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Middle third falcine meningiomas-surgical nuances for cortical venous preservation

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Abstract

Purpose

To improve postoperative outcome in middle third falcine meningiomas by cortical venous preservation.

Background

Falcine meningiomas arise from the falx and do not involve the superior sagittal sinus (SSS). Their complete resection is often associated with the risk of venous infarction in the eloquent cortex due to overlying superficial cortical veins on the tumors.

Method

We report one case of middle third falcine meningioma, where we used the posterior interhemispheric corridor for tumor approach.

Conclusion

Use of the posterior interhemispheric approach, carefully raised bone flap, along with sharp dissection and vein reinforcement using fibrin glue can help to preserve the cortical veins while resecting the falcine meningiomas.

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Data availability

Data and material related to this study can be provided on reasonable request.

Code availability

Not applicable.

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Funding

Funded by Indian council of medical research (ICMR) 5/3/8/2022/MDMS(CARE). Principal Investigator of project- Prof Ashish Suri.

Author information

Authors and Affiliations

  1. Department of Neurosurgery, All India Institute of Medical Sciences - AIIMS, New Delhi, India

    Chirag Bansal, Het Shah, Santanu Kumar Bora & Ashish Suri

Authors
  1. Chirag Bansal
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  2. Het Shah
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  3. Santanu Kumar Bora
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  4. Ashish Suri
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Contributions

All authors have contributed in this study as follows-

Dr. Chirag Bansal- Writing of complete manuscript, editing of surgical video, writing of revision of manuscript

Dr. Het Shah- Assistant surgeon, editing of surgical video

Dr. Shantanu kumar bora- Operating surgeon

Dr. Ashish Suri- Chief surgeon, overall supervisor and corresponding author

Corresponding author

Correspondence to Ashish Suri.

Ethics declarations

Ethics approval

Ethical approval has been taken for this paper from institute ethical committee vide letter number IEC/519/06.08.2021.

Consent to participate

Consent for participation has been taken from the patient that is included under this study.

Consent for publication

Consent for publication has been taken from the patient that is included under this study. All the authors also consent for publication of this study.

Conflicts of interests/Competing interests

There are no conflicts of interests or competing interests among authors regarding work submitted for publication under this study.

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Supplementary file1 (MP4 189376 KB)

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Bansal, C., Shah, H., Bora, S.K. et al. Middle third falcine meningiomas-surgical nuances for cortical venous preservation. Acta Neurochir 166, 220 (2024). https://doi.org/10.1007/s00701-024-06088-w

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  • DOI: https://doi.org/10.1007/s00701-024-06088-w

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