Large falcine meningioma fed by callosomarginal branch successfully removed following contralateral interhemispheric approach.

ABSTRACT: We report the case of a highly vascular facline meningioma removed following surgical ligation of a large callosomarginal feeding branch via a contralateral interhemispheric approach. Successfully addressing this vessel via a contralateral interhemispheric approach prior to any debulking allowed for en bloc Simpson Grade 1 tumor removal with minimal blood loss and short term tumor control without evidence of recurrence at 2 year follow up. A 56 year old man presented with first time generalized tonic-clonic seizure. Imaging revealed a right sided 5 cm falcine meningioma. The patient underwent pre-operative embolization of feeding branches, however, the most significant supply, arising from the right callosomarginal artery, could not be occluded. A bipartite frontotemporal craniotomy was pe

SUBMITTER: Barajas RF 

PROVIDER: S-EPMC2814038 | biostudies-literature | 2010 Mar

REPOSITORIES: biostudies-literature