ATYPICAL MENINGIOMAS OF CEREBELLOPONTINE ANGLE. A FIVE CASE SERIES

  • A. I. CUCU “Professor Dr. N. Oblu” Emergency Clinical Hospital Iasi
  • Mihaela Dana TURLIUC “Professor Dr. N. Oblu” Emergency Clinical Hospital Iasi
  • Claudia Florida COSTEA “Professor Dr. N. Oblu” Emergency Clinical Hospital Iasi
  • Gabriela Florenta DUMITRESCU “Professor Dr. N. Oblu” Emergency Clinical Hospital Iasi
  • Anca SAVA “Professor Dr. N. Oblu” Emergency Clinical Hospital Iasi
  • I. POEATA “Professor Dr. N. Oblu” Emergency Clinical Hospital Iasi

Abstract

ATYPICAL MENINGIOMAS OF CEREBELLOPONTINE ANGLE: A FIVE CASE SERIES (Abstract):  Cerebellopontine angle (CPA) meningiomas represent a subset of posterior fossa tumors accounting approximately 10% of all brain tumors, and out of all these, meningioma is the second most common tumor of the CPA. Surgical treatment of CPA meningiomas is challenging because of their relationship with important and vital neurovascular structures of the CPA. Aim: Identification of clinical, neuroimaging and surgical features of atypical CPA meningiomas. Material and methods: Out of all the 1287 intracranial meningiomas diagnosed and operated in “Professor Dr. N. Oblu” Emergency Clinical Hospital Iasi, from 1990-2015 were identified 44 CPA meningiomas. Of these were identified 5 atypical meningiomas (AM) of CPA. The results of our five-case series were compared to those of the existing studies. Results: This is an observational clinical study for five cases of atypical CPA meningiomas. CPA meningiomas have distinct clinical syndromes, associated with anatomical localization. Compared to the previous studies, the number of atypical CPA meningiomas from our series is higher, with average duration between the onset of symptoms and admission longer. As well as in literature, in our case series the retro sigmoid approach was preferred and the only subtotal tumoral resection of AM were those with extension towards the ventral petrous face and facial palsy was the most common postoperative complication. Conclusions: Surgical treatment of atypical CPA meningiomas has become increasingly safe, but these tumors remain challenging lesions, and the resection of these tumors is associated with increased rates of complications.

Author Biographies

A. I. CUCU, “Professor Dr. N. Oblu” Emergency Clinical Hospital Iasi

Department of Neurosurgery (II)
“Grigore T. Popa” University of Medicine and Pharmacy Iasi
Faculty of Medicine
Department of Surgery (II), Ph.D. Student

Mihaela Dana TURLIUC, “Professor Dr. N. Oblu” Emergency Clinical Hospital Iasi

Department of Neurosurgery (II)
“Grigore T. Popa” University of Medicine and Pharmacy Iasi
Faculty of Medicine
Department of Surgery (II)

Claudia Florida COSTEA, “Professor Dr. N. Oblu” Emergency Clinical Hospital Iasi

Department of Ophthalmology
“Grigore T. Popa” University of Medicine and Pharmacy Iasi
Faculty of Medicine
Department of Surgery (II)

Gabriela Florenta DUMITRESCU, “Professor Dr. N. Oblu” Emergency Clinical Hospital Iasi

Department of Pathology

Anca SAVA, “Professor Dr. N. Oblu” Emergency Clinical Hospital Iasi

Department of Pathology
“Grigore T. Popa” University of Medicine and Pharmacy Iasi
Faculty of Medicine
Department of Morpho-Functional Sciences (I)

I. POEATA, “Professor Dr. N. Oblu” Emergency Clinical Hospital Iasi

Department of Neurosurgery (II)
“Grigore T. Popa” University of Medicine and Pharmacy Iasi
Faculty of Medicine
Department of Surgery (II)

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Published
2018-10-04