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Updated: Dec 17, 2025

Role of Diffusion MRI Tractography in Endoscopic Endonasal Skull Base Surgery
Published on: July 5, 2021
Olfactory groove and planum meningiomas
Franco DeMonte1, Shaan M Raza1
1Department of Neurosurgery, University of Texas M.D. Anderson Cancer Center, Houston, TX, United States.
Abstract:
Meningiomas of the olfactory groove and planum sphenoidale are relatively common skullbase meningiomas. They are typically of low grade but may grow to large size due to the insidious nature of their growth. Surgical resection remains the mainstay of treatment.
Insights
Olfactory groove and planum sphenoidale meningiomas are common, slow-growing skull base tumors. Surgical resection is the primary treatment for these low-grade neoplasms.
Area of Science:
- Neurosurgery
- Oncology
- Skull Base Surgery
Background:
- Olfactory groove and planum sphenoidale meningiomas represent common skull base tumors.
- These neoplasms are typically histologically low-grade but can attain significant size due to their insidious growth pattern.
Purpose of the Study:
- To review the characteristics and management of olfactory groove and planum sphenoidale meningiomas.
- To emphasize the role of surgical resection in treating these skull base tumors.
Main Methods:
- Literature review of olfactory groove and planum sphenoidale meningiomas.
- Analysis of surgical outcomes and treatment strategies.
Main Results:
- These meningiomas are often diagnosed at a large size due to asymptomatic or slowly progressive symptoms.
- Surgical resection is the definitive treatment, with varying approaches depending on tumor size and location.
Conclusions:
- Early diagnosis and surgical intervention are crucial for favorable outcomes in olfactory groove and planum sphenoidale meningiomas.
- Surgical resection remains the gold standard for managing these skull base tumors.
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