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April 11-12, 2019 | Barcelona, Spain
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Neuroscience Congress 2019
Journal of Neurology and Neurorehabilitation Research | Volume 4
NEUROSCIENCE AND
NEUROLOGICAL DISORDERS
2
nd
International Conference on
STRATEGY OF PETROUS MENININGIOMAS SURGERY
Mohamed Ahmed Fahmy Zeid
and
Ahmed Gaber Marei
Brain & Skull Egyptian Society, Alexandria University, Egypt
Objective:
Petrous meningioma is benign lesions; their total surgical excision is the only method for complete
cure. However their excisions are confronted by deep location and critical anatomical relation and exact site of
origin from the petrous bone. This study was conducted to plan a surgical strategy based on the site of attach-
ment of the lesion in the petrous bone.
Methods:
Twenty five (25) were studied pre-operatively by neuro-imaging especially magnetic resonance im-
aging (MRI). To classify the types of petrous meningioma all cases were studied operatively for the extent of
the tumor removal while clinical status and the follow up and histopathological verification were evaluated.
Results:
Radical surgical removal was achieved in eighteen patients (72%), subtotal removal in four cases (16%)
and incomplete removal in another three cases (12%).
Conclusion:
Complete surgical excision of the petrous meningioma can be planned pre-operatively depend-
ing on the exact site of the attachment to the petrous bone. There were four different zones on the surface of
petrous bone on which different type of surgical approach can be used to achieve a better result as regards the
safety of the patient and the extend of the excions of the petrous meningioma’s.
Mohamed Ahmed Fahmy Zeid et al., J Neurol Neurorehabil Res 2019, Volume 4
Mohamed Ahmed Fahmy Zeid is a founder and chair of Brain & Skull Egyptian Society, full professor of neurosurgery, Alexandria
University, Egypt. He is a specialized professor of neurosurgical department.
fahmy1@gmail.comBIOGRAPHY