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Published in: Neurosurgical Review 3/2011

01-07-2011 | Review

Contemporary surgical outcome for skull base meningiomas

Authors: Chien-Min Chen, Abel Po-Hao Huang, Lu-Ting Kuo, Yong-Kwang Tu

Published in: Neurosurgical Review | Issue 3/2011

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Abstract

Although surgical excision of meningioma and its dural base is the most common primary management, skull base meningiomas are quite different, and contemporary management usually consists of multimodal treatment with the aim of achieving the best possible functional outcome and quality of life (QOL) for these patients. As surgery plays an important role in the treatment of skull base meningiomas, it is crucial for neurosurgeons to appreciate the surgical outcome and QOL after meningioma surgery. Outcome is usually measured for meningiomas in terms of morbidity, mortality, time to recurrence, and QOL. The extent of resection, tumor grade, proliferative markers, and tumor location are significant factors in predicting the surgical outcome. Therefore, we address each of these factors in detail in this review. Advances in recent decades in microsurgical techniques, neuroimaging modalities, neuroanesthesia, and perioperative intensive care have substantially improved the surgical outcome; therefore, most surgical outcomes discussed in this review are cited from contemporary literature (2000 to the present) in order to depict the surgical outcome of contemporary microsurgery.
Literature
1.
go back to reference Abdel-Aziz KM, Froelich SC, Dagnew E, Jean W, Breneman JC, Zuccarello M, van Loveren HR, Tew JM Jr (2004) Large sphenoid wing meningiomas involving the cavernous sinus: conservative surgical strategies for better functional outcomes. Neurosurgery 54(6):1375–1383PubMed Abdel-Aziz KM, Froelich SC, Dagnew E, Jean W, Breneman JC, Zuccarello M, van Loveren HR, Tew JM Jr (2004) Large sphenoid wing meningiomas involving the cavernous sinus: conservative surgical strategies for better functional outcomes. Neurosurgery 54(6):1375–1383PubMed
2.
go back to reference Adachi K, Kawase T, Yoshida K, Yazaki T, Onozuka S (2009) Abc surgical risk scale for skull base meningioma: a new scoring system for predicting the extent of tumor removal and neurological outcome. Clinical article. J Neurosurg 111(5):1053–1061. doi:10.3171/2007.11.17446 PubMed Adachi K, Kawase T, Yoshida K, Yazaki T, Onozuka S (2009) Abc surgical risk scale for skull base meningioma: a new scoring system for predicting the extent of tumor removal and neurological outcome. Clinical article. J Neurosurg 111(5):1053–1061. doi:10.​3171/​2007.​11.​17446 PubMed
3.
go back to reference Aichholzer M, Bertalanffy A, Dietrich W, Roessler K, Pfisterer W, Ungersboeck K, Heimberger K, Kitz K (2000) Gamma knife radiosurgery of skull base meningiomas. Acta Neurochir (Wien) 142(6):647–652 Aichholzer M, Bertalanffy A, Dietrich W, Roessler K, Pfisterer W, Ungersboeck K, Heimberger K, Kitz K (2000) Gamma knife radiosurgery of skull base meningiomas. Acta Neurochir (Wien) 142(6):647–652
5.
go back to reference Arai H, Sato K, Okuda MM, Hishii M, Nakanishi H, Ishii H (2000) Transcranial transsphenoidal approach for tuberculum sellae meningiomas. Acta Neurochir (Wien) 142(7):751–756 Arai H, Sato K, Okuda MM, Hishii M, Nakanishi H, Ishii H (2000) Transcranial transsphenoidal approach for tuberculum sellae meningiomas. Acta Neurochir (Wien) 142(7):751–756
6.
go back to reference Basso A, Carrizo A, Antico J (2006) Sphenoid ridge meningiomas. In: Schmidek HH, Roberts DW (eds) Operative neurosurgical techniques: indications, methods, and results, vol 1, 5. Saunders, Philadelphia, pp 226–237 Basso A, Carrizo A, Antico J (2006) Sphenoid ridge meningiomas. In: Schmidek HH, Roberts DW (eds) Operative neurosurgical techniques: indications, methods, and results, vol 1, 5. Saunders, Philadelphia, pp 226–237
8.
go back to reference Arnautovic KI, Al-Mefty O, Husain M (2000) Ventral foramen magnum meninigiomas. J Neurosurg 92(1 Suppl):71–80PubMed Arnautovic KI, Al-Mefty O, Husain M (2000) Ventral foramen magnum meninigiomas. J Neurosurg 92(1 Suppl):71–80PubMed
9.
