prikaz prve stranice dokumenta Microsurgical Management of a Rare Incidental Intraventricular Meningioma: a Case Report and Relevant Literature Review
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Scientific paper - Case study
Microsurgical Management of a Rare Incidental Intraventricular Meningioma: a Case Report and Relevant Literature Review
Acta clinica Croatica, 60 (2021), 1; 156-160. https://doi.org/10.20471/acc.2021.60.01.24
Raguž, Marina; Rotim, Ante; Sajko, Tomislav; Jurilj, Mia; Splavski, Bruno; Rotim, Krešimir

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Raguž, M., Rotim, A., Sajko, T., Jurilj, M., Splavski, B. & Rotim, K. (2021). Microsurgical Management of a Rare Incidental Intraventricular Meningioma: a Case Report and Relevant Literature Review. Acta clinica Croatica, 60. (1), 156-160. doi: 10.20471/acc.2021.60.01.24

Raguž, Marina, et al. "Microsurgical Management of a Rare Incidental Intraventricular Meningioma: a Case Report and Relevant Literature Review." Acta clinica Croatica, vol. 60, no. 1, 2021, pp. 156-160. https://doi.org/10.20471/acc.2021.60.01.24

Raguž, Marina, Ante Rotim, Tomislav Sajko, Mia Jurilj, Bruno Splavski and Krešimir Rotim. "Microsurgical Management of a Rare Incidental Intraventricular Meningioma: a Case Report and Relevant Literature Review." Acta clinica Croatica 60, no. 1 (2021): 156-160. https://doi.org/10.20471/acc.2021.60.01.24

Raguž, M., et al. (2021) 'Microsurgical Management of a Rare Incidental Intraventricular Meningioma: a Case Report and Relevant Literature Review', Acta clinica Croatica, 60(1), pp. 156-160. doi: 10.20471/acc.2021.60.01.24

Raguž M, Rotim A, Sajko T, Jurilj M, Splavski B, Rotim K. Microsurgical Management of a Rare Incidental Intraventricular Meningioma: a Case Report and Relevant Literature Review. Acta clinica Croatica [Internet]. 2021 [cited 2024 November 21];60(1):156-160. doi: 10.20471/acc.2021.60.01.24

M. Raguž, A. Rotim, T. Sajko, M. Jurilj, B. Splavski and K. Rotim, "Microsurgical Management of a Rare Incidental Intraventricular Meningioma: a Case Report and Relevant Literature Review", Acta clinica Croatica, vol. 60, no. 1, pp. 156-160, 2021. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:220:467278. [Accessed: 21 November 2024]

