SpringerLink
Log in

Meningioma

  • Chapter
Principles and Practice of Stereotactic Radiosurgery

  • 2589 Accesses

Abstract

Intracranial meningiomas present a variety of management challenges due to their indolent growth when WHO I, their uncertain behavior when WHO II, and their lack of response of any form of therapy when WHO III. Additionally, there is no effective chemotherapy for those with malignant and recurrent behavior. Stereotactic Radiosurgery (SRS) and Stereotactic Radiotherapy (SRT) came to aid the treatment of meningiomas, avoiding the side effects of conventional radiation therapy and allowing for escalation of radiation dose. Outstanding tumor control rate has been achieved when using these techniques as primary or adjuvant treatment. As a result it has allowed partial resections for function preservation, since the control rate of residual meningioma treated with SRS or SRT is similar to what can be achieved by complete resection.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
EUR 29.95
Price includes VAT (Germany)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
EUR 128.39
Price includes VAT (Germany)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
EUR 165.84
Price includes VAT (Germany)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free ship** worldwide - see info
Hardcover Book
EUR 235.39
Price includes VAT (Germany)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free ship** worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Bondy M, Ligon BL. Epidemiology and etiology of intracranial meningiomas: a review. J Neurooncol. 1996;29:197–205.

    Article  CAS  PubMed  Google Scholar 

  2. Rohringer M, Sutherland GR, Louw DF, et al. Incidence and clinicopathological features of meningioma. J Neurosurg. 1989;71: 665–72.

    Article  CAS  PubMed  Google Scholar 

  3. Jaaskelainen J, Haltia M, Servo A. Atypical and anaplastic meningiomas: radiology, surgery, radiotherapy, and outcome. Surg Neurol. 1986;25:233–42.

    Article  CAS  PubMed  Google Scholar 

  4. Mahmood A, Caccamo DV, Tomecek FJ, et al. Atypical and malignant meningiomas: a clinicopathological review. Neurosurgery. 1993;33:955–63.

    Article  CAS  PubMed  Google Scholar 

  5. Palma L, Celli P, Franco C, et al. Long-term prognosis for atypical and malignant meningiomas: a study of 71 surgical cases. J Neurosurg. 1997;86:793–800.

    Article  CAS  PubMed  Google Scholar 

  6. Perry A, Scheithauer BW, Stafford SL, et al. “Malignancy” in meningiomas: a clinicopathologic study of 116 patients, with grading implications. Cancer. 1999;85:2046–56.

    CAS  PubMed  Google Scholar 

  7. Drummond KJ, Zhu JJ, Black PM. Meningiomas: updating basic science, management, and outcome. Neurologist. 2004;10:113–30.

    Article  PubMed  Google Scholar 

  8. Kleihues P, Louis DN, Scheithauer BW, et al. The WHO classification of tumors of the nervous system. J Neuropathol Exp Neurol. 2002;61:215–25. discussion 226–219.

    Article  PubMed  Google Scholar 

  9. Hug EB, Devries A, Thornton AF, et al. Management of atypical and malignant meningiomas: role of high-dose, 3D-conformal radiation therapy. J Neurooncol. 2000;48:151–60.

    Article  CAS  PubMed  Google Scholar 

  10. Pourel N, Auque J, Bracard S, et al. Efficacy of external fractionated radiation therapyin the treatment of meningiomas: a 20-year experience. Radiother Oncol. 2001;61:65–70.

    Article  CAS  PubMed  Google Scholar 

  11. Ikeda H, Yoshimoto T. Immunohistochemical study of anaplastic meningioma with special reference to the phenotypic change of intermediate filament protein. Ann Diagn Pathol. 2003;7:214–22.

    Article  PubMed  Google Scholar 

  12. al-Mefty O, Kadri PA, Pravdenkova S, et al. Malignant progression in meningioma: documentation of a series and analysis of cytogenetic findings. J Neurosurg. 2004;101:210–8.

    Article  PubMed  Google Scholar 

  13. Simpson D. The recurrence of intracranial meningiomas after surgical treatment. J Neurochem. 1957;20:22–39.

    CAS  Google Scholar 

  14. Adegbite AB, Khan MI, Paine KW, et al. The recurrence of intracranial meningiomas after surgical treatment. J Neurosurg. 1983;58:51–6.

