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. 2014 Jun;75(3):152-8.
doi: 10.1055/s-0033-1354747. Epub 2014 Mar 12.

A review of stereotactic radiosurgery practice in the management of skull base meningiomas

Elena Vera  1 , J Bryan Iorgulescu  2 , Daniel M S Raper  3 , Karthik Madhavan  4 , Brian E Lally  5 , Jacques Morcos  4 , Samy Elhammady  4 , Jonathan Sherman  6 , Ricardo J Komotar  4
Affiliations

A review of stereotactic radiosurgery practice in the management of skull base meningiomas

Elena Vera et al. J Neurol Surg B Skull Base. 2014 Jun.

Abstract

Gross total resection of skull base meningiomas poses a surgical challenge due to their proximity to neurovascular structures. Once the gold standard therapy for skull base meningiomas, microsurgery has been gradually replaced by or used in combination with stereotactic radiosurgery (SRS). This review surveys the safety and efficacy of SRS in the treatment of cranial base meningiomas including 36 articles from 1991 to 2010. SRS produces excellent tumor control with low morbidity rates compared with surgery alone for asymptomatic small skull base meningiomas, patients with risk factors precluding conventional surgery, and as adjuvant therapy for recurrent or residual lesions.

Keywords: meningiomas; radiosurgery; skull base; stereotactic; surgery.

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