疗,并可能为未来的临床试验奠定基础。

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本文引用的文献

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Cranial Intraosseous Meningiomas: CT and MRI Findings.颅骨骨内脑膜瘤:CT与MRI表现
Turk Neurosurg. 2020;30(4):542-549. doi: 10.5137/1019-5149.JTN.25694-18.4.
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Surgery for Clinoidal Meningiomas: Case Series and Meta-Analysis of Outcomes and Complications.岩斜脑膜瘤的手术治疗:病例系列和结局及并发症的荟萃分析。
World Neurosurg. 2019 Sep;129:e700-e717. doi: 10.1016/j.wneu.2019.05.253. Epub 2019 Jun 7.
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Radiation dose to neuroanatomical structures of pituitary adenomas and the effect of Gamma Knife radiosurgery on pituitary function.垂体腺瘤神经解剖结构的辐射剂量及伽玛刀放射外科手术对垂体功能的影响。
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Preoperative embolization of skull base meningiomas: A systematic review.颅底脑膜瘤的术前栓塞:一项系统评价。
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