Huge Meningioma Operation And The Management

Objective: Accounted for13.4%and38%of intracranial tumors, meningioma andin accordance with the clinical grade of>7.0-cm meningioma is relatively rare, becauseoften closely related with the superior sagittal sinus, central venous and surroundingimportant anatomic structures, surgical removal of the difficulty ofbig. Division1in2006to2012in January were30cases of huge meningioma surgery, postoperativecomplications, postoperative management and treatment research to further explore theeffect of a huge meningioma surgery and postoperative complications preventivemanagement.Methods: Retrospective analysis of surgery and postoperative complications of30cases of diameter greater than7cm huge meningioma patients admitted to ourdepartment from January2006to January2012, the related literature on the surgery,postoperative complications and preventive measures discussed below.Results: The extent of surgical resection was graded according to Simpson, Class I,Division18cases,6cases of Class II and class III and above6cases,30cases of tumorstotal resection24cases, near total resection in four cases, subtotal resection of two cases.Contralateral limb hemiplegia after four cases, five cases of malignant cerebral edema,two cases of aphasia, five cases of intracranial hematoma, four cases of postoperativeepilepsy, cerebral infarction in4cases,2cases of intracranial infection, cerebrospinalfluid leakage0cases, scalp effusion, stress ulcer bleeding in2cases, death0cases.5years follow-up in June anosmia in1case,1cases of mild hemiplegia, seizures in twocases, four cases of recurrence, and the rest of a good recovery.Conclusion: Huge meningioma patients with clinical symptoms are not typical,multi-headache, dizziness, seizures or visual impairment, visual field defect as the firstsymptom. Complex structure, due to large tumor size, anatomy and surgery moredifficult, more postoperative complications. Fully prepared for preoperativeangiography (DSA) for the whole brain, a rich blood supply of the huge tumor, embolization of the blood vessels that supply can reduce blood loss and postoperativecomplications. Properly deal with the adjacent neural structures and vascular surgery toreduce the patient’s neurological impairment; microsurgical technique to improve theremoval rate of the tumor; if adhesion close, separation difficulties, may retain a portionof the aneurysm wall, thus reducing damage important nerves and blood vessels.Postoperative complications, timely detection and timely treatment can effectivelyreduce the mortality and morbidity. Rational use of hormones, antibiotics, dehydratingagent, and reduce postoperative complications, and strive to make the patient get theideal recovery.