How I do it: meningioangiomatosis of the sylvian fissure. The need for a tailored functional neurosurgery.

چکیده اصلی

BACKGROUND: Meningioangiomatosis is a formidable neurosurgical challenge due to its heterogeneous nature and anatomical localization which often make impossible gross total resection. Surgery is reserved for drug-resistant epileptic seizures aiming their control. METHOD: We describe a case of meningioangiomatosis of the right sylvian fissure involving the M1-M2 segments of right middle cerebral artery. A subtotal lesion resection, completed with disconnection surgery through multiple subpial circumferential transections was performed. CONCLUSION: To underline the efficacy of the disconnection surgery and the pivotal role of intraoperative electrophysiologic assessment for tailoring the surgical resection at the presumed ictal onset zone.

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