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Published on: July 5, 2021
[Intra-cranial meningiomas - Management of the patients in the microsurgery era]
Marco V Corniola1, Johannes A Lobrinus2, Jean-Michel Lemée3
1Service de neurochirurgie, Département des neurosciences cliniques, HUG, 1211 Genève 14.
Abstract:
Intracranial meningiomas account for 30 to 40 % of the primary lesions of the central nervous system. In most of the cases, the diagnosis of an intracranial meningioma requires a neurosurgical management, in a multi-disciplinary perspective involving radiation therapists, pathologists and, in some cases, oncologists. The variety of clinical presentations and localizations, as well as the varying degrees of aggressiveness, make intracranial meningiomas a protean surgical entity, requiring a case-by-case management tailored to each patient.
Insights
Intracranial meningiomas are common central nervous system tumors often requiring neurosurgery. Their diverse presentations necessitate individualized, multidisciplinary management approaches for optimal patient outcomes.
Area of Science:
- Neurosurgery
- Oncology
- Pathology
Background:
- Intracranial meningiomas represent 30-40% of primary central nervous system tumors.
- These tumors exhibit diverse clinical presentations, locations, and aggressiveness.
- Diagnosis often necessitates a multidisciplinary approach.
Purpose of the Study:
- To highlight the complexity of intracranial meningiomas.
- To emphasize the need for tailored, case-by-case management strategies.
Main Methods:
- Review of clinical presentations and localization patterns.
- Discussion of multidisciplinary treatment modalities.
- Case-by-case analysis of surgical management.
Main Results:
- Intracranial meningiomas are a heterogeneous group of tumors.
- Neurosurgical intervention is frequently required.
- Management involves radiation therapists, pathologists, and oncologists.
Conclusions:
- Intracranial meningiomas present a significant surgical challenge due to their variability.
- A personalized, multidisciplinary strategy is crucial for effective patient management.

