Lorenzo Giammattei1, P di Russo2, D Starnoni3, T Passeri2, M Bruneau4, T R Meling5, M Berhouma6, G Cossu3, J F Cornelius7, D Paraskevopoulos8, I Zazpe9, E Jouanneau6, L M Cavallo10, V Benes11, V Seifert12, M Tatagiba13, H W S Schroeder14, T Goto15, K Ohata15, O Al-Mefty16, T Fukushima17, M Messerer3, R T Daniel3, S Froelich2. 1. Department of Neurosurgery, Lariboisière Hospital, Université Paris Diderot, Paris, France. lore1985nch@gmail.com. 2. Department of Neurosurgery, Lariboisière Hospital, Université Paris Diderot, Paris, France. 3. Department of Neurosurgery and Gamma Knife Center, University Hospital of Lausanne and Faculty of Biology and Medicine, University of Lausanne, Lausanne, Switzerland. 4. Department of Neurosurgery, Erasme Hospital, Brussels, Belgium. 5. Department of Neurosurgery, University Hospital of Geneva, Geneva, Switzerland. 6. Department of Neurosurgery, Hopital Neurologique Pierre Wertheimer, Lyon, France. 7. Department of Neurosurgery, Medical Faculty, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany. 8. Department of Neurosurgery, Barts Health NHS Trust, St. Bartholomew's and The Royal London Hospital, London, UK. 9. Department of Neurosurgery, Complejo Hospitalario de Navarra, Pamplona, Spain. 10. Department of Neurosurgery, University Hospital of Naples Federico II, Napoli, NA, Italy. 11. Department of Neurosurgery, First Medical Faculty, Military University Hospital and Charles University, Prague, Czech Republic. 12. Department of Neurosurgery, Johann Wolfgang Goethe University, Frankfurt am Main, Germany. 13. Department of Neurosurgery, Eberhard Karls University of Tübingen, Tübingen, Germany. 14. Department of Neurosurgery, University Medicine Greifswald, Greifswald, Germany. 15. Department of Neurosurgery, Osaka City University Graduate School of Medicine, Osaka, Japan. 16. Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA. 17. Department of Neurosurgery, Carolina Neuroscience Institute, Raleigh, NC, USA.
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.
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.
Entities:
Keywords:
Computed tomography; Magnetic resonance imaging; Petroclival meningiomas; Posterior fossa meningiomas; Quality of life; Radiosurgery; Retrosigmoid approach; Transpetrosal approaches
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