How I do it: meningioangiomatosis of the sylvian fissure. The need for a tailored functional neurosurgery.
Sergio Corvino, Giuseppe Corazzelli, Tamara Ius et al.
✦ AI-curated · Sources linked
Case in brief
A patient with drug-resistant epileptic seizures presented with meningioangiomatosis located in the right sylvian fissure, affecting the M1-M2 segments of the right middle cerebral artery. The surgical intervention involved a subtotal resection of the lesion, complemented by disconnection surgery through multiple subpial circumferential transections. This approach aimed to control the seizures effectively.
Diagnostic / clinical pearl
Intraoperative electrophysiologic assessment is crucial for tailoring surgical resection in cases of meningioangiomatosis, particularly to target the ictal onset zone.