Open AccessApproach Selection and Surgical Planning in Posterior Cranial Fossa Meningiomas: How I Do It
Author(s) -
André BeerFurlan,
Eduardo Vellutini,
Marcos da Silva Gomes,
Alberto C. Cardoso,
Luciano M. Prevedello,
Alexandre Bossi Todeschini,
Daniel M. Prevedello
Publication year - 2018
Publication title -
journal of neurological surgery. part b, skull base
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.488
H-Index - 42
eISSN - 2193-6331
pISSN - 2193-634X
DOI - 10.1055/s-0038-1675589
Subject(s) - posterior cranial fossa , posterior fossa , surgical planning , selection (genetic algorithm) , medicine , surgery , computer science , artificial intelligence
Posterior cranial fossa meningiomas represent approximately 9% of all the intracranial meningiomas. Despite the recent reports of radiation therapy in the management of these tumors, surgical resection continues to be the first line of treatment method aiming the permanent meningioma eradication. The evolution of imaging studies improved the preoperative evaluation of meningiomas providing greater anatomical detail of small structures not previously visualized. Nonetheless, the preoperative radiological evaluation should go beyond the differential diagnosis of a posterior fossa tumor. Anatomo-radiological assessment of meningiomas is discussed in detail. Based on our clinical experience, literature review, and case illustration, we highlight important preoperative anatomo-radiological aspects of posterior fossa meningiomas and their implications in the surgical management of these tumors.