STRATEGY OF PETROUS MENININGIOMAS SURGERY
2nd International Conference on NEUROSCIENCE AND NEUROLOGICAL DISORDERS
April 11-12, 2019 | Barcelona, Spain
Mohamed Ahmed Fahmy Zeid and Ahmed Gaber Marei
Brain & Skull Egyptian Society, Alexandria University, Egypt
Scientific Tracks Abstracts : J Neurol Neurorehabil Res
Abstract:
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 attachment
of the lesion in the petrous bone.
Methods: Twenty five (25) were studied pre-operatively by neuro-imaging especially magnetic resonance imaging
(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 depending
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.
Biography:
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.
E-mail: fahmy1@gmail.com
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