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Grade II Sylvian fissure meningiomas without dural attachment: case report and review of the literature.

Authors
  • Brogna, Christian1, 2
  • Lavrador, José Pedro1
  • Patel, Sabina1
  • Ribas, Eduardo C3
  • Aizpurua, Miren4
  • Vergani, Francesco1
  • Ashkan, Keyoumours1
  • Bhangoo, Ranjeev1
  • 1 Department of Neurosurgery, King's College Hospital NHS Foundation Trust, London, UK.
  • 2 Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
  • 3 Division of Neurosurgery, Hospital das Clínicas, University of São Paulo Medical School, São Paulo, Brazil. , (Brazil)
  • 4 Department of Neuropathology, King's College Hospital NHS Foundation Trust, London, UK.
Type
Published Article
Journal
CNS Oncology
Publisher
Future Medicine
Publication Date
Dec 01, 2018
Volume
7
Issue
4
Identifiers
DOI: 10.2217/cns-2018-0004
PMID: 30277091
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Sylvian fissure meningiomas (SFMs) represent a rare subgroup of nondural-based tumors arising from the meningothelial cells within the arachnoid of the Sylvian fissure. SFMs are more frequent in young males, usually manifest with seizures and display the same radiological features of meningiomas in other locations. Although the absence of dural attachment makes these tumors suitable for a complete resection, their anatomical relationships with the middle cerebral artery branches have impaired its achievement in half of them. To the best of our knowledge, only five atypical WHO grade II SFMs have been previously described. We provide a literature review of SFMs WHO grades I-II and discuss common characteristics and surgical challenges we found in a similar case.

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