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J Neurol Surg B Skull Base 2014; 75(05): 358-367
DOI: 10.1055/s-0034-1373657
Original Article
Georg Thieme Verlag KG Stuttgart · New York

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

Adrian J. Maurer
1   Department of Neurosurgery, University of Oklahoma Health Science Center, Oklahoma City, Oklahoma, United States
,
Sam Safavi-Abbasi
1   Department of Neurosurgery, University of Oklahoma Health Science Center, Oklahoma City, Oklahoma, United States
,
Ahmed A. Cheema
1   Department of Neurosurgery, University of Oklahoma Health Science Center, Oklahoma City, Oklahoma, United States
,
Chad A. Glenn
1   Department of Neurosurgery, University of Oklahoma Health Science Center, Oklahoma City, Oklahoma, United States
,
Michael E. Sughrue
1   Department of Neurosurgery, University of Oklahoma Health Science Center, Oklahoma City, Oklahoma, United States
› Author Affiliations
Further Information

Publication History

11 October 2013

23 February 2014

Publication Date:
27 May 2014 (online)

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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.

Keywords

petroclival - meningioma - resection - radiosurgery - review
 

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