    Article  CAS  PubMed  Google Scholar 

  15. Marks LB, Spencer DP. The influence of volume on the tolerance of the brain to radiosurgery. J Neurosurg. 1991;75:177–80.

    Article  CAS  PubMed  Google Scholar 

  16. Mirimanoff RO, Dosoretz DE, Linggood RM, et al. Meningioma: analysis of recurrence and progression following neurosurgical resection. J Neurosurg. 1985;62:18–24.

    Article  CAS  PubMed  Google Scholar 

  17. Sekhar LN, Patel S, Cusimano M, et al. Surgical treatment of meningiomas involving the cavernous sinus: evolving ideas based on a ten year experience. Acta Neurochir Suppl. 1996;65:58–62.

    CAS  PubMed  Google Scholar 

  18. Sen C, Hague K. Meningiomas involving the cavernous sinus: histological factors affecting the degree of resection. J Neurosurg. 1997;87:535–43.

    Article  CAS  PubMed  Google Scholar 

  19. Sindou MP, Alaywan M. Most intracranial meningiomas are not cleavable tumors: anatomic-surgical evidence and angiographic predictibility. Neurosurgery. 1998;42:476–80.

    Article  CAS  PubMed  Google Scholar 

  20. al-Mefty O, Ayoubi S, Smith RR. The petrosal approach: indications, technique, and results. Acta Neurochir Suppl (Wien). 1991;53:166–70.

    Article  CAS  Google Scholar 

  21. Bricolo AP, Turazzi S, Talacchi A, et al. Microsurgical removal of petroclival meningiomas: a report of 33 patients. Neurosurgery. 1992;31:813–28. discussion 828.

    Article  CAS  PubMed  Google Scholar 

  22. Couldwell WT, Fukushima T, Giannotta SL, et al. Petroclival meningiomas: surgical experience in 109 cases. J Neurosurg. 1996;84:20–8.

    Article  CAS  PubMed  Google Scholar 

  23. DeMonte F, Smith HK, al-Mefty O. Outcome of aggressive removal of cavernous sinus meningiomas. J Neurosurg. 1994;81:245–51.

    Article  CAS  PubMed  Google Scholar 

  24. O’Sullivan MG, van Loveren HR, Tew Jr JM. The surgical resectability of meningiomas of the cavernous sinus. Neurosurgery. 1997;40:238–44. discussion 245–237.

    Article  PubMed  Google Scholar 

  25. Sekhar LN, Swamy NK, Jaiswal V, et al. Surgical excision of meningiomas involving the clivus: preoperative and intraoperative features as predictors of postoperative functional deterioration. J Neurosurg. 1994;81:860–8.

    Article  CAS  PubMed  Google Scholar 

  26. De Jesus O, Sekhar LN, Parikh HK, et al. Long-term follow-up of patients with meningiomas involving the cavernous sinus: recurrence, progression, and quality of life. Neurosurgery. 1996;39: 915–9. discussion 919–920.

    Article  PubMed  Google Scholar 

  27. Little KM, Friedman AH, Sampson JH, et al. Surgical management of petroclival meningiomas: defining resection goals based on risk of neurological morbidity and tumor recurrence rates in 137 patients. Neurosurgery. 2005;56:546–59. discussion 546–559.

    Article  PubMed  Google Scholar 

  28. Nanda A, Jawahar A, Sathyanarayana S. Microsurgery for potential radiosurgical skull base lesions: a retrospective analysis and comparison of results. Skull Base. 2003;13:131–8.

    Article  PubMed Central  PubMed  Google Scholar 

  29. Soyuer S, Chang EL, Selek U, et al. Radiotherapy after surgery for benign cerebral meningioma. Radiother Oncol. 2004;71:85–90.

    Article  PubMed  Google Scholar 

  30. Taylor Jr BW, Marcus Jr RB, Friedman WA, et al. The meningioma controversy: postoperative radiation therapy. Int J Radiat Oncol Biol Phys. 1988;15:299–304.

    Article  PubMed  Google Scholar 

  31. Barbaro NM, Gutin PH, Wilson CB, et al. Radiation therapy in the treatment of partially resected meningiomas. Neurosurgery. 1987;20:525–8.

