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Review
. 2021 Jun;163(6):1639-1663.
doi: 10.1007/s00701-021-04798-z. Epub 2021 Mar 19.

Petroclival meningiomas: update of current treatment and consensus by the EANS skull base section

Lorenzo Giammattei  1 , P di Russo  2 , D Starnoni  3 , T Passeri  2 , M Bruneau  4 , T R Meling  5 , M Berhouma  6 , G Cossu  3 , J F Cornelius  7 , D Paraskevopoulos  8 , I Zazpe  9 , E Jouanneau  6 , L M Cavallo  10 , V Benes  11 , V Seifert  12 , M Tatagiba  13 , H W S Schroeder  14 , T Goto  15 , K Ohata  15 , O Al-Mefty  16 , T Fukushima  17 , M Messerer  3 , R T Daniel  3 , S Froelich  2
Affiliations
Review

Petroclival meningiomas: update of current treatment and consensus by the EANS skull base section

Lorenzo Giammattei et al. Acta Neurochir (Wien). 2021 Jun.

Abstract

Background: The optimal management of petroclival meningiomas (PCMs) continues to be debated along with several controversies that persist.

Methods: A task force was created by the EANS skull base section along with its members and other renowned experts in the field to generate recommendations for the management of these tumors. To achieve this, the task force reviewed in detail the literature in this field and had formal discussions within the group.

Results: The constituted task force dealt with the existing definitions and classifications, pre-operative radiological investigations, management of small and asymptomatic PCMs, radiosurgery, optimal surgical strategies, multimodal treatment, decision-making, and patient's counselling.

Conclusion: This article represents the consensually derived opinion of the task force with respect to the management of PCMs.

Keywords: Computed tomography; Magnetic resonance imaging; Petroclival meningiomas; Posterior fossa meningiomas; Quality of life; Radiosurgery; Retrosigmoid approach; Transpetrosal approaches.

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References

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Further Reading
    1. Meling TR, Da Broi M, Scheie D, Helseth E (2019) Meningiomas: skull base versus non-skull base. Neurosurg Rev 42(1):163–173
    1. Meling TR, Da Broi M, Scheie D, Helseth E (2019) Skull base versus non-skull base meningioma surgery in the elderly. Neurosurg Rev 42(4):961–972
    1. Reinert M, Babey M, Curschmann J, Vajtai I, Seiler RW, Mariani L (2006) Morbidity in 201 patients with small sized meningioma treated by microsurgery. Acta Neurochir. https://doi.org/10.1007/s00701-006-0909-z

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