Open Surgical Approaches for Meningiomas

Neurosurg Clin N Am. 2023 Jul;34(3):381-391. doi: 10.1016/j.nec.2023.02.004. Epub 2023 Apr 7.

Abstract

Meningiomas are the most common intracranial extra-axial primary tumor. Although most are low grade and slow growing, resection can be technically challenging, particularly when located at the skull base. Appropriate craniotomy and approach selection are of paramount importance to minimize brain retraction, optimize exposure, and achieve complete resection. This article summarizes various craniotomies and their approaches to meningiomas, and illustrates some nuances in performing these techniques with cadaveric dissection and operative videos.

Keywords: Cadaveric dissection; Craniotomy; Meningioma; Surgery.

Publication types

  • Review

MeSH terms

  • Craniotomy / methods
  • Humans
  • Meningeal Neoplasms* / surgery
  • Meningioma* / surgery
  • Neurosurgical Procedures / methods
  • Skull Base / surgery
  • Skull Base Neoplasms* / pathology