    Article  CAS  PubMed  Google Scholar 

  32. Glaholm J, Bloom HJ, Crow JH. The role of radiotherapy in the management of intracranial meningiomas: the Royal Marsden Hospital experience with 186 patients. Int J Radiat Oncol Biol Phys. 1990;18:755–61.

    Article  CAS  PubMed  Google Scholar 

  33. Goldsmith BJ, Wara WM, Wilson CB, et al. Postoperative irradiation for subtotally resected meningiomas. A retrospective analysis of 140 patients treated from 1967 to 1990. J Neurosurg. 1994;80:195–201.

    Article  CAS  PubMed  Google Scholar 

  34. Wilson CB. Cavernous sinus meningiomas. Surg Neurol. 1996;46:191–2.

    Article  CAS  PubMed  Google Scholar 

  35. Nutting C, Brada M, Brazil L, et al. Radiotherapy in the treatment of benign meningioma of the skull base. J Neurosurg. 1999;90:823–7.

    Article  CAS  PubMed  Google Scholar 

  36. Milosevic MF, Frost PJ, Laperriere NJ, et al. Radiotherapy for atypical or malignant intracranial meningioma. Int J Radiat Oncol Biol Phys. 1996;34:817–22.

    Article  CAS  PubMed  Google Scholar 

  37. Dziuk TW, Woo S, Butler EB, et al. Malignant meningioma: an indication for initial aggressive surgery and adjuvant radiotherapy. J Neurooncol. 1998;37:177–88.

    Article  CAS  PubMed  Google Scholar 

  38. Ware ML, Larson DA, Sneed PK, et al. Surgical resection and permanent brachytherapy for recurrent atypical and malignant meningioma. Neurosurgery. 2004;54:55–63. discussion 63–54.

    Article  PubMed  Google Scholar 

  39. al-Mefty O, Kersh JE, Routh A, et al. The long-term side effects of radiation therapy for benign brain tumors in adults. J Neurosurg. 1990;73:502–12.

    Article  CAS  PubMed  Google Scholar 

  40. Crossen JR, Garwood D, Glatstein E, et al. Neurobehavioral sequelae of cranial irradiation in adults: a review of radiation-induced encephalopathy. J Clin Oncol. 1994;12:627–42.

    CAS  PubMed  Google Scholar 

  41. Torres RC, Frighetto L, De Salles AA, et al. Radiosurgery and stereotactic radiotherapy for intracranial meningiomas. Neurosurg Focus. 2003;14:e5.

    Article  PubMed  Google Scholar 

  42. Torres RC, De Salles AA, Frighetto L, et al. Long-term follow-up using linac radiosurgery and stereotactic radiotherapy as a minimally invasive treatment for intracranial meningiomas. Radiosurgery. 2004;5:115–23.

    Article  Google Scholar 

  43. De Salles AA, Frighetto L, Grande CV, et al. Radiosurgery and stereotactic radiation therapy of skull base meningiomas: proposal of a grading system. Stereotact Funct Neurosurg. 2001;76:218–29.

    Article  PubMed  Google Scholar 

  44. Selch MT, Ahn E, Laskari A, et al. Stereotactic radiotherapy for treatment of cavernous sinus meningiomas. Int J Radiat Oncol Biol Phys. 2004;59:101–11.

    Article  PubMed  Google Scholar 

  45. Kondziolka D, Lunsford LD. Radiosurgery of meningiomas. Neurosurg Clin N Am. 1992;3:219–30.

    CAS  PubMed  Google Scholar 

  46. Hakim R, Alexander 3rd E, Loeffler JS, et al. Results of linear accelerator-based radiosurgery for intracranial meningiomas. Neurosurgery. 1998;42:446–53. discussion 453–444.

    Article  CAS  PubMed  Google Scholar 

  47. Shafron DH, Friedman WA, Buatti JM, et al. Linac radiosurgery for benign meningiomas. Int J Radiat Oncol Biol Phys. 1999;43:321–7.

    Article  CAS  PubMed  Google Scholar 

  48. Spiegelmann R, Nissim O, Menhel J, et al. Linear accelerator radiosurgery for meningiomas in and around the cavernous sinus. Neurosurgery. 2002;51:1373–9. discussion 1379–1380.

