Study up and know the most common locations of meningiomas. Credit: Hopkins and Mayfield

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Students of know your presentation by location, histologies and WHO grades, most common sites of origin, Simpson grade of resection, NF2 & multiplicity, and be equipped to educate the team about genetics.

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Optic Nerve Sheath Meningioma
Tram-Track Sign

Watch out!
These images aren't real CT/MR images!
Pixel by Pixel Handmade! ✍

https://t.co/7779mqPEZ6

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Great new skull base approach perfect for skull base meningiomas demonstrated here in new article in https://t.co/Vcy0y4o8x7

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MENINGIOMAS Parassagitais: Meningiomas parassagitais são, de todos meningiomas, os mais comuns e perfazem cerca de  21 a 31% destas lesões no compartimento intracraniano.  Cushing e Olivecrona classificaram estes tumores  em 3… https://t.co/LBT0aMfzOz

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Foramen magnum meningioma which compresses brainstem, cranial nerves, and vertebral artery; and lateral suboccipital approach.

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During endoscopic transnasal resection of parasellar meningiomas, the tumor should be gently moved into the central resection cavity.
https://t.co/CwuTKxR93A

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In endoscopic transnasal resection of parasellar meningiomas, the diaphragm is dissected, avoiding injury to the pituitary stalk (inset image.)
https://t.co/CwuTKxR93A

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MENINGIOMA 🧠 (2020) Saiba o que é: Meningioma: O que é, Sintomas e Tratamentos O Blog NEUROCIRURGIABR tem o objetivo educacional com informações sobre neurocirurgia, tumor cerebral, metastases, aneurisma cerebral, hidrocefalia, doenças da Coluna… https://t.co/WIyMIPt7Gq

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A little lockdown historical library sorting. How our founder diagnosed his cases c.1952 prior to invention of CT & MRI . Impressive.


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Judicious bone resection is important to minimize CSF leak in endoscopic transnasal surgery. Lateral extent of bony resection is determined by the pathology, broader for a large craniophayngioma (right) then for a small tuberculum sella meningioma (left). https://t.co/Uz9aYTUIme

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Watch as explains the case of a lateral sphenoid wing meningioma in a 32-year-old male presenting with a single seizure: https://t.co/HXRqhFuNV7

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During resection of cavernous sinus meningiomas, first remove the components of the tumor affecting the optic nerve to protect the nerve during tumor manipulation & traction. Note aggressive devascularization of the tumor & its thorough internal debulking.
https://t.co/jHZE5rGYn1

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During transcranial resection of tuberculum sella meningiomas, it's crucial to preserve the small branching vessels originating from the superior hypophyseal artery complex & the medial aspect of the internal carotid artery supplying the optic nerve/chiasm
https://t.co/vyQXmbNxZ3

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Here, we see the relative distribution of the most common intracranial meningiomas. Resection of these benign tumors is associated with good patient outcomes and therefore is satisfying for neurosurgeons.



https://t.co/Ldg5aBh08O

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While resecting olfactory groove meningiomas, I dissect the arachnoid plane between the ipsilateral optic nerve/chiasm/carotid artery & the posterior capsule of the tumor. Early ID of these structures improves the efficiency & safety of the operation.

https://t.co/Ldg5aBh08O

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A transcondylar approach w/ C1 hemilaminectomy for approaching a foramen magnum The relationship between the vertebral artery and tumor is important. Most such tumors can be resected via a lateral suboccipital approach without a condylectomy.

https://t.co/TzVD3mfYlj

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During tentorial transection for a petrotentorial it's important to protect the trochlear nerve as it travels along the lateral edge of the incisura. The black dotted line represents an incision that allows us to avoid an injury to the nerve.

https://t.co/73xKJbX8vV

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Olfactory groove meningiomas can be resected via a bifrontal craniotomy. I prefer a pterional craniotomy, no matter how large the olfactory groove meningioma. This approach is less invasive & allows early identification of the optic nerve & carotid artery

https://t.co/Ldg5aBh08O

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Mendelian randomization provides support for obesity as a risk factor for meningioma https://t.co/6WzIyOgYxe

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