12.
go back to reference Bassiouni H, Hunold A, Asgari S, Stolke D (2004) Tentorial meningiomas: clinical results in 81 patients treated microsurgically. Neurosurgery 55(1):108–116PubMed Bassiouni H, Hunold A, Asgari S, Stolke D (2004) Tentorial meningiomas: clinical results in 81 patients treated microsurgically. Neurosurgery 55(1):108–116PubMed
13.
go back to reference Bassiouni H, Ntoukas V, Asgari S, Sandalcioglu EI, Stolke D, Seifert V (2006) Foramen magnum meningiomas: clinical outcome after microsurgical resection via a posterolateral suboccipital retrocondylar approach. Neurosurgery 59(6):1177–1185. doi:10.1227/01.NEU.0000245629.77968.37 PubMed Bassiouni H, Ntoukas V, Asgari S, Sandalcioglu EI, Stolke D, Seifert V (2006) Foramen magnum meningiomas: clinical outcome after microsurgical resection via a posterolateral suboccipital retrocondylar approach. Neurosurgery 59(6):1177–1185. doi:10.​1227/​01.​NEU.​0000245629.​77968.​37 PubMed
14.
18.
go back to reference Borovich B, Doron Y, Braun J, Guilburd JN, Zaaroor M, Goldsher D, Lemberger A, Gruszkiewicz J, Feinsod M (1986) Recurrence of intracranial meningiomas: the role played by regional multicentricity. Part 2: clinical and radiological aspects. J Neurosurg 65(2):168–171. doi:10.3171/jns.1986.65.2.0168 PubMed Borovich B, Doron Y, Braun J, Guilburd JN, Zaaroor M, Goldsher D, Lemberger A, Gruszkiewicz J, Feinsod M (1986) Recurrence of intracranial meningiomas: the role played by regional multicentricity. Part 2: clinical and radiological aspects. J Neurosurg 65(2):168–171. doi:10.​3171/​jns.​1986.​65.​2.​0168 PubMed
20.
go back to reference Bret P, Guyotat J, Madarassy G, Ricci AC, Signorelli F (2000) Tentorial meningiomas. Report on twenty-seven cases. Acta Neurochir (Wien) 142(5):513–526 Bret P, Guyotat J, Madarassy G, Ricci AC, Signorelli F (2000) Tentorial meningiomas. Report on twenty-seven cases. Acta Neurochir (Wien) 142(5):513–526
21.
go back to reference Bruneau M, George B (2008) Foramen magnum meningiomas: detailed surgical approaches and technical aspects at lariboisiere hospital and review of the literature. Neurosurg Rev 31(1):19–32. doi:10.1007/s10143-007-0097-1 PubMed Bruneau M, George B (2008) Foramen magnum meningiomas: detailed surgical approaches and technical aspects at lariboisiere hospital and review of the literature. Neurosurg Rev 31(1):19–32. doi:10.​1007/​s10143-007-0097-1 PubMed
22.
go back to reference Carvalho GA, Matthies C, Tatagiba M, Eghbal R, Samii M (2000) Impact of computed tomographic and magnetic resonance imaging findings on surgical outcome in petroclival meningiomas. Neurosurgery 47(6):1287–1294PubMed Carvalho GA, Matthies C, Tatagiba M, Eghbal R, Samii M (2000) Impact of computed tomographic and magnetic resonance imaging findings on surgical outcome in petroclival meningiomas. Neurosurgery 47(6):1287–1294PubMed
23.
go back to reference Chicani CF, Miller NR (2003) Visual outcome in surgically treated suprasellar meningiomas. J Neuroophthalmol 23(1):3–10PubMed Chicani CF, Miller NR (2003) Visual outcome in surgically treated suprasellar meningiomas. J Neuroophthalmol 23(1):3–10PubMed
24.
go back to reference Ciric I, Landau B (1993) Tentorial and posterior cranial fossa meningiomas: operative results and long-term follow-up: experience with twenty-six cases. Surg Neurol 39(6):530–537PubMed Ciric I, Landau B (1993) Tentorial and posterior cranial fossa meningiomas: operative results and long-term follow-up: experience with twenty-six cases. Surg Neurol 39(6):530–537PubMed
26.
go back to reference Condra KS, Buatti JM, Mendenhall WM, Friedman WA, Marcus RB Jr, Rhoton AL (1997) Benign meningiomas: primary treatment selection affects survival. Int J Radiat Oncol Biol Phys 39(2):427–436PubMed Condra KS, Buatti JM, Mendenhall WM, Friedman WA, Marcus RB Jr, Rhoton AL (1997) Benign meningiomas: primary treatment selection affects survival. Int J Radiat Oncol Biol Phys 39(2):427–436PubMed
27.
go back to reference Couldwell WT, Weiss MH, Rabb C, Liu JK, Apfelbaum RI, Fukushima T (2004) Variations on the standard transsphenoidal approach to the sellar region, with emphasis on the extended approaches and parasellar approaches: surgical experience in 105 cases. Neurosurgery 55(3):539–547PubMed Couldwell WT, Weiss MH, Rabb C, Liu JK, Apfelbaum RI, Fukushima T (2004) Variations on the standard transsphenoidal approach to the sellar region, with emphasis on the extended approaches and parasellar approaches: surgical experience in 105 cases. Neurosurgery 55(3):539–547PubMed
28.
