KẾT QUẢ ĐIỀU TRỊ PHẪU THUẬT U MÀNG NÃO THỂ KHÔNG ĐIỂN HÌNH TẦNG TRÊN LỀU TIỂU NÃO TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC GIAI ĐOẠN 2023-2025

Abstract

Objectives: Evaluating the surgery results of supratentorial atypical meningioma in Viet Duc Hospital. Methods: retrospective and prospective descriptive study of 103 patients at the Neurosurgery Center of Viet Duc Hospital from May 2023 to May 2025. Results: Preoperative clinical characteristics: Age: the age group 51-60 accounts for the largest proportion with 29.13%. The age group 11-20 accounts for the lowest proportion of 1.94%, and no cases under 10 years old were recorded. Male (39.81%) and female (60.19%). Clinical symptoms: increased intracranial pressure syndrome (54.37%), hemiplegia (23.30%), epilepsy (13.59%), cranial nerve palsy (7.77%), and perceptual disturbance (0.97%). Diagnostic imaging characteristics: hyposignal on T1 (65.04%), hypersignal on T2 (85.44%), diffusion limitation on DWI (69.90%), homogeneous enhancement (61.17%). Pathological characteristics: irregular round nuclei (91.26%), moderately divided nuclei (44.66%), high tumor cell density (97.09%), small, scattered intratumoral necrosis (61.17%), brain parenchyma invasion (45.63%). Surgical treatment results: total tumor resection (78.64%), improvement of preoperative symptoms (82.52%), postoperative hemiplegia (7.77%), postoperative residual images on film (24.72%), postoperative recurrence (3.84%).