Background: Cavernous sinus and petroclival region is an anatomically complex region in close relationship with important neurovascular structures. As such, the surgical treatment of spheno-petro-clival (SPC) meningiomas represents an operative challenge, in which several routes and its combinations might be used.
Methods: We describe in detail the surgical technique of the extradural minipterional pretemporal approach (eMPT-P) to the SPC region and highlight the main anatomical key elements involved in this approach as well as the technical aspects for avoiding surgical complications.
Conclusion: The eMPT-P is a versatile approach that uses the extradural route, and thereby reduces brain retraction, while provides a good angle of exposure of the SPC region.
Keywords: Clinoidectomy; Extradural; Minipterional; Peeling; Petroclival; Pterional; Skull base.