    PubMed  Google Scholar 

  49. Iwai Y, Yamanaka K, Ishiguro T. Gamma knife radiosurgery for the treatment of cavernous sinus meningiomas. Neurosurgery. 2003;2:517–24. discussion 523–514.

    Article  Google Scholar 

  50. Kobayashi T, Kida Y, Mori Y. Long-term results of stereotactic gamma radiosurgery of meningiomas. Surg Neurol. 2001;55:325–31.

    Article  CAS  PubMed  Google Scholar 

  51. Kondziolka D, Levy EI, Niranjan A, et al. Long-term outcomes after meningioma radiosurgery: physician and patient perspectives. J Neurosurg. 1999;91:44–50.

    Article  CAS  PubMed  Google Scholar 

  52. Kondziolka D, Nathoo N, Flickinger JC, et al. Long-term results after radiosurgery for benign intracranial tumors. Neurosurgery. 2003;53:815–21. discussion 821–812.

    PubMed  Google Scholar 

  53. Leksell L. Stereotactic radiosurgery. J Neurol Neurosurg Psychiatry. 1983;46:797–803.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  54. Stafford SL, Pollock BE, Foote RL, et al. Meningioma radiosurgery: tumor control, outcomes, and complications among 190 consecutive patients. Neurosurgery. 2001;49:1029–37. discussion 1037–1028.

    CAS  PubMed  Google Scholar 

  55. Vernimmen FJ, Harris JK, Wilson JA, et al. Stereotactic proton beam therapy of skull base meningiomas. Int J Radiat Oncol Biol Phys. 2001;49:99–105.

    Article  CAS  PubMed  Google Scholar 

  56. Nicolato A, Foroni R, Alessandrini F, et al. The role of Gamma Knife radiosurgery in the management of cavernous sinus meningiomas. Int J Radiat Oncol Biol Phys. 2002;53:992–1000.

    Article  PubMed  Google Scholar 

  57. Subach BR, Lunsford LD, Kondziolka D, et al. Management of petroclival meningiomas by stereotactic radiosurgery. Neurosurgery. 1998;42:437–43. discussion 443–435.

    Article  CAS  PubMed  Google Scholar 

  58. Pendl G, Schrottner O, Eustacchio S, et al. Stereotactic radiosurgery of skull base meningiomas. Minim Invasive Neurosurg. 1997;40:87–90.

    Article  CAS  PubMed  Google Scholar 

  59. Liscak R, Simonova G, Vymazal J, et al. Gamma knife radiosurgery of meningiomas in the cavernous sinus region. Acta Neurochir (Wien). 1999;141:473–80.

    Article  CAS  Google Scholar 

  60. Nedzi LA, Kooy H, Alexander 3rd E, et al. Variables associated with the development of complications from radiosurgery of intracranial tumors. Int J Radiat Oncol Biol Phys. 1991;21:591–9.

    Article  CAS  PubMed  Google Scholar 

  61. Chang JH, Chang JW, Choi JY, et al. Complications after gamma knife radiosurgery for benign meningiomas. J Neurol Neurosurg Psychiatry. 2003;74:226–30.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  62. Valentino V, Schinaia G, Raimondi AJ. The results of radiosurgical management of 72 middle fossa meningiomas. Acta Neurochir (Wien). 1993;122:60–70.

    Article  CAS  Google Scholar 

  63. DiBiase SJ, Kwok Y, Yovino S, et al. Factors predicting local tumor control after gamma knife stereotactic radiosurgery for benign intracranial meningiomas. Int J Radiat Oncol Biol Phys. 2004;60:1515–9.

    Article  PubMed  Google Scholar 

  64. Pollock BE, Stafford SL, Utter A, et al. Stereotactic radiosurgery provides equivalent tumor control to Simpson grade 1 resection for patients with small- to medium-size meningiomas. Int J Radiat Oncol Biol Phys. 2003;55:1000–5.

    Article  PubMed  Google Scholar 

  65. Flickinger JC, Kondziolka D, Maitz AH, et al. Gamma knife radiosurgery of imaging-diagnosed intracranial meningioma. Int J Radiat Oncol Biol Phys. 2003;56:801–6.

