Multiple Meningioma Resection by Bilateral Extended Rostrotentorial Craniotomy with a 3D-Print Guide in a Cat.

Song, Kyohyuk; Lee, Haebeom; Jeong, Jaemin; Roh, Yoonho (2022). Multiple Meningioma Resection by Bilateral Extended Rostrotentorial Craniotomy with a 3D-Print Guide in a Cat. Veterinary sciences, 9(10) MDPI 10.3390/vetsci9100512

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A 13-year-old castrated male domestic shorthair cat was referred for the surgical removal of multiple meningiomas. The cat experienced generalized tonic-clonic seizures, altered mentation, mild proprioceptive ataxia, and circling. Magnetic resonance imaging (MRI) revealed two round, solitary, well-delineated, space-occupying lesions suggestive of multiple meningiomas in the right frontal and occipital lobes. Before surgery, patient-specific three-dimensional (3D) printed models and guides were produced using a 3D program based on MRI and computed tomography (CT), and a rehearsal surgery was performed. With a 3D guide to find the location of the craniotomy lines, bilateral extended rostrotentorial craniotomy allowed en bloc resection of multiple meningiomas. The bone fragment was replaced and secured to the skull with a craniofacial plate and screws with an artificial dura. All of the surgical steps were performed without complications. The preoperative presenting signs were resolved by the time of follow-up examinations 2 weeks after surgery. Twelve months after the removal of the multiple meningiomas, the cat survived without further neurological progression. For the resection of multiple meningiomas, surgery can result in large bone defects and risk of massive hemorrhage. For this challenging surgery, patient-specific 3D models and guides can be effective for accurate and safe craniotomies.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

05 Veterinary Medicine > Department of Clinical Veterinary Medicine (DKV) > Small Animal Clinic

UniBE Contributor:

Roh, Yoonho

Subjects:

600 Technology > 630 Agriculture

ISSN:

2306-7381

Publisher:

MDPI

Language:

English

Submitter:

Pubmed Import

Date Deposited:

27 Oct 2022 15:35

Last Modified:

05 Dec 2022 16:27

Publisher DOI:

10.3390/vetsci9100512

PubMed ID:

36288124

Uncontrolled Keywords:

3D-guide craniotomy feline meningioma multiple meningiomas

BORIS DOI:

10.48350/174177

URI:

https://boris.unibe.ch/id/eprint/174177

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