Petroclival meningiomas: update of current treatment and consensus by the EANS skull base section

• Published in: Acta neurochirurgica Vol. 163; no. 6; pp. 1639 - 1663
• Main Authors: Giammattei, Lorenzo, di Russo, P., Starnoni, D., Passeri, T., Bruneau, M., Meling, T. R., Berhouma, M., Cossu, G., Cornelius, J. F., Paraskevopoulos, D., Zazpe, I., Jouanneau, E., Cavallo, L. M., Benes, V., Seifert, V., Tatagiba, M., Schroeder, H. W. S., Goto, T., Ohata, K., Al-Mefty, O., Fukushima, T., Messerer, M., Daniel, R. T., Froelich, S.
• Format: Journal Article
• Language: English
• Published: Vienna Springer Vienna 01.06.2021; Springer Nature B.V
• Subjects: Brain cancer; Brain tumors; Decision making; Interventional Radiology; Medicine; Medicine & Public Health; Minimally Invasive Surgery; Neurology; Neuroradiology; Neurosurgery; Radiosurgery; Review Article - Brain Tumors; Skull; Surgical Orthopedics; Task forces; Tumors; Transpetrosal approaches; Retrosigmoid approach; Magnetic resonance imaging; Computed tomography; Petroclival meningiomas; Radiosurgery; Posterior fossa meningiomas; Quality of life
• ISSN: 0001-6268; 0942-0940
• DOI: 10.1007/s00701-021-04798-z

Background The optimal management of petroclival meningiomas (PCMs) continues to be debated along with several controversies that persist. Methods A task force was created by the EANS skull base section along with its members and other renowned experts in the field to generate recommendations for the management of these tumors. To achieve this, the task force reviewed in detail the literature in this field and had formal discussions within the group. Results The constituted task force dealt with the existing definitions and classifications, pre-operative radiological investigations, management of small and asymptomatic PCMs, radiosurgery, optimal surgical strategies, multimodal treatment, decision-making, and patient’s counselling. Conclusion This article represents the consensually derived opinion of the task force with respect to the management of PCMs.