Evidence map›Paper›PMID 36324976›Full record

ArticleSurgical neurology international2022

What is the ideal grade of resection for parasagittal meningiomas with the invasion of superior sagittal sinus? Simpson I or Simpson II resection? A retrospective observational study.

Paulo Henrique Pires Aguiar, Rafael Rodrigues Pinheiro Dos Santos, Fernando Augusto Lima Marson, Roberto Alexandre Dezena, Ana Carla Mondek Rampazzo Rampazzo

Abstract read
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Article in Surgical neurology international, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Paulo Henrique Pires AguiarDepartment of Neurosurgery, Division of Neurology, Pontifical Catholic University of São Paulo, Sao Paulo, Brazil.
Rafael Rodrigues Pinheiro Dos SantosDepartment of Medical School, Pontifical Catholic University of Paraná, Londrina, Paraná, Brazil.
Fernando Augusto Lima MarsonLaboratory of Humand and Medical Genetics, São Francisco University, Bragança Paulista, São Paulo, Brazil.
Roberto Alexandre DezenaDepartament of Neurosurgery, Federal University of Triângulo Mineiro, Uberaba, Minas Gerais, Brazil.
Ana Carla Mondek Rampazzo RampazzoDepartment of Medical School, Pontifical Catholic University of Paraná, Londrina, Paraná, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Parasagittal meningioma (PSM) is a tumor located in the parasagittal angle which extends to and/ or invades the superior sagittal sinus (SSS). Surgical resection of the PSM, the standard treatment in such cases, poses a challenge for neurosurgery, particularly where there is an invasion of the SSS. This is due to the risk of complications through injury to the adjacent vascular structures. The objective of the study was to perform a comparative evaluation of the surgical techniques for total resection of the PSM (Simpson Grade [SG] I and SG II), which present the highest rates of success in terms of the following variables: mortality, recurrence, and postoperative complications. Methods: Fifty-six patients undergoing resection surgery for PSM with the invasion of the SSS were enrolled. The patients were divided into two groups: Group A, comprising 26 cases of patients subjected to SG I PSM resection surgery and Group B, with 31 cases of patients subjected to SG II PSM resection surgery, with preservation of the SSS. Results: The results showed that Group B had lower rates of postoperative deficit (P = 0.026), zero mortality, and reduced recurrence. The use of complementary radiotherapy for atypical meningiomas (WHO II) in Group B was satisfactory in controlling the disease. Conclusion: The Simpson II, with preservation of the SSS, was better as it diminishes the vascular risks of surgery, reduces the frequency of severe postoperative deficit, and reduces mortality.

Indexed as

Cerebral convexity meningiomaMeningiomaParasagittal meningiomaSurgical procedure

Identifiers

PMID36324976
PMCPMC9610603

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