The Contemporary Role of Stereotactic Radiosurgery in the Treatment of Meningiomas

Or Cohen-Inbar; Cheng-Chia Lee; Jason P Sheehan

doi:10.1016/j.nec.2015.11.006

The Contemporary Role of Stereotactic Radiosurgery in the Treatment of Meningiomas

Neurosurg Clin N Am. 2016 Apr;27(2):215-28. doi: 10.1016/j.nec.2015.11.006. Epub 2016 Feb 18.

Authors

Or Cohen-Inbar¹, Cheng-Chia Lee², Jason P Sheehan³

Affiliations

¹ Department of Neurological Surgery, University of Virginia Health Sciences Center, Box 800212, Charlottesville, VA 22908, USA. Electronic address: oc2f@virginia.edu.
² Neurological Institute, Taipei Veteran General Hospital, National Yang-Ming University, 17F., No.201, Sec. 2, Shipai Rd., Beitou District, Taipei 11217, Taiwan.
³ Department of Neurological Surgery, University of Virginia Health Sciences Center, Box 800212, Charlottesville, VA 22908, USA.

PMID: 27012386
DOI: 10.1016/j.nec.2015.11.006

Abstract

Meningiomas are among the most common intracranial tumors in adults. The mainstay of treatment has been extirpation. Stereotactic radiosurgery (SRS) is an important option in the management of inaccessible, recurrent, or residual benign meningiomas. Image guidance and a steep dose fall off are critical features. SRS offers durable tumor control for grade I meningiomas with a low incidence of complications or neurologic deficits. Neurologic function is generally preserved or improved. Complications are relatively rare. For many, the risk to benefit ratio seems favorable compared with treatment alternatives. We present a short review of the literature on SRS for intracranial meningiomas.

Keywords: Cyberknife; Gamma knife; Meningioma; Novalis; Stereotactic radiosurgery; Tomotherapy; Trilogy.

Publication types

Review

MeSH terms

Humans
Meningeal Neoplasms / pathology
Meningeal Neoplasms / surgery*
Meningioma / pathology
Meningioma / surgery*
Radiosurgery / adverse effects
Radiosurgery / methods*
Treatment Outcome