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Metadata
Title (english)Microsurgical Management of a Rare Incidental Intraventricular Meningioma: a Case Report and Relevant Literature Review
Title (croatian)Mikrokirurško liječenje rijetkog slučajno nađenog intraventrikulskog meningeoma: prikaz slučaja i pregled relevantne literature
AuthorMarina Raguž https://orcid.org/0000-0001-9203-7254
AuthorAnte Rotim
AuthorTomislav Sajko
AuthorMia Jurilj https://orcid.org/0000-0001-8051-5247
AuthorBruno Splavski https://orcid.org/0000-0002-4483-9364
AuthorKrešimir Rotim
Author's institution(Sestre milosrdnice University Hospital Center)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Neurology
Abstract (english)
Intraventricular meningiomas are rare and make up between 0.5% and 3% of all intracranial meningiomas, representing one of the most challenging tumors in neurosurgery due to their difficult location. Being initially asymptomatic, such tumors usually attain large size before clinical presentation and diagnostic detection. Available literature concerned with their surgical management remains scarce. Herein, we present a case of microsurgical resection of incidental intraventricular meningioma in a 32-year-old female patient who was admitted to the hospital due to the sudden loss of consciousness, retrograde amnesia, and nausea following a head trauma. Routine brain magnetic resonance imaging revealed an irregular expansive formation located in the occipital horn of the right lateral ventricle showing heterogeneous contrast enhancement. The patient underwent right-side temporal osteoplastic craniotomy with total tumor microsurgical resection followed by external ventricular drainage, and recovered fully afterwards. Histopathologic analysis of tumor tissue samples confirmed the tumor as meningioma WHO grade I. Postoperative brain computed tomography confirmed complete tumor resection. In conclusion, intraventricular meningiomas are rather rare extra-axial tumors and may present with various symptoms depending on their size and difficult location. The development of most modern neuroimaging methods offers the opportunity of their precise and accurate diagnosis, better surgical planning, and favorable outcome. Microsurgical gross resection utilizing intraoperative neuromonitoring and cutting-edge neurosurgical armamentarium remains the treatment of choice for these location-challenging and surgically demanding, predominantly benign intracranial tumors.
Abstract (croatian)
Intraventrikulski meningeomi su vrlo rijetki, čineći između 0,5% i 3% svih intrakranijskih meningeoma te zbog svoga zahtjevnog položaja predstavljaju najizazovnije tumore za kirurško liječenje. Kako su početno asimptomatski, ovakvi tumori često ostaju dugo klinički i radiološki neprepoznati prije no što dosegnu kritičnu veličinu. Dostupna literatura o načinima njihovog kirurškog liječenja je još uvijek oskudna. U ovom radu predstavljamo mikrokirurško uklanjanje slučajno nađenog intraventrikulskog meningeoma kroz prikaz slučaja žene u dobi od 32 godine koja je primljena u bolnicu zbog naglog gubitka svijesti, retrogradne amnezije i povraćanja nastalih kao posljedica pretrpljene ozljede glave. Rutinska magnetna rezonancija mozga otkrila je nepravilnu ekspanzivnu tvorbu smještenu unutar zatiljnog roga desne postranične moždane klijetke koja se raznovrsno obojala nakon primjene kontrastnog sredstva. Temeljem ovoga nalaza u bolesnice je učinjena desnostrana temporalna osteoplastička kraniotomija i tumor je mikrokirurški uklonjen u cijelosti, nakon čega je postavljena izvanjska ventrikulska drenaža te je uslijedio potpun oporavak. Patohistološka analiza uzoraka tumorskog tkiva potvrdila je tumor kao meningeom I. stupnja prema klasifikaciji Svjetske zdravstvene organizacije. Poslijeoperacijska kompjutorizirana tomografija mozga potvrdila je potpunu tumorsku resekciju. U zaključku, intraventrikulski meningeomi su prilično rijetki ekstra-aksijalni tumori koji se očituju različitim simptomima ovisnima o njihovoj veličini i zahtjevnom položaju. Zahvaljujući razvitku najsuvremenijih metoda radiološkog oslikavanja znatno je poboljšana mogućnost njihove primjerene i točne dijagnostike, boljeg planiranja kirurškog zahvata i poboljšanog ishoda liječenja. Potpuno mikrokirurško uklanjanje tumora, uz pomoć intraoperacijskog neurofiziološkog praćenja i uporabu najsuvremenijeg neurokirurškog instrumentarija, najbolja je metoda izbora u liječenju ovih lokacijski i kirurški vrlo zahtjevnih, pretežito dobroćudnih intrakranijskih tumora.
Keywords (english)
Keywords (croatian)
Languageenglish
Languagecroatian
Publication typeScientific paper - Case study
Publication statusPublished
Peer reviewPeer review - international
Publication versionPublished version
Journal titleActa clinica Croatica
Numberingvol. 60, no. 1, pp. 156-160
p-ISSN0353-9466
e-ISSN1333-9451
DOIhttps://doi.org/10.20471/acc.2021.60.01.24
URN:NBNurn:nbn:hr:220:467278
Publication2021
Document URLhttps://hrcak.srce.hr/260215
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) icon
Created on2024-09-10 07:42:36