go back to reference Cudlip SA, Wilkins PR, Johnston FG, Moore AJ, Marsh HT, Bell BA (1998) Posterior fossa meningiomas: surgical experience in 52 cases. Acta Neurochir (Wien) 140(10):1007–1012 Cudlip SA, Wilkins PR, Johnston FG, Moore AJ, Marsh HT, Bell BA (1998) Posterior fossa meningiomas: surgical experience in 52 cases. Acta Neurochir (Wien) 140(10):1007–1012
29.
go back to reference Cusimano MD, Sekhar LN, Sen CN, Pomonis S, Wright DC, Biglan AW, Jannetta PJ (1995) The results of surgery for benign tumors of the cavernous sinus. Neurosurgery 37(1):1–9PubMed Cusimano MD, Sekhar LN, Sen CN, Pomonis S, Wright DC, Biglan AW, Jannetta PJ (1995) The results of surgery for benign tumors of the cavernous sinus. Neurosurgery 37(1):1–9PubMed
31.
go back to reference De Jesus O, Sekhar LN, Parikh HK, Wright DC, Wagner DP (1996) Long-term follow-up of patients with meningiomas involving the cavernous sinus: recurrence, progression, and quality of life. Neurosurgery 39(5):915–919PubMed De Jesus O, Sekhar LN, Parikh HK, Wright DC, Wagner DP (1996) Long-term follow-up of patients with meningiomas involving the cavernous sinus: recurrence, progression, and quality of life. Neurosurgery 39(5):915–919PubMed
33.
go back to reference Dijkstra M, van Nieuwenhuizen D, Stalpers LJ, Wumkes M, Waagemans M, Vandertop WP, Heimans JJ, Leenstra S, Dirven CM, Reijneveld JC, Klein M (2009) Late neurocognitive sequelae in patients with who grade I meningioma. J Neurol Neurosurg Psychiatry 80(8):910–915. doi:10.1136/jnnp.2007.138925 PubMed Dijkstra M, van Nieuwenhuizen D, Stalpers LJ, Wumkes M, Waagemans M, Vandertop WP, Heimans JJ, Leenstra S, Dirven CM, Reijneveld JC, Klein M (2009) Late neurocognitive sequelae in patients with who grade I meningioma. J Neurol Neurosurg Psychiatry 80(8):910–915. doi:10.​1136/​jnnp.​2007.​138925 PubMed
34.
go back to reference Dziuk TW, Woo S, Butler EB, Thornby J, Grossman R, Dennis WS, Lu H, Carpenter LS, Chiu JK (1998) Malignant meningioma: an indication for initial aggressive surgery and adjuvant radiotherapy. J Neurooncol 37(2):177–188PubMed Dziuk TW, Woo S, Butler EB, Thornby J, Grossman R, Dennis WS, Lu H, Carpenter LS, Chiu JK (1998) Malignant meningioma: an indication for initial aggressive surgery and adjuvant radiotherapy. J Neurooncol 37(2):177–188PubMed
35.
go back to reference Eustacchio S, Trummer M, Fuchs I, Schrottner O, Sutter B, Pendl G (2002) Preservation of cranial nerve function following gamma knife radiosurgery for benign skull base meningiomas: experience in 121 patients with follow-up of 5 to 9.8 years. Acta Neurochir Suppl 84:71–76PubMed Eustacchio S, Trummer M, Fuchs I, Schrottner O, Sutter B, Pendl G (2002) Preservation of cranial nerve function following gamma knife radiosurgery for benign skull base meningiomas: experience in 121 patients with follow-up of 5 to 9.8 years. Acta Neurochir Suppl 84:71–76PubMed
36.
go back to reference Fahlbusch R, Schott W (2002) Pterional surgery of meningiomas of the tuberculum sellae and planum sphenoidale: surgical results with special consideration of ophthalmological and endocrinological outcomes. J Neurosurg 96(2):235–243. doi:10.3171/jns.2002.96.2.0235 PubMed Fahlbusch R, Schott W (2002) Pterional surgery of meningiomas of the tuberculum sellae and planum sphenoidale: surgical results with special consideration of ophthalmological and endocrinological outcomes. J Neurosurg 96(2):235–243. doi:10.​3171/​jns.​2002.​96.​2.​0235 PubMed
37.
go back to reference Gerszten PC (1998) Outcomes research: a review. Neurosurgery 43(5):1146–1156PubMed Gerszten PC (1998) Outcomes research: a review. Neurosurgery 43(5):1146–1156PubMed
38.
