ArticleActa neurochirurgica2019
Challenging the osseous component of sphenoorbital meningiomas.
Article in Acta neurochirurgica, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Exploring Intraosseous Meningiomas: Case Series and Literature Insights from a Tertiary Care Hospital in Pakistan.Pakistan journal of medical sciences · 2025Article
- Superior orbital fissure narrowing and tumor-associated pain in spheno-orbital meningiomas.Acta neurochirurgica · 2024Article
- Correlation Analysis on Anatomical Variants of Accessory Foramina in the Sphenoid Bone for Oncological Surgery.Cancers · 2023Article
- Meningiomas with CNS invasion.Frontiers in neuroscience · 2023Review
- Female gender and exogenous progesterone exposition as risk factors for spheno-orbital meningiomas.Journal of neuro-oncology · 2020Article
- Spheno-Orbital Meningiomas: Optimizing Visual Outcome.Journal of neurosciences in rural practice · 2020Article
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Authors and funding
8 authors.
Funding
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Abstract
backgroundIntraosseous growth is a unique feature of sphenoorbital meningiomas (SOM). Its close relation to neurovascular structures limits complete surgical resection and possibly contributes to the high recurrence rate.
objectiveTo evaluate the growth behavior of intraosseous remnants and develop a protocol for precise intraoperative visualization of intraosseous SOM.
methodsWe included 31 patients operated for SOM from 2004 to 2017. The growth velocity of the intraosseous tumor component was volumetrically calculated in 20 cases. To improve accuracy of image guidance, we implemented a specialized bone surface-based registration algorithm. For intraoperative bone visualization, we included CT in multimodality continuous image guidance in 23 patients. The extent of resection (EOR) was compared with a standard MR-only navigation group (n = 8).
resultsIn 11/20 cases (55%), a progressive regrowth of the intraosseous SOM remnant was noted during a mean follow-up of 52 months (range 20-132 months). We observed a mean increase of 6.2 cm
conclusionQuantitative assessment of the biological behavior of intraosseous remnants revealed a continuous slow growth rate independent of the soft tumor component of more than half of SOM. According to our data, application of a multimodal image guidance provided high accuracy and significantly increased the resection rate of the intraosseous component of SOM.
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