Turkish Neurosurgery
Correlation of PreoperativeRadiological Evaluation of Skull Base and Nonskull Base Meningiomas with Clinical and Surgical Criteria
okan turk1, murat asık 2, sebnem batur3, ercan cetin4, buge oz3, ali kafadar5
1İstanbul Training and Research Hospita, Department of Neurosurgery, istanbul,
2Istanbul Medeniyet University; , Department of Radiology, istanbul,
3Cerrahpasa Medical Faculty, Istanbul University, Department of Pathology, istanbul,
4Istanbul Gaziosmanpaşa Taksim Research and Training Hospital, Neurosurgery Clinic, istanbul,
5Cerrahpasa Medical Faculty, Istanbul University, Department of Neurosurgery, istanbul,
DOI: 10.5137/1019-5149.JTN.23078-18.2

Aim:Purpose of this study is obtaining information about stiffness and vascularity of meningiomas using neuroradiogical assessments. By these acquired information, contributions to technics of surgical approach and surgical planning was aimed.Material and Methods:Surgical reports and subjective opinions of surgical teams about stiffness and vascularity of 40 meningioma cases were incorporated into observation based scoring system. Neuroradiologically, MR Perfusion studies were conducted. Analysis of tissue collagen and CD34 levels of tumors are performed histopathologically. All of the results are correlated and analysed. Results:In skull base group, CD34 levels, which shows microvascular density, is found higher compared to other groups and results were statistically significant (p=0.004).Conclusion:Significant data were found as a result of our study. But assessing stiffness and vascularity of meningioma cases preoperatively using MRI was thought ambiguous. It was concluded that, by emergence of statistically significant results, increasing sample sizes and acquiring different MRI sequences will allow obtaining more information. In our study, it was concluded that, like many other studies, one of the most important limiting factor was tumor stiffness and vascularity were assessed observationally by surgical team.

Corresponding author : okan turk