39.
go back to reference Goel A, Desai K, Muzumdar D (2001) Surgery on anterior foramen magnum meningiomas using a conventional posterior suboccipital approach: a report on an experience with 17 cases. Neurosurgery 49(1):102–106PubMed Goel A, Desai K, Muzumdar D (2001) Surgery on anterior foramen magnum meningiomas using a conventional posterior suboccipital approach: a report on an experience with 17 cases. Neurosurgery 49(1):102–106PubMed
40.
go back to reference Goel A, Muzumdar D, Desai KI (2002) Tuberculum sellae meningioma: a report on management on the basis of a surgical experience with 70 patients. Neurosurgery 51(6):1358–1363PubMed Goel A, Muzumdar D, Desai KI (2002) Tuberculum sellae meningioma: a report on management on the basis of a surgical experience with 70 patients. Neurosurgery 51(6):1358–1363PubMed
41.
go back to reference Gokalp HZ, Arasil E, Erdogan A, Egemen N, Deda H, Cerci A (1995) Tentorial meningiomas. Neurosurgery 36(1):46–51PubMed Gokalp HZ, Arasil E, Erdogan A, Egemen N, Deda H, Cerci A (1995) Tentorial meningiomas. Neurosurgery 36(1):46–51PubMed
43.
go back to reference Harrison MJ, al-Mefty O (1997) Tentorial meningiomas. Clin Neurosurg 44:451–466PubMed Harrison MJ, al-Mefty O (1997) Tentorial meningiomas. Clin Neurosurg 44:451–466PubMed
44.
go back to reference Heim E, Valach L, Schaffner L (1997) Coping and psychosocial adaptation: longitudinal effects over time and stages in breast cancer. Psychosom Med 59(4):408–418PubMed Heim E, Valach L, Schaffner L (1997) Coping and psychosocial adaptation: longitudinal effects over time and stages in breast cancer. Psychosom Med 59(4):408–418PubMed
47.
go back to reference Henzel M, Gross MW, Hamm K, Surber G, Kleinert G, Failing T, Strassmann G, Engenhart-Cabillic R (2006) Significant tumor volume reduction of meningiomas after stereotactic radiotherapy: results of a prospective multicenter study. Neurosurgery 59(6):1188–1194. doi:10.1227/01.NEU.0000245626.93215.F6 PubMed Henzel M, Gross MW, Hamm K, Surber G, Kleinert G, Failing T, Strassmann G, Engenhart-Cabillic R (2006) Significant tumor volume reduction of meningiomas after stereotactic radiotherapy: results of a prospective multicenter study. Neurosurgery 59(6):1188–1194. doi:10.​1227/​01.​NEU.​0000245626.​93215.​F6 PubMed
48.
go back to reference Ho DM, Hsu CY, Ting LT, Chiang H (2002) Histopathology and MIB-1 labeling index predicted recurrence of meningiomas: a proposal of diagnostic criteria for patients with atypical meningioma. Cancer 94(5):1538–1547. doi:10.1002/cncr.10351 PubMed Ho DM, Hsu CY, Ting LT, Chiang H (2002) Histopathology and MIB-1 labeling index predicted recurrence of meningiomas: a proposal of diagnostic criteria for patients with atypical meningioma. Cancer 94(5):1538–1547. doi:10.​1002/​cncr.​10351 PubMed
49.
go back to reference Jallo GI, Benjamin V (2002) Tuberculum sellae meningiomas: microsurgical anatomy and surgical technique. Neurosurgery 51(6):1432–1439PubMed Jallo GI, Benjamin V (2002) Tuberculum sellae meningiomas: microsurgical anatomy and surgical technique. Neurosurgery 51(6):1432–1439PubMed
50.
go back to reference Joung H, Lee BS (2008) The novel “class” algorithmic scale for patient selection in meningioma surgery. In: Lee JH (ed) Meningiomas: diagnosis, treatment, and outcome. Springer, Berlin Joung H, Lee BS (2008) The novel “class” algorithmic scale for patient selection in meningioma surgery. In: Lee JH (ed) Meningiomas: diagnosis, treatment, and outcome. Springer, Berlin
51.
go back to reference Jung HW, Yoo H, Paek SH, Choi KS (2000) Long-term outcome and growth rate of subtotally resected petroclival meningiomas: experience with 38 cases. Neurosurgery 46(3):567–574PubMed Jung HW, Yoo H, Paek SH, Choi KS (2000) Long-term outcome and growth rate of subtotally resected petroclival meningiomas: experience with 38 cases. Neurosurgery 46(3):567–574PubMed
52.
go back to reference Kalkanis SN, Quinones-Hinojosa A, Buzney E, Ribaudo HJ, Black PM (2000) Quality of life following surgery for intracranial meningiomas at Brigham and Women's Hospital: a study of 164 patients using a modification of the functional assessment of cancer therapy-brain questionnaire. J Neurooncol 48(3):233–241PubMed Kalkanis SN, Quinones-Hinojosa A, Buzney E, Ribaudo HJ, Black PM (2000) Quality of life following surgery for intracranial meningiomas at Brigham and Women's Hospital: a study of 164 patients using a modification of the functional assessment of cancer therapy-brain questionnaire. J Neurooncol 48(3):233–241PubMed
54.
