Fujiwara Kouko, Shibao Shunsuke, Sasao Ryota, Nishimoto Masaaki
Department of Neurosurgery, Ashikaga Red Cross Hospital, Tochigi, Japan.
Department of Neurosurgery, Dokkyo Medical University, 880 Kitakobayashi, Mibu, Shimotsugagun, Tochigi, 321-0293, Japan.
Acta Neurochir (Wien). 2025 Mar 24;167(1):88. doi: 10.1007/s00701-025-06497-5.
Although the ipsilateral craniotomy approach has been used for the removal of falcine meningioma (FM), we report a case of FM that was minimally invasively removed using a contralateral interhemispheric approach assisted with endoscopy.
We used a contralateral approach with a small craniotomy of the FM. The tumor was detached from the surrounding tissue during internal decompression. It was dissected and coagulated endoscopically in a blind spot under a microscope, and a Simpson Grade I resection was achieved.
A small craniotomy with a contralateral interhemispheric approach assisted by endoscopy allowed minimally invasive tumor removal without complications.
尽管同侧开颅手术方法已用于切除镰旁脑膜瘤（FM），但我们报告了一例通过对侧经半球间入路辅助内镜微创切除FM的病例。
我们采用对侧入路对FM进行小骨窗开颅。在肿瘤内减压过程中，将其与周围组织分离。在内镜辅助下于显微镜下的盲区进行解剖和凝固，实现了Simpson I级切除。
在神经内镜辅助下经对侧半球间入路小骨窗开颅可实现肿瘤的微创切除，且无并发症发生。
