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Modern Neurosurgery of Meningiomas and Pituitary Adenomas pp 58–62Cite as

Surgical Treatment of Meningiomas Involving the Cavernous Sinus: Evolving Ideas Based on a Ten Year Experience

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Part of the book series: Acta Neurochirurgica ((NEUROCHIRURGICA,volume 65))

Summary

The outcomes of 114 patients with meningiomas operated at the University of Pittsburgh were analyzed. Cerebrospinal fluid leakage was the most frequent complication, observed in 25 patients (21%). Complications were more frequent in patients who had recurrent (previously operated) tumors and patients with extensive tumors. Our current analysis also indicates that patients with prior radiotherapy (usually external beam) have unacceptably high complication rates after microsurgery. Early results indicate that regrowth rates are much higher in patients with incomplete resection (20%) than those with gross total excision (5%). Of the 114 patients, 108 returned to independent living and/or their previous occupation.

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References

  1. Sekhar LN, Patel ST (1993) Editorial — permanent occlusion of the internal carotid artery during skull base and vascular surgery: is it really safe? Am J Otol 14: 421–422

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  2. Biglan, AW, Sekhar LN, Cheng KP, Wright DC (1994) A protocol for measuring ophthalmologic morbidity and recovery after cranial base surgery. Skull Base Surg 4: 26–31

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Author information

Authors and Affiliations

  1. Department of Neurological Surgery, George Washington University Medical Center, Washington, DC, USA

    Laligam N. Sekhar M.D., F.A.C.S. & D. C. Wright

  2. Medical University of South Carolina, Canada

    S. Patel

  3. University of Toronto, Canada

    M. Cusimano

  4. Mt. Sinai School of Medicine, New York, NY, USA

    C. N. Sen

  5. Department of Radiology, George Washington University Medical Center, Washington, DC, USA

    W. O. Bank

Authors
  1. Laligam N. Sekhar M.D., F.A.C.S.
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  2. S. Patel
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  3. M. Cusimano
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  4. D. C. Wright
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  5. C. N. Sen
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  6. W. O. Bank
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Editor information

Editors and Affiliations

  1. Neurochirurgische Klinik, Universität Erlangen-Nürnberg, Federal Republic of Germany

    Rudolf Fahlbusch , Michael Buchfelder  & Margareta Klinger ,  & 

  2. Neurochirurgische Universitätsklinik, Düsseldorf, Federal Republic of Germany

    Wolfgang J. Bock

  3. Neurochirurgische Universitätsklinik, Berlin, Federal Republic of Germany

    Mario Brock

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© 1996 Springer-Verlag

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Cite this paper

Sekhar, L.N., Patel, S., Cusimano, M., Wright, D.C., Sen, C.N., Bank, W.O. (1996). Surgical Treatment of Meningiomas Involving the Cavernous Sinus: Evolving Ideas Based on a Ten Year Experience. In: Fahlbusch, R., Bock, W.J., Brock, M., Buchfelder, M., Klinger, M. (eds) Modern Neurosurgery of Meningiomas and Pituitary Adenomas. Acta Neurochirurgica, vol 65. Springer, Vienna. https://doi.org/10.1007/978-3-7091-9450-8_17

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  • DOI: https://doi.org/10.1007/978-3-7091-9450-8_17

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-9452-2

  • Online ISBN: 978-3-7091-9450-8

  • eBook Packages: Springer Book Archive

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