55.
go back to reference Kinjo T, al-Mefty O, Kanaan I (1993) Grade zero removal of supratentorial convexity meningiomas. Neurosurgery 33(3):394–399PubMed Kinjo T, al-Mefty O, Kanaan I (1993) Grade zero removal of supratentorial convexity meningiomas. Neurosurgery 33(3):394–399PubMed
56.
go back to reference Kleihues P, Burger PC, Scheithauer BW (1993) The new who classification of brain tumours. Brain Pathol 3(3):255–268PubMed Kleihues P, Burger PC, Scheithauer BW (1993) The new who classification of brain tumours. Brain Pathol 3(3):255–268PubMed
57.
go back to reference Knosp E, Perneczky A, Koos WT, Fries G, Matula C (1996) Meningiomas of the space of the cavernous sinus. Neurosurgery 38(3):434–442PubMed Knosp E, Perneczky A, Koos WT, Fries G, Matula C (1996) Meningiomas of the space of the cavernous sinus. Neurosurgery 38(3):434–442PubMed
59.
go back to reference Krupp W, Klein C, Koschny R, Holland H, Seifert V, Meixensberger J (2009) Assessment of neuropsychological parameters and quality of life to evaluate outcome in patients with surgically treated supratentorial meningiomas. Neurosurgery 64(1):40–47. doi:10.1227/01.NEU.0000336330.75381.39 PubMed Krupp W, Klein C, Koschny R, Holland H, Seifert V, Meixensberger J (2009) Assessment of neuropsychological parameters and quality of life to evaluate outcome in patients with surgically treated supratentorial meningiomas. Neurosurgery 64(1):40–47. doi:10.​1227/​01.​NEU.​0000336330.​75381.​39 PubMed
61.
62.
go back to reference Lee JH, Jeun SS, Evans J, Kosmorsky G (2001) Surgical management of clinoidal meningiomas. Neurosurgery 48(5):1012–1019PubMed Lee JH, Jeun SS, Evans J, Kosmorsky G (2001) Surgical management of clinoidal meningiomas. Neurosurgery 48(5):1012–1019PubMed
63.
go back to reference Little KM, Friedman AH, Sampson JH, Wanibuchi M, Fukushima T (2005) Surgical management of petroclival meningiomas: defining resection goals based on risk of neurological morbidity and tumor recurrence rates in 137 patients. Neurosurgery 56(3):546–559PubMed Little KM, Friedman AH, Sampson JH, Wanibuchi M, Fukushima T (2005) Surgical management of petroclival meningiomas: defining resection goals based on risk of neurological morbidity and tumor recurrence rates in 137 patients. Neurosurgery 56(3):546–559PubMed
64.
go back to reference Margalit NS, Lesser JB, Singer M, Sen C (2005) Lateral approach to anterolateral tumors at the foramen magnum: factors determining surgical procedure. Neurosurgery 56(2 Suppl):324–336PubMed Margalit NS, Lesser JB, Singer M, Sen C (2005) Lateral approach to anterolateral tumors at the foramen magnum: factors determining surgical procedure. Neurosurgery 56(2 Suppl):324–336PubMed
65.
go back to reference Maruyama K, Shin M, Kurita H, Kawahara N, Morita A, Kirino T (2004) Proposed treatment strategy for cavernous sinus meningiomas: a prospective study. Neurosurgery 55(5):1068–1075PubMed Maruyama K, Shin M, Kurita H, Kawahara N, Morita A, Kirino T (2004) Proposed treatment strategy for cavernous sinus meningiomas: a prospective study. Neurosurgery 55(5):1068–1075PubMed
66.
go back to reference Mathiesen T, Lindquist C, Kihlstrom L, Karlsson B (1996) Recurrence of cranial base meningiomas. Neurosurgery 39(1):2–7PubMed Mathiesen T, Lindquist C, Kihlstrom L, Karlsson B (1996) Recurrence of cranial base meningiomas. Neurosurgery 39(1):2–7PubMed
67.
go back to reference Mendenhall WM, Morris CG, Amdur RJ, Foote KD, Friedman WA (2003) Radiotherapy alone or after subtotal resection for benign skull base meningiomas. Cancer 98(7):1473–1482. doi:10.1002/cncr.11645 PubMed Mendenhall WM, Morris CG, Amdur RJ, Foote KD, Friedman WA (2003) Radiotherapy alone or after subtotal resection for benign skull base meningiomas. Cancer 98(7):1473–1482. doi:10.​1002/​cncr.​11645 PubMed
68.
go back to reference Miller E, Crockard HA (1987) Transoral transclival removal of anteriorly placed meningiomas at the foramen magnum. Neurosurgery 20(6):966–968PubMed Miller E, Crockard HA (1987) Transoral transclival removal of anteriorly placed meningiomas at the foramen magnum. Neurosurgery 20(6):966–968PubMed
70.
go back to reference Molony TB, Brackmann DE, Lo WW (1992) Meningiomas of the jugular foramen. Otolaryngol Head Neck Surg 106(2):128–136PubMed Molony TB, Brackmann DE, Lo WW (1992) Meningiomas of the jugular foramen. Otolaryngol Head Neck Surg 106(2):128–136PubMed
71.
