Acta neurochirurgica · 2025
Management of vascular encasement in parasellar meningiomas-How I Do It.
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Aldea Sorin, Halimi Floriana, Le Guerinel Caroline
Аннотация
BACKGROUND: Tumours of the parasellar area may engulf the internal carotid artery(ICA) and its branches which may preclude complete resection and may be a risk factor for ischemic complications.
METHODS: We present a surgical technique based on a stepwise identification of the arterial branches which may enable a complete resection in selected cases even when complete encasement of the ICA is present on preoperative images.
CONCLUSION: Resection of tumours encasing the major vascular structures should be systematically attempted while continuously weighing the delicate balance between the risk of vascular injury and the extent of resection.
METHODS: We present a surgical technique based on a stepwise identification of the arterial branches which may enable a complete resection in selected cases even when complete encasement of the ICA is present on preoperative images.
CONCLUSION: Resection of tumours encasing the major vascular structures should be systematically attempted while continuously weighing the delicate balance between the risk of vascular injury and the extent of resection.