    Article  PubMed  Google Scholar 

  66. Nakatomi H, Sasaki T, Kawamoto S, et al. Primary cavernous sinus malignant lymphoma treated by gamma knife radiosurgery: case report and review of the literature. Surg Neurol. 1996;46:272–8. discussion 278–279.

    Article  CAS  PubMed  Google Scholar 

  67. Kim DG, Kim Ch H, Chung HT, et al. Gamma Knife surgery of superficially located meningioma. J Neurosurg. 2005;102(Suppl): 255–8.

    Article  PubMed  Google Scholar 

  68. Kotapka MJ, Kalia KK, Martinez AJ, et al. Infiltration of the carotid artery by cavernous sinus meningioma. J Neurosurg. 1994;81:252–5.

    Article  CAS  PubMed  Google Scholar 

  69. Larson JJ, van Loveren HR, Balko MG, et al. Evidence of meningioma infiltration into cranial nerves: clinical implications for cavernous sinus meningiomas. J Neurosurg. 1995;83:596–9.

    Article  CAS  PubMed  Google Scholar 

  70. Zentner J, Meyer B, Vieweg U, et al. Petroclival meningiomas: is radical resection always the best option? J Neurol Neurosurg Psychiatry. 1997;62:341–5.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  71. Liscak R, Kollova A, Vladyka V, et al. Gamma Knife radiosurgery of skull base meningiomas. Acta Neurochir Suppl. 2004;91: 65–74.

    CAS  PubMed  Google Scholar 

  72. Chuang CC, Chang CN, Tsang NM, et al. Linear accelerator-based radiosurgery in the management of skull base meningiomas. J Neurooncol. 2004;66:241–9.

    Article  PubMed  Google Scholar 

  73. Roche PH, Pellet W, Fuentes S, et al. Gamma Knife radiosurgical management of petroclival meningiomas results and indications. Acta Neurochir (Wien). 2003;145:883–8. discussion 888.

    Article  Google Scholar 

  74. Tishler RB, Loeffler JS, Lunsford LD, et al. Tolerance of cranial nerves of the cavernous sinus to radiosurgery. Int J Radiat Oncol Biol Phys. 1993;27:215–21.

    Article  CAS  PubMed  Google Scholar 

  75. Leber KA, Bergloff J, Pendl G. Dose-response tolerance of the visual pathways and cranial nerves of the cavernous sinus to stereotactic radiosurgery. J Neurosurg. 1998;88:43–50.

    Article  CAS  PubMed  Google Scholar 

  76. Stafford SL, Pollock BE, Leavitt JA, et al. A study on the radiation tolerance of the optic nerves and chiasm after stereotactic radiosurgery. Int J Radiat Oncol Biol Phys. 2003;55:1177–81.

    Article  PubMed  Google Scholar 

  77. Chen JC, Giannotta SL, Yu C, et al. Radiosurgical management of benign cavernous sinus tumors: dose profiles and acute complications. Neurosurgery. 2001;48:1022–30. discussion 1030–1022.

    Article  CAS  PubMed  Google Scholar 

  78. De Salles AA, Bajada CL, Goetsch S, et al. Radiosurgery of cavernous sinus tumors. Acta Neurochir Suppl (Wien). 1993;58: 101–3.

    Google Scholar 

  79. Lee JY, Niranjan A, McInerney J, et al. Stereotactic radiosurgery providing long-term tumor control of cavernous sinus meningiomas. J Neurosurg. 2002;97:65–72.

    Article  PubMed  Google Scholar 

  80. Tome WA, Mehta MP, Meeks SL, et al. Fractionated stereotactic radiotherapy: a short review. Technol Cancer Res Treat. 2002;1:153–72.

    Article  PubMed  Google Scholar 

  81. Gill SS, Thomas DG, Warrington AP, et al. Relocatable frame for stereotactic external beam radiotherapy. Int J Radiat Oncol Biol Phys. 1991;20:599–603.

    Article  CAS  PubMed  Google Scholar 

  82. Alheit H, Dornfeld S, Dawel M, et al. Patient position reproducibility in fractionated stereotactically guided conformal radiotherapy using the BrainLab mask system. Strahlenther Onkol. 2001;177:264–8.

