Parasagittal Meningiomas: Recurrence Rate Associated with the Degree of Tumor Resection. Review of 26 Cases Undergoing Surgical Treatment

Authors

Rafael Contage-Winter, Neurosurgeon, Neurosurgery Service, Hospital de Cl´ınicas de Porto Alegre - HCPA, RS, Brazil.Follow
Eduardo Brescancin-Vieira, Neurosurgery Resident, Neurosurgery Service, Hospital de Cl´ınicas de Porto Alegre - HCPA, RS, Brazil.
Apio Claudio Martins-Antunes, Head of the Neurosurgery Service, Hospital de Cl´ınicas de Porto Alegre – HCPA, RS, Brazil. Associate Professor, School of Medicine, UFRGS

Document Type

Original Article

Abstract

Objective: In 1957, Simpson published an article describing the risk factors for tumor recurrence after surgical treatment. The fact that the treatment of parasagittal meningiomas is accompanied by a relatively high risk of morbidity and mortality led the authors to review the literature through their surgical series regarding the association between the degree of resection, according to the Simpson scale, and its implication on disease-free survival in parasagittal meningiomas.

Methods: Based on the analysis of their surgical series, the authors reviewed the literature focusing on the extent of surgical treatment and its relation to tumor recurrence/progression.

Results: Recurrences occurred in patients who underwent Simpson II resection and progression in Simpson III patients. None of the patients who underwent Simpson I and IV had recurrence or progression of the disease.

Conclusion: The indication of an individualized and less aggressive surgical treatment, preserving the patient’s neurological status without having an unfavorable impact on disease-free survival, seems to be an increasingly prevalent and applicable concept.

Recommended Citation

Contage-Winter, Rafael; Brescancin-Vieira, Eduardo; and Martins-Antunes, Apio Claudio (2024) "Parasagittal Meningiomas: Recurrence Rate Associated with the Degree of Tumor Resection. Review of 26 Cases Undergoing Surgical Treatment," LATIN Neurosurgery Journal: Vol. 1: Iss. 2, Article 10.
Available at: https://www.latin-neurosurgery.org/home/vol1/iss2/10

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