OPTIMIZATION OF SURGICAL TREATMENT OF GIANT MENINGIOMAS OF THE WINGS OF THE SPHENOID BONE
Authors: S.К. Аkshulakov, N.А. Ryskeldiyev, Е.Т. Маkhambetov, G.I. Оlenbai, D.К. Teltayev, М.S. Berdihojayev, А.Е. Moldabekov
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The article shows the results of surgical treatment of 38 patients with giant meningiomas of the wings of sphenoid bone from September 2008, at the Republican Scientific Center of Neurosurgery. Localization of these tumors was in close proximity to major structures of the brain, which increases the risk of surgery, postoperative complications, and neurological deficits. Patients were operated using modern technology. We implemented into clinical practice endovascular embolization of the tumor matrix and stroma of meningiomas of sphenoid bone wings, as the result it became possible to remove tumor completely. We also reduced the risk of intraoperative blood loss during surgical access and removal of the tumor, mortality and incidence of severe complications in the postoperative period, reduce the risk of severe neurological deficits and tumor recurrence.
Key words: endovascular embolization, giant meningiomas, sphenoid bone.