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).

Was this article helpful?

0 0
Hearing Aids Inside Out

Hearing Aids Inside Out

Have you recently experienced hearing loss? Most probably you need hearing aids, but don't know much about them. To learn everything you need to know about hearing aids, read the eBook, Hearing Aids Inside Out. The book comprises 113 pages of excellent content utterly free of technical jargon, written in simple language, and in a flowing style that can easily be read and understood by all.

Get My Free Ebook


Post a comment