    Article  CAS  PubMed  Google Scholar 

  83. Kooy HM, Dunbar SF, Tarbell NJ, et al. Adaptation and verification of the relocatable Gill-Thomas-Cosman frame in stereotactic radiotherapy. Int J Radiat Oncol Biol Phys. 1994;30:685–91.

    Article  CAS  PubMed  Google Scholar 

  84. Solberg T, Ford J, Medin P, et al. Reproducibility of frame positioning for fractionated stereotactic radiosurgery. J Radiosurg. 1999;2:57–64.

    Article  Google Scholar 

  85. Lo SS, Cho KH, Hall WA, et al. Single dose versus fractionated stereotactic radiotherapy for meningiomas. Can J Neurol Sci. 2002;29:240–8.

    Article  PubMed  Google Scholar 

  86. Milker-Zabel S, Zabel A, Schulz-Ertner D, et al. Fractionated stereotactic radiotherapy in patients with benign or atypical intracranial meningioma: long-term experience and prognostic factors. Int J Radiat Oncol Biol Phys. 2005;61:809–16.

    Article  PubMed  Google Scholar 

  87. Debus J, Wuendrich M, Pirzkall A, et al. High efficacy of fractionated stereotactic radiotherapy of large base-of-skull meningiomas: long-term results. J Clin Oncol. 2001;19:3547–53.

    CAS  PubMed  Google Scholar 

  88. Baumert BG, Norton IA, Davis JB. Intensity-modulated stereotactic radiotherapy vs. stereotactic conformal radiotherapy for the treatment of meningioma located predominantly in the skull base. Int J Radiat Oncol Biol Phys. 2003;57:580–92.

    Article  PubMed  Google Scholar 

  89. Ernst-Stecken A, Lambrecht U, Ganslandt O, et al. Radiosurgery of small skull-base lesions no advantage for intensity-modulated stereotactic radiosurgery versus conformal arc technique. Strahlenther Onkol. 2005;181:336–44.

    Article  PubMed  Google Scholar 

  90. Gabibov GA, Blinkov SM, Tcherekayev VA. The management of optic nerve meningiomas and gliomas. J Neurosurg. 1988;68: 889–93.

    Article  CAS  PubMed  Google Scholar 

  91. Kupersmith MJ, Warren FA, Newall J, et al. Irradiation of meningiomas of the intracranial anterior visual pathway. Ann Neurol. 1987;21:131–7.

    Article  CAS  PubMed  Google Scholar 

  92. Wara WM, Sheline GE, Newman H, et al. Radiation therapy of meningiomas. Am J Roentgenol Radium Ther Nucl Med. 1975;123:453–8.

    Article  CAS  PubMed  Google Scholar 

  93. Andrews DW, Faroozan R, Yang BP, et al. Fractionated stereotactic radiotherapy for the treatment of optic nerve sheath meningiomas: preliminary observations of 33 optic nerves in 30 patients with historical comparison to observation with or without prior surgery. Neurosurgery. 2002;51:890–902. discussion 903–894.

    PubMed  Google Scholar 

  94. Baumert BG, Villa S, Studer G, et al. Early improvements in vision after fractionated stereotactic radiotherapy for primary optic nerve sheath meningioma. Radiother Oncol. 2004;72:169–74.

    Article  PubMed  Google Scholar 

  95. Ojemann SG, Sneed PK, Larson DA, et al. Radiosurgery for malignant meningioma: results in 22 patients. J Neurosurg. 2000;93 Suppl 3:62–7.

    PubMed  Google Scholar 

  96. Harris AE, Lee JY, Omalu B, et al. The effect of radiosurgery during management of aggressive meningiomas. Surg Neurol. 2003;60:298–305. discussion 305.

    Article  PubMed  Google Scholar 

  97. Huffmann BC, Reinacher PC, Gilsbach JM. Gamma Knife surgery for atypical meningiomas. J Neurosurg. 2005;102(Suppl): 283–6.

    Article  PubMed  Google Scholar 

  98. Abdel-Aziz KM, Froelich SC, Dagnew E, et al. Large sphenoid wing meningiomas involving the cavernous sinus: conservative surgical strategies for better functional outcomes. Neurosurgery. 2004;54:1375–83. discussion 1383–1374.

