pg intraventricular meningioma alexander taghva, md parham yashar, md steven giannotta, md

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PG Intraventricular Meningioma Alexander Taghva, MD Parham Yashar, MD Steven Giannotta, MD

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Page 1: PG Intraventricular Meningioma Alexander Taghva, MD Parham Yashar, MD Steven Giannotta, MD

PG

Intraventricular Meningioma

Alexander Taghva, MDParham Yashar, MD

Steven Giannotta, MD

Page 2: PG Intraventricular Meningioma Alexander Taghva, MD Parham Yashar, MD Steven Giannotta, MD

HPI

• 20yo M with chronic headaches, dizziness, neck pain, and Lhermitte’s sign

• Referred to Neurosurgery clinic for evaluation after outside imaging revealed the lesion

Page 3: PG Intraventricular Meningioma Alexander Taghva, MD Parham Yashar, MD Steven Giannotta, MD

HPI

• Pmhx: none

• Pshs: none

• Meds: occasional Tylenol

• NKDA

• FH: non-contributory

• SH: non EtOH, non-tob, college student

Page 4: PG Intraventricular Meningioma Alexander Taghva, MD Parham Yashar, MD Steven Giannotta, MD

Pre-Op MRI

Page 5: PG Intraventricular Meningioma Alexander Taghva, MD Parham Yashar, MD Steven Giannotta, MD

Page 6: PG Intraventricular Meningioma Alexander Taghva, MD Parham Yashar, MD Steven Giannotta, MD

Page 7: PG Intraventricular Meningioma Alexander Taghva, MD Parham Yashar, MD Steven Giannotta, MD

Page 8: PG Intraventricular Meningioma Alexander Taghva, MD Parham Yashar, MD Steven Giannotta, MD

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Page 16: PG Intraventricular Meningioma Alexander Taghva, MD Parham Yashar, MD Steven Giannotta, MD

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Surgical Plan

• R tempo-parietal craniotomy

• Trans-posterior superior temporal gyrus

• Plan for resection of tumor in its entirety

Page 19: PG Intraventricular Meningioma Alexander Taghva, MD Parham Yashar, MD Steven Giannotta, MD

Post-Op Imaging

Page 20: PG Intraventricular Meningioma Alexander Taghva, MD Parham Yashar, MD Steven Giannotta, MD

CT

Page 21: PG Intraventricular Meningioma Alexander Taghva, MD Parham Yashar, MD Steven Giannotta, MD

Page 22: PG Intraventricular Meningioma Alexander Taghva, MD Parham Yashar, MD Steven Giannotta, MD

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Page 24: PG Intraventricular Meningioma Alexander Taghva, MD Parham Yashar, MD Steven Giannotta, MD

Page 25: PG Intraventricular Meningioma Alexander Taghva, MD Parham Yashar, MD Steven Giannotta, MD

Page 26: PG Intraventricular Meningioma Alexander Taghva, MD Parham Yashar, MD Steven Giannotta, MD

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MRI

Page 28: PG Intraventricular Meningioma Alexander Taghva, MD Parham Yashar, MD Steven Giannotta, MD

Page 29: PG Intraventricular Meningioma Alexander Taghva, MD Parham Yashar, MD Steven Giannotta, MD

Page 30: PG Intraventricular Meningioma Alexander Taghva, MD Parham Yashar, MD Steven Giannotta, MD

Page 31: PG Intraventricular Meningioma Alexander Taghva, MD Parham Yashar, MD Steven Giannotta, MD

Page 32: PG Intraventricular Meningioma Alexander Taghva, MD Parham Yashar, MD Steven Giannotta, MD

Page 33: PG Intraventricular Meningioma Alexander Taghva, MD Parham Yashar, MD Steven Giannotta, MD

Page 34: PG Intraventricular Meningioma Alexander Taghva, MD Parham Yashar, MD Steven Giannotta, MD

Page 35: PG Intraventricular Meningioma Alexander Taghva, MD Parham Yashar, MD Steven Giannotta, MD

Page 36: PG Intraventricular Meningioma Alexander Taghva, MD Parham Yashar, MD Steven Giannotta, MD

Page 37: PG Intraventricular Meningioma Alexander Taghva, MD Parham Yashar, MD Steven Giannotta, MD

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Page 40: PG Intraventricular Meningioma Alexander Taghva, MD Parham Yashar, MD Steven Giannotta, MD

Page 41: PG Intraventricular Meningioma Alexander Taghva, MD Parham Yashar, MD Steven Giannotta, MD

Page 42: PG Intraventricular Meningioma Alexander Taghva, MD Parham Yashar, MD Steven Giannotta, MD

Page 43: PG Intraventricular Meningioma Alexander Taghva, MD Parham Yashar, MD Steven Giannotta, MD

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Page 45: PG Intraventricular Meningioma Alexander Taghva, MD Parham Yashar, MD Steven Giannotta, MD

Post-Op Course

• Post-operative course remained unremarkable

• The patient made a full and complete recovery, staying neurologically intact and at his baseline at last, 2-month, follow-up

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