EVALUATION OF MICROSURGERY ON SUPRATENTORIAL MENINGIOMA UNDER SELECTIVE EMBOLIZATION PREOPERATION

Tóm tắt

Objectives: To evaluate clinical and preclinical characteristics and results of microsurgery of meningioma under preoperative selective embolization. Subjects and methods: A descriptive research on 9 patients with meningioma who experienced selective embolization preoperation and microsurgery in Military Hospital 103 from January 2016 to July 2021. Evaluating the tumor extent of resection by Simpson, surgery result by Ojemann. Results: Clinical characteristics include consciousness disorder 11.1%, increased intracranial pressure 88.9%, epilepsy 33.3%, movement disorder 33.3% often in the parietial-temporal lobe, psychosis 11.1% often in the frontal lobe. 100% of patients under total resection, medium duration was 155.56 ± 33.58 minutes. Blood transfusion was 0.33 ± 0.5 units. None of the patients had surgery complications postoperation. The good result was 100%. Conclusion: Symptomatic meningioma depends on the situation. Preoperative selective embolization enables to decline the surgery duration, blood transfusion, to remove tumor totally, and to have good results post-operation.