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Beitragstitel Olfactory groove meningioma: presentation, management, outcome.
Beitragscode P21
Autor:innen
  1. Caterina Stafuzza HUG Hôpitaux Universitaires Genève Präsentierende:r
Präsentationsform Poster
Themengebiete
  • SGORL FV 2019
Abstract-Text The aim of the review was to assess clinical presentation, type of surgical treatment and post-operative complications of olfactory groove meningiomas. The authors wanted to pose particular attention on how olfaction loss is managed in these cases and how can it guide the optimal treatment strategy. Methods: a systematic review on Pubmed was done in accordance with the PRISMA guidelines. We included every article, without any language restriction nor any time restriction.Results: We found that olfaction loss is not always an issue in the management of olfactory groove meningiomas : it is not always tested or reported in clinical presentation and among post-operative complications. There is no standardized way to evaluate this function before and after surgery. Olfactory groove meningiomas have many clinical presentations, including Foster Kennedy syndrome, seizures, urinary incontinence, visual impairment, short-term memory loss and mental disorders. Surgical treatment is the main treating option. The approach can be either endoscopic or transcranial: the first one is more linked to olfaction loss, as well as any bilateral transcranial approach, if olfaction is not already damaged preoperatively. A gross total resection is possible in most of the cases. Conclusion: Olfactory groove meningiomas can present with symptomes caused by local compression. The main treatment is surgery. Olfaction loss is an important issue in the management of olfactory groove meningiomas. It can have an important impact on the quality of life of patients. It should be evaluated pre-operatively in order to guide the surgical technique, and post-operatively among other possible complications.