• Salvatore Di Maio, Dinesh Ramanathan, Rabindranath Garcia-Lopez, Michael Herbas Rocha, Francisco Ponce Guerrero, Manuel Ferreira, and Laligam N Sekhar.
• Department of Neurological Surgery, University of Washington, Harborview Medical Center, Seattle, Washington, USA.
• World Neurosurg. 2012 Sep 1;78(3-4):260-75.

BackgroundSkull base meningiomas represent the paradigm for the evolution of skull base surgery within the past 50 years into a distinct neurosurgical subspecialty.MethodsFrom 2005 to 2011, 117 patients with cranial base meningiomas underwent surgical resection. Extent of resection, histologic grade, complications, functional status, and recurrence-free and overall survival data are presented.ResultsThe summary rate of gross total resection was 53.0%. The surgical complication and mortality rates were 17.9% and 0.9%, respectively. Five-year recurrence-free survival was 88.0% for grade I meningiomas. A total of 90.3% of patients had a Karnofsky performance score ≥ 80 at last follow-up.ConclusionsA large contemporary series of skull base meningiomas is presented. In addition, the evolution of surgical approaches to skull base meningiomas is reviewed, together with the current issues regarding radiation therapy, management of cavernous sinus tumor, oncologic management of atypical and malignant subtypes, molecular genetics, and future therapeutic options.Copyright © 2012 Elsevier Inc. All rights reserved.

23 keywords...

hide…