Giant cranial base tumours

Sh Pomeranz, F. Umansky, J. Elidan, E. Ashkenazi, A. Valarezo, M. Shalit

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

Thirty-three patients with giant (diameter≥4.5 cm) cranial base tumours who underwent surgery at the Hadassah Hospital over the last ten years are described. Twenty-three of the patients had meningiomas, 4 neurinomas, one giant cell tumour, one haemangiopericytoma, and 4 had malignant meningiomas. Four tumours were at the cerebellopontine angle, 9 within the anterior cranial fossa, 8 petroclival, 8 on middle fossa floor, and 4 along the sphenoid ridge. The average pre-operative symptom duration was 31 months, range 3-180 months. Nineteen patients had a radical tumour resection, 10 subtotal, and 4 a partial resection on an average 1.7 operations per patient. The mean follow-up period from the first operation was 39 months (range 2-120). There was no mortality peri-operatively or during the follow-up period. The mean pre-operative Karnofsky score was 68 and at the last follow-up 76. There was no correlation between histology and degree of resection, complications, or status at last follow-up. The best resections (92% radical) and outcome (mean Karnofsky 92) with the least number of operations (mean 1.4) were in the anterior fossa and along the sphenoid wing. The patients requiring the most operations (mean 2.1), having the smallest percentage of radical resections (25%) and the least favourable outcomes (mean Karnofsky 52) were those with petroclival tumours. Patients with giant cranial base tumours have a good overall long-term prognosis, but especially those with petroclival tumours challenge us to improve our techniques.

Original languageEnglish
Pages (from-to)121-126
Number of pages6
JournalActa Neurochirurgica
Volume129
Issue number3-4
DOIs
StatePublished - 1 Sep 1994
Externally publishedYes

Keywords

  • Cerebellopontine angle
  • cranial base tumour
  • meningioma
  • microsurgery
  • neurinoma

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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