Basic and Clinical Neuroscience Journal
مجله علوم اعصاب پایه و بالینی
BCN
Medical Sciences
http://bcn.iums.ac.ir
137
journal137
2008-126X
2228-7442
10.32598/bcn
en
jalali
1399
6
1
gregorian
2020
9
1
11
5
online
1
fulltext
en
Investigating Effective Factors on Estimated Hemorrhage Intraoperative in Brain Meningioma Surgery
Clinical Neuroscience
Clinical Neuroscience
Original
Original
<strong>Introduction</strong>: The primary and definitive diagnosis of meningioma is based on histological assessment; however, employing imaging methods, like Magnetic Resonance Imaging (MRI) is very helpful to describe lesion’s characteristics. Accordingly, we decided to study the effect of imaging factors, like MRI data on the volume of hemorrhage (estimated blood loss) during meningioma surgery.<br>
<strong>Methods</strong>: This was a cross-sectional, retrospective, and analytical study. The eligible patients were those with meningioma who were candidates for surgery. A total of 40 patients with meningioma were selected and assessed. The preoperative imaging findings were recorded, then estimated blood loss during the surgery was determined<br>
<strong>Results</strong>: A reverse association was revealed between the degree of proximity to the nearest sinus and the rate of bleeding. Furthermore, the size of the mass was positively associated with the rate of bleeding; however, there was no significant correlation between the volume of bleeding and other parameters, including the degree of edema, the volume of mass, the site of the tumor in the brain, and the histological subtype of the tumor. The mean time of operation was strongly correlated with blood loss. The rate of bleeding was more expected in hypertensive versus normotensive patients.<br>
<strong>Conclusion</strong>: Bleeding in various volumes could be a frequent finding in intracranial meningioma surgery. Overall, tumor size, the duration of surgery, a history of hypertension, and distance to the nearest sinuses were the main determinants for the severity of hemorrhage in patients undergoing meningioma surgery.
Hemorrhage, Meningioma, Magnetic Resonance Imaging (MRI), Diagnosis
631
638
http://bcn.iums.ac.ir/browse.php?a_code=A-10-1394-1&slc_lang=en&sid=1
Alireza
Tabibkhooei
Alireza.tabibkhooei@gmail.com
13700319475328460029677
13700319475328460029677
No
Department of Neurosurgery, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Maziar
Azar
Maziar.azar@yahoo.com
13700319475328460029678
13700319475328460029678
No
Skull Base Research Center, Iran University of Medical Sciences, Tehran, Iran.
Ahmad
Alagha
alagha_ahmad@yahoo.com
13700319475328460029679
13700319475328460029679
Yes
Department of Neurosurgery, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Javad
Jahandideh
Javidjahandideh@gmail.com
13700319475328460029680
13700319475328460029680
No
Department of Neurosurgery, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Feyzollah
Ebrahimnia
Feize23@gmail.com
13700319475328460029681
13700319475328460029681
No
Department of Neurosurgery, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.