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Simpson grade
Dr Yuranga Weerakkody ◉ and Dr Khalid Alorabi et al.

The Simpson grade of meningioma resection was described in 1957 and correlated the degree of surgical
resection completeness with with symptomatic recurrence 1.

Although the type of resection still plays a part in the likelihood of symptomatic recurrence, other factors (such
as the MIB-1 index) are also important, particularly in grades I - III 2.

grade I
complete removal including resection of underlying bone and associated dura
9% symptomatic recurrence at 10 years
grade II
complete removal and coagulation of dural attachment
19% symptomatic recurrence at 10 years
grade III
complete removal w/o resection of dura or coagulation
29% symptomatic recurrence at 10 years
grade IV
subtotal resection
44% symptomatic recurrence at 10 years
grade V
simple decompression with or without biopsy
100% symptomatic recurrence at 10 years (small sample in original paper)

References

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Related articles

Dural masses

dural masses
meningioma
grading and histological variants[–]
grade I
meningothelial meningioma
fibrous meningioma
microcystic meningioma
psammomatous meningioma
angiomatous meningioma
secretory meningioma
metaplastic meningioma
cartilaginous meningioma
lipomatous meningioma
melanotic meningioma
myxoid meningioma
osseous meningioma
xanthomatous meningioma
lymphoplasmacyte-rich meningioma
grade II
clear cell meningioma
chordoid meningioma
atypical meningioma
grade III
rhabdoid meningioma
papillary meningioma
anaplastic meningioma (aka malignant meningioma)
imaging signs[–]
CSF cleft sign
dural tail
ginkgo leaf sign (spinal meningioma)
mother in law sign
spoke wheel sign
sunburst sign
white matter buckling sign
variants[+]
by location[+]
Simpson grade (of resection)
haemangiopericytoma
solitary fibrous tumour of the dura
primary dural lymphoma
Rosai-Dorfman disease
EBV-associated smooth muscle tumour
meningeal melanocytoma
primary meningeal malignant melanoma
Erdheim-Chester disease

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sarcoidosis
dural metastases
hypertrophic pachymeningitis[+]

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URL of Article

Article information
rID: 23056
System: Central Nervous System
Section: Classifications
Synonyms or Alternate Spellings:

Simpson classification for the recurrence of intracranial meningiomas after surgical treatment

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