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LATIN Neurosurgery Journal

Document Type

Original Article

Abstract

With the increasing of medical control and the availability of brain diagnostic imaging modalities, the diagnostic of incidental meningiomas become fairly common.

A lot of studies have been published in the last years in an effort to know the potential for growth of this tumors. An important number of publications appear with suggestions of therapeutic strategies. In one hand the possibility of control of these patients and in the other hand the possibility of surgery. There are a lot of factors in each case to decide what to do. The risk of surgical complications, the age of the patient, the previous clinical condition, etc. The authors believe that asymptomatic incidental meningiomas can be observed using serial imaging and clinical follow up. Surgery is reserved for large tumors, asymptomatic with edema or cerebral compression. Also surgery is indicated is cases with documented growing.

References

[1] Roukoz Chamoun, Khaled M Krisht, and William T Couldwell. Incidental meningiomas. Neurosurgical focus, 31(6):E19, 2011.

[2] Elizabeth B Claus, Melissa L Bondy, Joellen M Schildkraut, Joseph L Wiemels, Margaret Wrensch, and Peter M Black. Epidemiology of intracranial meningioma. Neurosurgery, 57(6):1088–1095, 2005.

[3] Z Herscovici, Z Rappaport, J Sulkes, L Danaila, and G Rubin. Natural history of conservatively treated meningiomas. Neurology, 63(6):1133–1134, 2004.

[4] Mohamed Samy Elhammady and Roberto C Heros. Asymptomatic meningiomas. Journal of neurosurgery, 119(2):482–486, 2013.

[5] Raimund P Firsching, Anette Fischer, Reinhard Peters, Frank Thun, and Norfrid Klug. Growth rate of incidental meningiomas. Journal of neurosurgery, 73(4):545–547, 1990.

[6] Jun-ichi Kuratsu, Masato Kochi, and Yukitaka Ushio. Incidence and clinical features of asymptomatic meningiomas. Journal of neurosurgery, 92(5):766–770, 2000.

[7] Nader Sanai, Michael E Sughrue, Gopal Shangari, Kenny Chung, Mitchel S Berger, and Michael W McDermott. Risk profile associated with convexity meningioma resection in the modern neurosurgical era. Journal of neurosurgery, 112(5):913–919, 2010.

[8] Soichi Oya, Seon-Hwan Kim, Burak Sade, and Joung H Lee. The natural history of intracranial meningiomas. Journal of neurosurgery, 114(5):1250–1256, 2011.

[9] Michael E Sughrue, Martin J Rutkowski, Gopal Shangari, H Quinn Chang, Andrew T Parsa, Mitchel S Berger, and Michael W McDermott. Risk factors for the development of serious medical complications after resection of meningiomas. Journal of neurosurgery, 114(3):697–704, 2011.

[10] Shigetoshi Yano and Jun-ichi Kuratsu. Indications for surgery in patients with asymptomatic meningiomas based on an extensive experience. Journal of neurosurgery, 105(4):538– 543, 2006.

[11] Meike W Vernooij, M Arfan Ikram, Herve L´ Tanghe, Arnaud JPE Vincent, Albert Hofman, Gabriel P Krestin, Wiro J Niessen, Monique MB Breteler, and Aad van der Lugt. Incidental findings on brain mri in the general population. New England Journal of Medicine, 357(18):1821–1828, 2007.

[12] Satoshi Nakasu, Tadateru Fukami, Masayuki Nakajima, Kazuyoshi Watanabe, Masaharu Ichikawa, and Masayuki Matsuda. Growth pattern changes of meningiomas: long-term analysis. Neurosurgery, 56(5):946–955, 2005.

[13] Makoto Nakamura, Florian Roser, Julia Michel, Cornelius Jacobs, and Madjid Samii. The natural history of incidental meningiomas. Neurosurgery, 53(1):62–71, 2003.

[14] Tetsuo Hashiba, Naoya Hashimoto, Shuichi Izumoto, Tsuyoshi Suzuki, Naoki Kagawa, Motohiko Maruno, Amami Kato, and Toshiki Yoshimine. Serial volumetric assessment of the natural history and growth pattern of incidentally discovered meningiomas. Journal of neurosurgery, 110(4):675–684, 2009.

[15] Aymeric Amelot, Remy van Effenterre, Michel Kalamarides, Philippe Cornu, and Anne-Laure Boch. Natural history of cavernous sinus meningiomas. Journal of Neurosurgery, 130(2):435–442, 2018.

[16] Angelo Pichierri, Antonio Santoro, Antonino Raco, Sergio Paolini, Giampaolo Cantore, and Roberto Delfini. Cavernous sinus meningiomas: retrospective analysis and proposal of a treatment algorithm. Neurosurgery, 64(6):1090–1101, 2009.

[17] Lawrence A Zeidman, William J Ankenbrandt, Hongyan Du, Nina Paleologos, and Nicholas A Vick. Growth rate of non-operated meningiomas. Journal of neurology, 255:891–895, 2008.

[18] Raimund P Firsching, Anette Fischer, Reinhard Peters, Frank Thun, and Norfrid Klug. Growth rate of incidental meningiomas. Journal of neurosurgery, 73(4):545–547, 1990.

[19] Raef FA Hafez, Magad S Morgan, and Osama M Fahmy. Stereotactic gamma knifesurgery safety and efficacy in the management of symptomatic benign confined cavernous sinus meningioma. Acta neurochirurgica, 157:1559–1564, 2015.

[20] Bruce E Pollock, Scott L Stafford, Michael J Link, Yolanda I Garces, and Robert L Foote. Single-fraction radiosurgery of benign cavernous sinus meningiomas. Journal of neurosurgery, 119(3):675–682, 2013.

[21] Y Yoneoka, Y Fujii, and R Tanaka. Growth of incidental meningiomas. Acta neurochirurgica, 142:507–511, 2000.

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