go back to reference Nakamura M, Roser F, Dormiani M, Matthies C, Vorkapic P, Samii M (2005) Facial and cochlear nerve function after surgery of cerebellopontine angle meningiomas. Neurosurgery 57(1):77–90PubMed Nakamura M, Roser F, Dormiani M, Matthies C, Vorkapic P, Samii M (2005) Facial and cochlear nerve function after surgery of cerebellopontine angle meningiomas. Neurosurgery 57(1):77–90PubMed
73.
go back to reference Nakamura M, Roser F, Mirzai S, Matthies C, Vorkapic P, Samii M (2004) Meningiomas of the internal auditory canal. Neurosurgery 55(1):119–127PubMed Nakamura M, Roser F, Mirzai S, Matthies C, Vorkapic P, Samii M (2004) Meningiomas of the internal auditory canal. Neurosurgery 55(1):119–127PubMed
75.
go back to reference Nakamura M, Struck M, Roser F, Vorkapic P, Samii M (2008) Olfactory groove meningiomas: clinical outcome and recurrence rates after tumor removal through the frontolateral and bifrontal approach. Neurosurgery 62(6 Suppl 3):1224–1232. doi:10.1227/01.neu.0000333788.83349.1e PubMed Nakamura M, Struck M, Roser F, Vorkapic P, Samii M (2008) Olfactory groove meningiomas: clinical outcome and recurrence rates after tumor removal through the frontolateral and bifrontal approach. Neurosurgery 62(6 Suppl 3):1224–1232. doi:10.​1227/​01.​neu.​0000333788.​83349.​1e PubMed
76.
go back to reference Nanda A, Vincent DA, Vannemreddy PS, Baskaya MK, Chanda A (2002) Far-lateral approach to intradural lesions of the foramen magnum without resection of the occipital condyle. J Neurosurg 96(2):302–309. doi:10.3171/jns.2002.96.2.0302 PubMed Nanda A, Vincent DA, Vannemreddy PS, Baskaya MK, Chanda A (2002) Far-lateral approach to intradural lesions of the foramen magnum without resection of the occipital condyle. J Neurosurg 96(2):302–309. doi:10.​3171/​jns.​2002.​96.​2.​0302 PubMed
78.
go back to reference Neil-Dwyer G, Lang DA, Davis A (2000) Outcome from complex neurosurgery: an evidence based approach. Acta Neurochir (Wien) 142(4):367–371 Neil-Dwyer G, Lang DA, Davis A (2000) Outcome from complex neurosurgery: an evidence based approach. Acta Neurochir (Wien) 142(4):367–371
79.
go back to reference Niranjan A, Lunsford LD, Flickinger JC, Maitz A, Kondziolka D (1999) Dose reduction improves hearing preservation rates after intracanalicular acoustic tumor radiosurgery. Neurosurgery 45(4):753–762PubMed Niranjan A, Lunsford LD, Flickinger JC, Maitz A, Kondziolka D (1999) Dose reduction improves hearing preservation rates after intracanalicular acoustic tumor radiosurgery. Neurosurgery 45(4):753–762PubMed
80.
go back to reference Nozaki K, Kikuta K, Takagi Y, Mineharu Y, Takahashi JA, Hashimoto N (2008) Effect of early optic canal unroofing on the outcome of visual functions in surgery for meningiomas of the tuberculum sellae and planum sphenoidale. Neurosurgery 62(4):839–844. doi:10.1227/01.neu.0000318169.75095.cb PubMed Nozaki K, Kikuta K, Takagi Y, Mineharu Y, Takahashi JA, Hashimoto N (2008) Effect of early optic canal unroofing on the outcome of visual functions in surgery for meningiomas of the tuberculum sellae and planum sphenoidale. Neurosurgery 62(4):839–844. doi:10.​1227/​01.​neu.​0000318169.​75095.​cb PubMed
81.
go back to reference O'Sullivan MG, van Loveren HR, Tew JM Jr (1997) The surgical resectability of meningiomas of the cavernous sinus. Neurosurgery 40(2):238–244PubMed O'Sullivan MG, van Loveren HR, Tew JM Jr (1997) The surgical resectability of meningiomas of the cavernous sinus. Neurosurgery 40(2):238–244PubMed
82.
go back to reference Obeid F, Al-Mefty O (2003) Recurrence of olfactory groove meningiomas. Neurosurgery 53(3):534–542PubMed Obeid F, Al-Mefty O (2003) Recurrence of olfactory groove meningiomas. Neurosurgery 53(3):534–542PubMed
83.
go back to reference Oghalai JS, Leung MK, Jackler RK, McDermott MW (2004) Transjugular craniotomy for the management of jugular foramen tumors with intracranial extension. Otol Neurotol 25(4):570–579PubMed Oghalai JS, Leung MK, Jackler RK, McDermott MW (2004) Transjugular craniotomy for the management of jugular foramen tumors with intracranial extension. Otol Neurotol 25(4):570–579PubMed
84.
