ArticleJournal of neurosurgery. Case lessons2025
Targeted decompression to address long-standing anatomical distortion in a case of extensive, bilateral en plaque meningiomas: illustrative case.
Article in Journal of neurosurgery. Case lessons, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMeningioma en plaque (MEP) is a rare subtype of meningioma with a carpet-like growth pattern, often causing hyperostosis. Even rarer is the presentation of bilateral MEP posing diagnostic and therapeutic challenges. Management of MEP usually entails early complete resection. Follow-up may be considered for asymptomatic and slow-growing tumors. OBSERVATIONS: The authors present the case of a 52-year-old patient with progressive optic neuropathy due to bilateral hyperostotic frontotemporal MEP. Long-standing intracranial hypertension caused by mass effect had led to formation of a suprachiasmatic cyst deflecting the optic chiasm. The authors aimed to lower the intracranial pressure indirectly by performing a targeted, right-sided craniectomy with tumor removal and mesh cranioplasty. Postoperatively, reconstitution of brain anatomy and stabilization of the optic neuropathy were observed. LESSONS: To the authors' knowledge, this is the first case report addressing targeted decompression for severe, long-standing anatomical distortion due to bilateral hyperostotic MEP. Complete resection as recommended for MEPs would have been associated with a high risk of perioperative morbidity in this case. In case of neurological deterioration due to decompensated intracranial hypertension, indirect decompression can effectively address chronic distortion of anatomy. This case report highlights the need for individualized management strategies for extensive MEPs. https://thejns.org/doi/10.3171/CASE25382.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.