Parasagittal Meningioma surgery

Background: meningioma in parasagittal location represent between 20%-30% of meningioma in the cranial cavity. The close relation of it with Superior Sagittal Sinus make its surgical resection is a great challenge to the surgeon to get a good result.Patients & method: we collected 23 cases of Parasagittal Meningioma cases medical records (including pre-& postoperative clinical pictures, images plus operative details and complications post operatively) who admitted to neurosurgery dept., Mansoura University Hospital and underwent surgical resection in the period that began in 2010 and ended in 2016. We followed up the cases at least for 6 months.Results: the patient’s age varied between 64-35 years. 16 female & 7 males. The presenting symptoms was headache (11 patients), fits (6 patients), motor weakness (5 cases), abnormal gait (1 patient) and dizziness (1 case). 15 cases had gross total tumor excision while 8 cases showed partial tumor removal. Recurrence rat was in 4 cases (17.4%) plus two mortality cases.Conclusion: through our series we could detect cardinal factors in prognosis of these cases which included: tumor size, histology, preoperative identification of the venous collateral and preservation of it in the surgical maneuver. The meticulous microscopic surgical technique can augment this goal