Wang A, Zhang X, Sun KK, Li C, Song ZM, Sun T, Wang F. Deep Sylvian fissure meningiomas: A case report. World J Clin Cases 2022; 10(21): 7438-7444 [PMID: 36158020 DOI: 10.12998/wjcc.v10.i21.7438]
Corresponding Author of This Article
Feng Wang, PhD, Chief Doctor, Department of Neurosurgery, People's Hospital of Ningxia Hui Autonomous Region, No. 255 Zhengyuan North Street, Yinchuan 750001, Ningxia Hui Autonomous Region, China. nxwwang@163.com
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jul 26, 2022; 10(21): 7438-7444 Published online Jul 26, 2022. doi: 10.12998/wjcc.v10.i21.7438
Deep Sylvian fissure meningiomas: A case report
Anni Wang, Xu Zhang, Kun-Kun Sun, Can Li, Zi-Mu Song, Tao Sun, Feng Wang
Anni Wang, Xu Zhang, Can Li, Zi-Mu Song, Tao Sun, Department of Neurosurgery, General Hospital of Ningxia Medical University, Yinchuan 750000, Ningxia Hui Autonomous Region, China
Kun-Kun Sun, Department of Pathology, Peking University People's Hospital, Beijing 100000, China
Feng Wang, Department of Neurosurgery, People's Hospital of Ningxia Hui Autonomous Region, Yinchuan 750001, Ningxia Hui Autonomous Region, China.
Author contributions: Wang F put forward the conception and design; Wang A collected data; all authors participated in the analysis and interpretation of data, draft the article, revise the manuscript critically and approve the final version of the manuscript.
Supported bythe key research and development program of Ningxia, No. 2018BFG02007.
Informed consent statement: Informed written consent was obtained from the patient.
Conflict-of-interest statement: The authors report no conflict of interest concerning the materials or methods used in this study or the findings specified in this paper.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Feng Wang, PhD, Chief Doctor, Department of Neurosurgery, People's Hospital of Ningxia Hui Autonomous Region, No. 255 Zhengyuan North Street, Yinchuan 750001, Ningxia Hui Autonomous Region, China. nxwwang@163.com
Received: October 7, 2021 Peer-review started: October 7, 2021 First decision: March 3, 2022 Revised: March 30, 2022 Accepted: June 4, 2022 Article in press: June 4, 2022 Published online: July 26, 2022 Processing time: 276 Days and 19.9 Hours
Abstract
BACKGROUND
Deep Sylvian meningiomas are rare and difficult to diagnose when small tumours lead to various symptoms. The difficulty associated with surgery is underestimated. Our case involved a mass (11 mm × 12 mm × 12 mm in size) in the right Sylvian fissure. It is the smallest deep Sylvian meningioma known and might be more easily misdiagnosed than previous examples.
CASE SUMMARY
A well-enhanced mass in the right Sylvian fissure of a 26-year-old male with a three-month history of seizure was identified via magnetic resonance imaging. The patient underwent operations twice for seizure control. During the first operation, the tumour was surrounded by the second segment of the middle cerebral artery and its numerous perforators. Partial resection had to be selected due to mild arterial damage. After the first operation, the patient presented with simple partial seizure. During reoperation, we isolated the anatomical structure near the tumour and the tumour over and removed it from its dorsal side by piecemeal resection.
CONCLUSION
This case reported the smallest deep Sylvian meningioma according to a literature review. Preoperative diagnosis is a crucial step due to deep Sylvian meningioma firmly adhering to the middle cerebral artery and its perforators. Adequate preparation is crucial to ensure the success of surgery.
Core Tip: This case reported the smallest deep Sylvian meningioma according to literature review. Preoperative diagnosis is a crucial step due to deep Sylvian meningioma firmly adhering to the middle cerebral artery and its perforators. Then, adequate preparation is the crucial point to ensure the success of surgery.
