Postoperative Management

Follow-up evaluations consist of careful neurological examination and MRI scans with and without gadolinium. For patients with pre-

operative diplopia and changes in vision, detailed neuro-ophthalmological evaluations are a critical part of follow-up management. Similarly, patients with posterior fossa menin-giomas presenting with hearing loss, or those patients whose surgery involved dissection of the cranial nerve complex VII-VIII, should have thorough audiological evaluations as part of their post-operative management. Following resection of all meningiomas, a post-operative baseline MRI scan is obtained on day 1 or 2 after surgery. For benign tumors, following confirmation of total removal on post-operative MRI, further follow-up evaluation with imaging studies are performed every 1-3 years, depending on whether Simpson grade I or II removal

Fig. 12.6. Coronal and axial gadolinium-enhanced T1-weighted MR images obtained in a 47-year-old female patient presenting with a 3-year history of right-sided V2 numbness and mild proptosis (left upper and right upper). This large orbitosphenoid meningioma also extends into the infratemporal fossa and the nasal sinuses. Aggressive subtotal resection was achieved, with the residual tumor in the nasal sinuses only (left lower and right lower).

Fig. 12.6. Coronal and axial gadolinium-enhanced T1-weighted MR images obtained in a 47-year-old female patient presenting with a 3-year history of right-sided V2 numbness and mild proptosis (left upper and right upper). This large orbitosphenoid meningioma also extends into the infratemporal fossa and the nasal sinuses. Aggressive subtotal resection was achieved, with the residual tumor in the nasal sinuses only (left lower and right lower).

Cure Your Yeast Infection For Good

Cure Your Yeast Infection For Good

The term vaginitis is one that is applied to any inflammation or infection of the vagina, and there are many different conditions that are categorized together under this ‘broad’ heading, including bacterial vaginosis, trichomoniasis and non-infectious vaginitis.

Get My Free Ebook


Post a comment