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Deep Sylvian fissure meningiomas: A case report

BACKGROUND: Deep Sylvian meningiomas are rare and difficult to diagnose when small tumours lead to various symptoms. The difficulty associated with surgery is underestimated. Our case involved a mass (11 mm × 12 mm × 12 mm in size) in the right Sylvian fissure. It is the smallest deep Sylvian mening...

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Autores principales: Wang, Anni, Zhang, Xu, Sun, Kun-Kun, Li, Can, Song, Zi-Mu, Sun, Tao, Wang, Feng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9353933/
https://www.ncbi.nlm.nih.gov/pubmed/36158020
http://dx.doi.org/10.12998/wjcc.v10.i21.7438
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author Wang, Anni
Zhang, Xu
Sun, Kun-Kun
Li, Can
Song, Zi-Mu
Sun, Tao
Wang, Feng
author_facet Wang, Anni
Zhang, Xu
Sun, Kun-Kun
Li, Can
Song, Zi-Mu
Sun, Tao
Wang, Feng
author_sort Wang, Anni
collection PubMed
description BACKGROUND: Deep Sylvian meningiomas are rare and difficult to diagnose when small tumours lead to various symptoms. The difficulty associated with surgery is underestimated. Our case involved a mass (11 mm × 12 mm × 12 mm in size) in the right Sylvian fissure. It is the smallest deep Sylvian meningioma known and might be more easily misdiagnosed than previous examples. CASE SUMMARY: A well-enhanced mass in the right Sylvian fissure of a 26-year-old male with a three-month history of seizure was identified via magnetic resonance imaging. The patient underwent operations twice for seizure control. During the first operation, the tumour was surrounded by the second segment of the middle cerebral artery and its numerous perforators. Partial resection had to be selected due to mild arterial damage. After the first operation, the patient presented with simple partial seizure. During reoperation, we isolated the anatomical structure near the tumour and the tumour over and removed it from its dorsal side by piecemeal resection. CONCLUSION: This case reported the smallest deep Sylvian meningioma according to a literature review. Preoperative diagnosis is a crucial step due to deep Sylvian meningioma firmly adhering to the middle cerebral artery and its perforators. Adequate preparation is crucial to ensure the success of surgery.
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spelling pubmed-93539332022-09-23 Deep Sylvian fissure meningiomas: A case report Wang, Anni Zhang, Xu Sun, Kun-Kun Li, Can Song, Zi-Mu Sun, Tao Wang, Feng World J Clin Cases Case Report BACKGROUND: Deep Sylvian meningiomas are rare and difficult to diagnose when small tumours lead to various symptoms. The difficulty associated with surgery is underestimated. Our case involved a mass (11 mm × 12 mm × 12 mm in size) in the right Sylvian fissure. It is the smallest deep Sylvian meningioma known and might be more easily misdiagnosed than previous examples. CASE SUMMARY: A well-enhanced mass in the right Sylvian fissure of a 26-year-old male with a three-month history of seizure was identified via magnetic resonance imaging. The patient underwent operations twice for seizure control. During the first operation, the tumour was surrounded by the second segment of the middle cerebral artery and its numerous perforators. Partial resection had to be selected due to mild arterial damage. After the first operation, the patient presented with simple partial seizure. During reoperation, we isolated the anatomical structure near the tumour and the tumour over and removed it from its dorsal side by piecemeal resection. CONCLUSION: This case reported the smallest deep Sylvian meningioma according to a literature review. Preoperative diagnosis is a crucial step due to deep Sylvian meningioma firmly adhering to the middle cerebral artery and its perforators. Adequate preparation is crucial to ensure the success of surgery. Baishideng Publishing Group Inc 2022-07-26 2022-07-26 /pmc/articles/PMC9353933/ /pubmed/36158020 http://dx.doi.org/10.12998/wjcc.v10.i21.7438 Text en ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
spellingShingle Case Report
Wang, Anni
Zhang, Xu
Sun, Kun-Kun
Li, Can
Song, Zi-Mu
Sun, Tao
Wang, Feng
Deep Sylvian fissure meningiomas: A case report
title Deep Sylvian fissure meningiomas: A case report
title_full Deep Sylvian fissure meningiomas: A case report
title_fullStr Deep Sylvian fissure meningiomas: A case report
title_full_unstemmed Deep Sylvian fissure meningiomas: A case report
title_short Deep Sylvian fissure meningiomas: A case report
title_sort deep sylvian fissure meningiomas: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9353933/
https://www.ncbi.nlm.nih.gov/pubmed/36158020
http://dx.doi.org/10.12998/wjcc.v10.i21.7438
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