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福島医学会 = The Fukushima Society of Medical Science >
Fukushima Journal of Medical Science >
Vol.65 (2019) >

Please use this identifier to cite or link to this item: http://ir.fmu.ac.jp/dspace/handle/123456789/1001

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Title: Simultaneous multiple craniotomies in the management of multifocal malignant brain lesions: case reports
Authors: Tanei, Takafumi
Fujii, Masazumi
Takebayashi, Shigenori
Nakahara, Norimoto
Wakabayashi, Toshihiko
Affiliation: 脳神経外科学講座
Source title: Fukushima Journal of Medical Science
Volume: 65
Issue: 2
Start page: 43
End page: 49
Issue Date: 2019
Abstract: The appropriate strategy for treating multiple malignant brain tumors has not been well established. We discuss the indications and surgical considerations of multiple craniotomies in the same surgical session, and present three such cases. A 41-year-old woman (case 1) and a 65-year-old man (case 2), both presented with two metastatic brain lesions, one in each hemisphere. The third case was a 65-year-old woman with multiple recurrent atypical meningiomas, who underwent surgical removal in two stages. In the first surgery, only the superior sagittal sinus lesion was excised. Then in the second surgery, multiple disseminated bilateral convexity tumors were excised through a craniotomy on each side. All cases had a remarkable neurological improvement immediately after surgery. We suggest that the indications for surgical removal of multiple brain tumors with two or more craniotomies in the same surgical session are: 1) progressing neurological symptoms, 2) tumors with a maximum diameter more than 2 cm, 3) resistance to radiation and/or chemotherapy, 4) ability to tolerate the scheduled surgical time, 5) vital prognosis anticipated to be more than 3 months, 6) expectation of significant neurological improvement, and 7) single-session surgery not carrying more risk than multiple surgeries.
Publisher: The Fukushima Society of Medical Science
Publisher (Alternative foam): 福島医学会
language: eng
URI: http://ir.fmu.ac.jp/dspace/handle/123456789/1001
Full text URL: http://ir.fmu.ac.jp/dspace/bitstream/123456789/1001/1/FksmJMedSci_65_p43.pdf
ISSN: 0016-2590
2185-4610
DOI: 10.5387/fms.2019-06
PubMed ID: 31292304
Related Page: https://doi.org/10.5387/fms.2019-06
Rights: © 2019 The Fukushima Society of Medical Science
Appears in Collections:Vol.65 (2019)

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FksmJMedSci_65_p43.pdf1.49 MBAdobe PDFDownload

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