Contemporary surgical outcome for skull base meningiomas

Chien Min Chen, Abel Po Hao Huang, Lu Ting Kuo, Yong Kwang Tu

Research output: Contribution to journalReview article

21 Citations (Scopus)

Abstract

Although surgical excision of meningioma and its dural base is the most common primary management, skull base meningiomas are quite different, and contemporary management usually consists of multimodal treatment with the aim of achieving the best possible functional outcome and quality of life (QOL) for these patients. As surgery plays an important role in the treatment of skull base meningiomas, it is crucial for neurosurgeons to appreciate the surgical outcome and QOL after meningioma surgery. Outcome is usually measured for meningiomas in terms of morbidity, mortality, time to recurrence, and QOL. The extent of resection, tumor grade, proliferative markers, and tumor location are significant factors in predicting the surgical outcome. Therefore, we address each of these factors in detail in this review. Advances in recent decades in microsurgical techniques, neuroimaging modalities, neuroanesthesia, and perioperative intensive care have substantially improved the surgical outcome; therefore, most surgical outcomes discussed in this review are cited from contemporary literature (2000 to the present) in order to depict the surgical outcome of contemporary microsurgery.

Original languageEnglish
Pages (from-to)281-294
Number of pages14
JournalNeurosurgical Review
Volume34
Issue number3
DOIs
Publication statusPublished - Jul 1 2011
Externally publishedYes

Keywords

  • Quality of life
  • Skull base meningioma
  • Surgery outcome

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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