Treatment of Huge Supratentorial Meningiomas

摘要

During the latest 7 years (1995-2002) we treated 37 cases with en-docranial supratentorial meningiomas, 23 females and 14 males. The age was ranged from 20 to over 70 years old. Huge meningiomas were seen in 32 cases, meningiomatosis in 2 cases. All cases underwent surgical excision. Excellent results were seen in 30 cases (81,09%), good results in 4 cases (10,81%) and bad results in 3 cases, or long term mortality rate of 8,1%. Two of three cases that died fourth and 28th day after surgical procedure had severe endocranial hypertension with large brain oedema and accentuated myocardiopathia. The third cases, although awake, died suddenly on fifth day after surgery, probably from heart failure or lung embolism (autopsy has been never done). Radiotherapy was performed in 2 cases with cerebral meningiomathosis. Recurrences were seen in 3 cases with aggressive tumour, 2 cases with malignant disease and 2 cases with meningiomatosis.In conclusion, surgical excision remains the only goal in treatment of supratentorial huge meningiomas if possible. In case of aggressive tumour or meningiomatosis, radiotherapy is welcome. Reexcision is welcome for recurrences if possible.