الفهرس 
AnatomyOnly 14 pages are availabe for public view
 |  | from | 65 |  |  |
| | | from | 65 | | |
Abstract
S
phenoid ridge meningiomas constitute about 11.9% of all intracranial meningiomas. In 1938, they were classified by Cushing and Eisenhardt into outer (pterional), middle (alar), and inner (deep, clinoidal) lesions.
Despite technical advances in neuroimaging and microsurgical techniques, large meningiomas arising from the sphenoid wing still a surgical challenge.
Review of the literature concerning sphenoid wing meningioma was presented including; introduction, anatomy, pathology and clinical presentations, imaging features, and treatment options.
Between May 2015 and October 2019, 40 patients with meningiomas primarily originating from sphenoid ridge were plannd for surgical management either with total excision or subtotal +GKS or for GKS from the start, 9 cases were lateral, 11 were meddle,14 were medial and 6 enplaque
and we can summarize that in lateral and middle meningiomma total excision is the main role in treatment as long as vascular structures are secured, while GKS playing essential role in medial group,small conviened lesions less than 3 cmm in maximum diameter could be treated directly with GKS, larger lesions subtotal excision as safe as possible is 1st step followed by GKS for residual, meningiomma en plaque carry high incidence of recurrence as total excision is difficult and GKS could not treating hyperostotic bone
S
phenoid ridge meningiomas constitute about 11.9% of all intracranial meningiomas. In 1938, they were classified by Cushing and Eisenhardt into outer (pterional), middle (alar), and inner (deep, clinoidal) lesions.
Despite technical advances in neuroimaging and microsurgical techniques, large meningiomas arising from the sphenoid wing still a surgical challenge.
Review of the literature concerning sphenoid wing meningioma was presented including; introduction, anatomy, pathology and clinical presentations, imaging features, and treatment options.
Between May 2015 and October 2019, 40 patients with meningiomas primarily originating from sphenoid ridge were plannd for surgical management either with total excision or subtotal +GKS or for GKS from the start, 9 cases were lateral, 11 were meddle,14 were medial and 6 enplaque
and we can summarize that in lateral and middle meningiomma total excision is the main role in treatment as long as vascular structures are secured, while GKS playing essential role in medial group,small conviened lesions less than 3 cmm in maximum diameter could be treated directly with GKS, larger lesions subtotal excision as safe as possible is 1st step followed by GKS for residual, meningiomma en plaque carry high incidence of recurrence as total excision is difficult and GKS could not treating hyperostotic bone
S
phenoid ridge meningiomas constitute about 11.9% of all intracranial meningiomas. In 1938, they were classified by Cushing and Eisenhardt into outer (pterional), middle (alar), and inner (deep, clinoidal) lesions.
Despite technical advances in neuroimaging and microsurgical techniques, large meningiomas arising from the sphenoid wing still a surgical challenge.
Review of the literature concerning sphenoid wing meningioma was presented including; introduction, anatomy, pathology and clinical presentations, imaging features, and treatment options.
Between May 2015 and October 2019, 40 patients with meningiomas primarily originating from sphenoid ridge were plannd for surgical management either with total excision or subtotal +GKS or for GKS from the start, 9 cases were lateral, 11 were meddle,14 were medial and 6 enplaque
and we can summarize that in lateral and middle meningiomma total excision is the main role in treatment as long as vascular structures are secured, while GKS playing essential role in medial group,small conviened lesions less than 3 cmm in maximum diameter could be treated directly with GKS, larger lesions subtotal excision as safe as possible is 1st step followed by GKS for residual, meningiomma en plaque carry high incidence of recurrence as total excision is difficult and GKS could not treating hyperostotic bone