• World Neurosurg · Feb 2022

    Case Reports

    Totally Endoscopic Resection of Recurrent Convexity Meningioma Following Multiple Surgeries: Oblique Trajectory to Avoid Manipulation of a Vascularized Free Flap: A Technical Note.

    • Sukwoo Hong, Toshikazu Kimura, Tomoyuki Yano, Hirotaka Hasegawa, and Shunsuke Ichi.
    • Department of Neurosurgery, Japanese Red Cross Medical Center, Tokyo, Japan.
    • World Neurosurg. 2022 Feb 1; 158: 152-155.

    BackgroundEndoscopic surgery is widely used for intraventricular and skull base tumor resections; however, its utility is not limited to deep parts of the brain.MethodsA 73-year-old female presented with left-side hemiparesis and seizures due to a relapsed atypical meningioma of convexity. The tumor was located just under a synthetic bone substitute and was covered by a delicate myocutaneous free flap, preventing the usual skin incision route to approach the lesion.ResultsThe tumor was successfully removed using an endoscope without damaging the flap.ConclusionsWith the aid of an endoscope, a superficial meningioma could be removed with the affected dura through a small craniotomy.Copyright © 2021 Elsevier Inc. All rights reserved.

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