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A review of malignant meningiomas: diagnosis, characteristics, and treatment
Simon Hanft1, Peter Canoll, Jeffrey N Bruce
1Department of Neurological Surgery, Columbia University Medical Center, New York, NY 10032, USA. sihanft@gmail.com
Abstract:
Anaplastic or malignant meningiomas (WHO Grade III) represent the most rare but aggressive subtype, accounting for 1-3% of all intracranial meningiomas. Due in large part to their scarcity, malignant meningiomas have been understudied and therefore represent an area where significant clinical advances may be made. To this point, our understanding of the genetic and histologic attributes of these lesions has grown, though the management and treatment of these aggressive tumors is less well elucidated and thus has room for further study. In this review, we describe the current understanding of malignant meningiomas in terms of their genetic alterations and unique histologic markers. Using this as a foundation, we will then discuss the current therapeutic strategies for managing these lesions and the future direction that such interventions may take.
Insights
Malignant meningiomas (WHO Grade III) are rare, aggressive brain tumors. This review details their genetics, histology, and current/future treatment strategies for these understudied lesions.
Area of Science:
- Neuro-oncology
- Pathology
- Genetics
Background:
- Anaplastic or malignant meningiomas (WHO Grade III) are rare, aggressive intracranial tumors, comprising 1-3% of all meningiomas.
- Their rarity has led to limited research, highlighting a need for improved understanding and clinical management strategies.
- Existing knowledge of genetic and histologic features is growing, but therapeutic approaches require further elucidation.
Purpose of the Study:
- To review the current understanding of malignant meningiomas.
- To detail genetic alterations and histologic markers specific to these aggressive tumors.
- To discuss current therapeutic strategies and future directions for managing malignant meningiomas.
Main Methods:
- Literature review focusing on genetic alterations, histologic markers, and treatment strategies for malignant meningiomas.
- Synthesis of current knowledge regarding the pathophysiology and clinical management of WHO Grade III meningiomas.
Main Results:
- Malignant meningiomas exhibit distinct genetic alterations and histologic features compared to lower-grade subtypes.
- Current management involves a multimodal approach, but optimal treatment protocols are still evolving.
- Significant advancements in understanding these tumors offer potential for improved therapeutic interventions.
Conclusions:
- Further research into the unique characteristics of malignant meningiomas is crucial for advancing patient care.
- Developing targeted therapies based on genetic and histologic profiles holds promise for improved outcomes.
- Continued investigation into novel treatment strategies is essential for addressing the aggressive nature of these rare brain tumors.
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