Systematic Review and Pooled Analysis of Falcotentorial Meningiomas: Clinical Features, Surgical Techniques, and Postoperative Outcomes
Rattachement africain : us, Égypte, sa, de, Tunisie. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Abstract Falcotentorial meningiomas (FTMs) account for a small proportion of intracranial meningiomas. They originate from the falcotentorial junction, a region where critical venous structures and deep brain regions intersect, making surgical resection challenging. Current literature on FTM consists mainly of isolated case reports and small case series, focusing primarily on surgical techniques. This systematic review aims to consolidate and analyze the clinical characteristics, surgical approaches, and outcomes of FTM cases to offer evidence-based insights that can guide clinicians in managing this rare type of meningioma more effectively. A comprehensive literature search was conducted using PubMed, Scopus, and Web of Science databases to identify case reports and case series on FTM. Articles were included if they provided detailed clinical, surgical, and outcome data. The primary outcome was the incidence of postoperative visual field defects across different surgical approaches. Secondary outcomes included systemic complications, tumor recurrence, and mortality. The analysis included 127 patients (mean age 55 years, 51.3% male). The most common presenting symptom was headache (81.8%), followed by gait disturbances (21.1%) and dizziness (19.5%). About 49.4% of tumors were grade I, while grade II tumors were present in 5.2% of cases. The occipital interhemispheric transtentorial approach was used in 36.4% of cases. Postoperative visual field defects were observed in 12.3% of cases, with the occipital interhemispheric transtentorial being the most associated with higher rates of visual complications (p < 0.001). Recurrence occurred in 8.4% of patients, while the overall mortality rate was 1.3%. FTMs pose significant challenges due to their complex location and proximity to critical structures. This study highlights the need for further research to refine surgical techniques and improve long-term outcomes for patients diagnosed with FTM.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Systematic Review and Pooled Analysis of Falcotentorial Meningiomas: Clinical Features, Surgical Techniques, and Postoperative Outcomes
- Date Crossref
- 24/07/2026
- Éditeur
- Georg Thieme Verlag KG
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Brookdale University Hospital and Medical Center pays non établi dans la noticeÉtablissement de santé
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Al-Azhar University Égypte (code pays fourni par la source)Université ou école supérieure
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Mansoura University Mansoura University, Égypte (code pays fourni par la source)Université ou école supérieure
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King Abdullah Medical City pays non établi dans la noticeÉtablissement de santé
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Carl von Ossietzky Universität Oldenburg pays non établi dans la noticeUniversité ou école supérieure
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University of Sfax University of Sfax, Tunisie (code pays fourni par la source)Université ou école supérieure
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OBH-Brookdale University Hospital Department of Endovascular Surgical Neurology pays non établi dans la noticeUniversité ou école supérieure
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Faculty of Medicine Department of Neurosurgery Damietta, Égypte (pays nommé en fin d’affiliation)Université ou école supérieure
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King Abdullah Medical Center Department of Neurosurgery pays non établi dans la noticeÉtablissement de santé
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Carl Von Ossietzky University Department of Neurosurgery pays non établi dans la noticeUniversité ou école supérieure
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Sfax University Department of Neurosurgery Sfax University, Tunisie (pays nommé en fin d’affiliation)Université ou école supérieure
Brookdale University Hospital and Medical Center, Al-Azhar University (Égypte) et Mansoura University (Mansoura University, Égypte), avec 8 autres affiliations. Pays d’affiliation : Égypte, Tunisie.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.