{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T05:52:23Z","timestamp":1771653143780,"version":"3.50.1"},"reference-count":10,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nSphenoid wing meningiomas present close contact with intracranial arteries and have great potential for vascular complications. Here, we describe the case of a patient who presented a medial left giant lesser sphenoid wing meningioma involving the supraclinoid carotid artery. One week after surgery, she developed vasospasm whose treatment using milrinone achieved excellent results.<\/jats:p>\n<\/jats:sec>\n\nCase Description: <\/jats:title>\nThis is the case of a 23-year-old female with a large meningioma of the middle third of the lesser wing of the left sphenoid. Furthermore, the patient had symptoms of headache, diplopia, and left amaurosis (Video 1). The lesion involved the supraclinoid left carotid artery, causing significant stenosis of the vessel. The patient underwent surgical treatment without complications. One week after the procedure, she evolved with lowered level of consciousness, complete, and proportionate right hemiparesis and right Babinski\u2019s sign. Angiographic study demonstrated significant stenosis of the left supraclinoid artery. After endovascular treatment with milrinone, the patient evolved with immediate improvement of signs and symptoms.<\/jats:p>\nVideo 1:<\/jats:label>Surgical procedure. Video is accessible from the portal<\/jats:ext-link>.<\/jats:p>\n\n<\/jats:supplementary-material>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nGiant meningiomas with vascular involvement involve a higher risk of postoperative vascular complications. Other studies should be carried out to predict these complications and thus develop preventive measures.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_90_2022","type":"journal-article","created":{"date-parts":[[2022,3,31]],"date-time":"2022-03-31T10:03:21Z","timestamp":1648721001000},"page":"113","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Microsurgery for a medial left giant lesser sphenoid wing meningioma complicated by postoperative vasospasm of the ipsilateral supraclinoid carotid artery"],"prefix":"10.25259","volume":"13","author":[{"given":"S\u00edlvio Sarmento","family":"Lessa","sequence":"first","affiliation":[{"name":"Department of Neurology and Neurosurgery, Universidade Federal de S\u00e3o Paulo,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Ernesto","family":"Chang Mulato","sequence":"additional","affiliation":[{"name":"Department of Neurology and Neurosurgery, Universidade Federal de S\u00e3o Paulo,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hugo Leonardo","family":"D\u00f3ria-Netto","sequence":"additional","affiliation":[{"name":"Department of Neurology and Neurosurgery, Universidade Federal de S\u00e3o Paulo,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raphael","family":"Wuo-Silva","sequence":"additional","affiliation":[{"name":"Department of Neurology and Neurosurgery, Universidade Federal de S\u00e3o Paulo,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Maria Campos","family":"Filho","sequence":"additional","affiliation":[{"name":"Department of Neurology and Neurosurgery, Universidade Federal de S\u00e3o Paulo,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Feres","family":"Chaddad-Neto","sequence":"additional","affiliation":[{"name":"Department of Neurology and Neurosurgery, Universidade Federal de S\u00e3o Paulo,"},{"name":"Hospital Benefic\u00eancia Portuguesa de S\u00e3o Paulo, S\u00e3o Paulo \u2013 SP, Brazil."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2022,3,31]]},"reference":[{"key":"10.25259\/SNI_90_2022\/ref-1","doi-asserted-by":"crossref","first-page":"957","DOI":"10.3390\/brainsci10120957","article-title":"Surgical strategies and clinical outcome of large to giant sphenoid wing meningiomas: A case series study","volume":"10","author":"Balase","year":"2020","journal-title":"Brain Sci"},{"key":"10.25259\/SNI_90_2022\/ref-2","doi-asserted-by":"crossref","first-page":"865","DOI":"10.1007\/s00701-008-0006-6","article-title":"Surgical strategies for giant medial sphenoid wing meningiomas: A new scoring system for predicting extent of resection","volume":"150","author":"Behari","year":"2008","journal-title":"Acta Neurochir 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