go back to reference Pamir MN, Ozduman K, Belirgen M, Kilic T, Ozek MM (2005) Outcome determinants of pterional surgery for tuberculum sellae meningiomas. Acta Neurochir (Wien) 147(11):1121–1130. doi:10.1007/s00701-005-0625-0 Pamir MN, Ozduman K, Belirgen M, Kilic T, Ozek MM (2005) Outcome determinants of pterional surgery for tuberculum sellae meningiomas. Acta Neurochir (Wien) 147(11):1121–1130. doi:10.​1007/​s00701-005-0625-0
87.
go back to reference Perry A, Banerjee R, Lohse CM, Kleinschmidt-DeMasters BK, Scheithauer BW (2002) A role for chromosome 9p21 deletions in the malignant progression of meningiomas and the prognosis of anaplastic meningiomas. Brain Pathol 12(2):183–190PubMed Perry A, Banerjee R, Lohse CM, Kleinschmidt-DeMasters BK, Scheithauer BW (2002) A role for chromosome 9p21 deletions in the malignant progression of meningiomas and the prognosis of anaplastic meningiomas. Brain Pathol 12(2):183–190PubMed
89.
go back to reference Perry A, Stafford SL, Scheithauer BW, Suman VJ, Lohse CM (1997) Meningioma grading: an analysis of histologic parameters. Am J Surg Pathol 21(12):1455–1465PubMed Perry A, Stafford SL, Scheithauer BW, Suman VJ, Lohse CM (1997) Meningioma grading: an analysis of histologic parameters. Am J Surg Pathol 21(12):1455–1465PubMed
91.
go back to reference Pollock BE, Stafford SL, Link MJ (2000) Gamma knife radiosurgery for skull base meningiomas. Neurosurg Clin N Am 11(4):659–666PubMed Pollock BE, Stafford SL, Link MJ (2000) Gamma knife radiosurgery for skull base meningiomas. Neurosurg Clin N Am 11(4):659–666PubMed
92.
go back to reference Pollock BE, Stafford SL, Utter A, Giannini C, Schreiner SA (2003) Stereotactic radiosurgery provides equivalent tumor control to simpson grade 1 resection for patients with small- to medium-size meningiomas. Int J Radiat Oncol Biol Phys 55(4):1000–1005. doi:10.1016/S0360-3016(02)04356-0 PubMed Pollock BE, Stafford SL, Utter A, Giannini C, Schreiner SA (2003) Stereotactic radiosurgery provides equivalent tumor control to simpson grade 1 resection for patients with small- to medium-size meningiomas. Int J Radiat Oncol Biol Phys 55(4):1000–1005. doi:10.​1016/​S0360-3016(02)04356-0 PubMed
93.
go back to reference Puzzilli F, Ruggeri A, Mastronardi L, Agrillo A, Ferrante L (1999) Anterior clinoidal meningiomas: report of a series of 33 patients operated on through the pterional approach. Neuro Oncol 1(3):188–195PubMed Puzzilli F, Ruggeri A, Mastronardi L, Agrillo A, Ferrante L (1999) Anterior clinoidal meningiomas: report of a series of 33 patients operated on through the pterional approach. Neuro Oncol 1(3):188–195PubMed
96.
go back to reference Reijneveld JC, Sitskoorn MM, Klein M, Nuyen J, Taphoorn MJ (2001) Cognitive status and quality of life in patients with suspected versus proven low-grade gliomas. Neurology 56(5):618–623PubMed Reijneveld JC, Sitskoorn MM, Klein M, Nuyen J, Taphoorn MJ (2001) Cognitive status and quality of life in patients with suspected versus proven low-grade gliomas. Neurology 56(5):618–623PubMed
100.
101.
go back to reference Sachsenheimer W, Bimmler T (1992) Assessment of quality of survival in patients with surgically treated meningioma. Neurochirurgia (Stuttg) 35(5):133–136 Sachsenheimer W, Bimmler T (1992) Assessment of quality of survival in patients with surgically treated meningioma. Neurochirurgia (Stuttg) 35(5):133–136
102.
go back to reference Sachsenheimer W, Piotrowski W, Bimmler T (1992) Quality of life in patients with intracranial tumors on the basis of Karnofsky's performance status. J Neurooncol 13(2):177–181PubMed Sachsenheimer W, Piotrowski W, Bimmler T (1992) Quality of life in patients with intracranial tumors on the basis of Karnofsky's performance status. J Neurooncol 13(2):177–181PubMed
104.
105.
