A small left posterior frontal meningioma.
The meningioma was excised in toto. Although it was planned to be done with image guidance but since this equipment was being used in other case author made a 5cm trephine craniotomy by giving a straight left paramedian incision( anterior to posterior) and surgery was done without any complications.
A middle aged lady was operated by me today for a small meningioma using BrainLab Image Guided System. The surgery was done under local anaesthesia using Karam Chand trephine having adjustable dura guard. Total enblock excision was done along with the dura from where the tumour was arising. Pericranial graft was used to achieve complete dural closure. Whole procedure was completed in less than 30 minutes. See pictures below.
BrainLab Image guided system showing exact location of meningioma. It was used only to surface mark the tumour.
Neatly trephined bone(4cm in diameter)