Management of Petroclival Meningiomas: A Review of the Development of Current Therapy

Abstract The surgical management of petroclival meningioma remains challenging, due to the difficulty of accessing the region and the vital structures adjacent to the origin of these tumors. Petroclival meningiomas were originally considered largely unresectable. Until the 1970s, resection carried a...

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Published inJournal of neurological surgery. Part B, Skull base Vol. 75; no. 5; pp. 358 - 367
Main Authors Maurer, Adrian J., Safavi-Abbasi, Sam, Cheema, Ahmed A., Glenn, Chad A., Sughrue, Michael E.
Format Journal Article
LanguageEnglish
Published Stuttgart · New York Georg Thieme Verlag KG 01.10.2014
Subjects
Original Article
meningioma
petroclival
radiosurgery
resection
review
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Summary:Abstract The surgical management of petroclival meningioma remains challenging, due to the difficulty of accessing the region and the vital structures adjacent to the origin of these tumors. Petroclival meningiomas were originally considered largely unresectable. Until the 1970s, resection carried a 50% mortality rate, with very high rates of operative morbidity if attempted. However, in the past 40 years, advances in neuroimaging and approaches to the region were refined, and results from resection of petroclival meningiomas have become more acceptable. Today, the developments of a multitude of surgical approaches as well as innovations in neuroimaging and stereotactic radiotherapy have proved powerful options for multimodality management of these challenging tumors.
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ISSN:2193-6331
2193-634X
DOI:10.1055/s-0034-1373657