106.
go back to reference Seifert V, Raabe A, Zimmermann M (2003) Conservative (labyrinth-preserving) transpetrosal approach to the clivus and petroclival region—indications, complications, results and lessons learned. Acta Neurochir (Wien) 145(8):631–642. doi:10.1007/s00701-003-0086-2 Seifert V, Raabe A, Zimmermann M (2003) Conservative (labyrinth-preserving) transpetrosal approach to the clivus and petroclival region—indications, complications, results and lessons learned. Acta Neurochir (Wien) 145(8):631–642. doi:10.​1007/​s00701-003-0086-2
107.
go back to reference Sekhar LN, Jannetta PJ, Maroon JC (1984) Tentorial meningiomas: surgical management and results. Neurosurgery 14(3):268–275PubMed Sekhar LN, Jannetta PJ, Maroon JC (1984) Tentorial meningiomas: surgical management and results. Neurosurgery 14(3):268–275PubMed
108.
go back to reference Sekhar LN, Wright DC, Richardson R, Monacci W (1996) Petroclival and foramen magnum meningiomas: surgical approaches and pitfalls. J Neurooncol 29(3):249–259PubMed Sekhar LN, Wright DC, Richardson R, Monacci W (1996) Petroclival and foramen magnum meningiomas: surgical approaches and pitfalls. J Neurooncol 29(3):249–259PubMed
109.
go back to reference Simpson D (1957) The recurrence of intracranial meningiomas after surgical treatment. J Neurol Neurosurg Psychiatry 20(1):22–39PubMed Simpson D (1957) The recurrence of intracranial meningiomas after surgical treatment. J Neurol Neurosurg Psychiatry 20(1):22–39PubMed
110.
go back to reference Spektor S, Valarezo J, Fliss DM, Gil Z, Cohen J, Goldman J, Umansky F (2005) Olfactory groove meningiomas from neurosurgical and ear, nose, and throat perspectives: approaches, techniques, and outcomes. Neurosurgery 57(4 Suppl):268–280. doi:10.1227/01.NEU.0000176409.70668.EB PubMed Spektor S, Valarezo J, Fliss DM, Gil Z, Cohen J, Goldman J, Umansky F (2005) Olfactory groove meningiomas from neurosurgical and ear, nose, and throat perspectives: approaches, techniques, and outcomes. Neurosurgery 57(4 Suppl):268–280. doi:10.​1227/​01.​NEU.​0000176409.​70668.​EB PubMed
111.
go back to reference Stafford SL, Pollock BE, Foote RL, Link MJ, Gorman DA, Schomberg PJ, Leavitt JA (2001) Meningioma radiosurgery: tumor control, outcomes, and complications among 190 consecutive patients. Neurosurgery 49(5):1029–1037PubMed Stafford SL, Pollock BE, Foote RL, Link MJ, Gorman DA, Schomberg PJ, Leavitt JA (2001) Meningioma radiosurgery: tumor control, outcomes, and complications among 190 consecutive patients. Neurosurgery 49(5):1029–1037PubMed
113.
116.
go back to reference Welge-Luessen A, Temmel A, Quint C, Moll B, Wolf S, Hummel T (2001) Olfactory function in patients with olfactory groove meningioma. J Neurol Neurosurg Psychiatry 70(2):218–221PubMed Welge-Luessen A, Temmel A, Quint C, Moll B, Wolf S, Hummel T (2001) Olfactory function in patients with olfactory groove meningioma. J Neurol Neurosurg Psychiatry 70(2):218–221PubMed
118.
go back to reference Wyrwich KW, Bullinger M, Aaronson N, Hays RD, Patrick DL, Symonds T (2005) Estimating clinically significant differences in quality of life outcomes. Qual Life Res 14(2):285–295PubMed Wyrwich KW, Bullinger M, Aaronson N, Hays RD, Patrick DL, Symonds T (2005) Estimating clinically significant differences in quality of life outcomes. Qual Life Res 14(2):285–295PubMed
119.
go back to reference Zachenhofer I, Wolfsberger S, Aichholzer M, Bertalanffy A, Roessler K, Kitz K, Knosp E (2006) Gamma-knife radiosurgery for cranial base meningiomas: experience of tumor control, clinical course, and morbidity in a follow-up of more than 8 years. Neurosurgery 58(1):28–36PubMed Zachenhofer I, Wolfsberger S, Aichholzer M, Bertalanffy A, Roessler K, Kitz K, Knosp E (2006) Gamma-knife radiosurgery for cranial base meningiomas: experience of tumor control, clinical course, and morbidity in a follow-up of more than 8 years. Neurosurgery 58(1):28–36PubMed
120.
go back to reference Zevgaridis D, Medele RJ, Muller A, Hischa AC, Steiger HJ (2001) Meningiomas of the sellar region presenting with visual impairment: impact of various prognostic factors on surgical outcome in 62 patients. Acta Neurochir (Wien) 143(5):471–476 Zevgaridis D, Medele RJ, Muller A, Hischa AC, Steiger HJ (2001) Meningiomas of the sellar region presenting with visual impairment: impact of various prognostic factors on surgical outcome in 62 patients. Acta Neurochir (Wien) 143(5):471–476
Metadata
Title
Contemporary surgical outcome for skull base meningiomas
Authors
Chien-Min Chen
Abel Po-Hao Huang
Lu-Ting Kuo
Yong-Kwang Tu
Publication date
01-07-2011
Publisher
Springer-Verlag
Published in
Neurosurgical Review / Issue 3/2011
Print ISSN: 0344-5607
Electronic ISSN: 1437-2320
DOI
https://doi.org/10.1007/s10143-011-0321-x

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