    Article  PubMed  Google Scholar 

  99. Maruyama K, Shin M, Kurita H, et al. Proposed treatment strategy for cavernous sinus meningiomas: a prospective study. Neurosurgery. 2004;55:1068–75.

    Article  PubMed  Google Scholar 

  100. Frighetto L, De Salles AA, Behnke E, et al. Image-guided frameless stereotactic biopsy sampling of parasellar lesions. Technical note. J Neurosurg. 2003;98:920–5.

    Article  PubMed  Google Scholar 

  101. Duma CM, Lunsford LD, Kondziolka D, et al. Stereotactic radiosurgery of cavernous sinus meningiomas as an addition or alternative to microsurgery. Neurosurgery. 1993;32:699–704. discussion 704–695.

    Article  CAS  PubMed  Google Scholar 

  102. Suzuki M, Mizoi K, Yoshimoto T. Should meningiomas involving the cavernous sinus be totally resected? Surg Neurol. 1995;44:3–10. discussion 10–13.

    Article  CAS  PubMed  Google Scholar 

  103. Flickinger JC. An integrated logistic formula for prediction of complications from radiosurgery. Int J Radiat Oncol Biol Phys. 1989;17:879–85.

    Article  CAS  PubMed  Google Scholar 

  104. Kjellberg RN, Davis KR, Lyons S, et al. Bragg peak proton beam therapy for arteriovenous malformation of the brain. Clin Neurosurg. 1983;31:248–90.

    CAS  PubMed  Google Scholar 

  105. Yang S, Law M, Zagzag D, et al. Dynamic contrast-enhanced perfusion MR imaging measurements of endothelial permeability: differentiation between atypical and typical meningiomas. AJNR Am J Neuroradiol. 2003;24:1554–9.

    PubMed  Google Scholar 

  106. Kalala JP, Maes L, Vandenbroecke C, et al. The hTERT protein as a marker for malignancy in meningiomas. Oncol Rep. 2005; 13:273–7.

    CAS  PubMed  Google Scholar 

  107. Maes L, Lippens E, Kalala JP, et al. The hTERT-protein and Ki-67 labelling index in recurrent and non-recurrent meningiomas. Cell Prolif. 2005;38:3–12.

    Article  CAS  PubMed  Google Scholar 

  108. Wrobel G, Roerig P, Kokocinski F, et al. Microarray-based gene expression profiling of benign, atypical and anaplastic meningiomas identifies novel genes associated with meningioma progression. Int J Cancer. 2005;114:249–56.

    Article  CAS  PubMed  Google Scholar 

  109. Rohde V, Spangenberg P, Mayfrank L, et al. Advanced neuro-navigation in skull base tumors and vascular lesions. Minim Invasive Neurosurg. 2005;48:13–8.

    Article  CAS  PubMed  Google Scholar 

  110. Kamada K, Todo T, Masutani Y, et al. Combined use of tractography-integrated functional neuronavigation and direct fiber stimulation. J Neurosurg. 2005;102:664–72.

    Article  PubMed  Google Scholar 

  111. Cook SW, Smith Z, Kelly DF. Endonasal transsphenoidal removal of tuberculum sellae meningiomas: technical note. Neurosurgery. 2004;55:239–44. discussion 244–236.

    Article  PubMed  Google Scholar 

  112. Couldwell WT, Weiss MH, Rabb C, et al. Variations on the standard transsphenoidal approach to the sellar region, with emphasis on the extended approaches and parasellar approaches: surgical experience in 105 cases. Neurosurgery. 2004;55:539–47. discussion 547–550.

    Article  PubMed  Google Scholar 

  113. Jho HD, Alfieri A. Endoscopic glabellar approach to the anterior skull base: a technical note. Minim Invasive Neurosurg. 2002;45:185–8.

    Article  PubMed  Google Scholar 

  114. Villavicencio AT, Black PM, Shrieve DC, Fallon MP, Alexander E, Loeffler JS. Linac radiosurgery for skull base meningiomas. Acta Neurochir (Wien). 2001;143(11):1141–52.

    Article  CAS  Google Scholar 

  115. Friedman WA, Murad GJ, Bradshaw P, Amdur RJ, Mendenhall WM, Foote KD, Bova FJ. Linear accelerator surgery for meningiomas. J Neurosurg. 2005;103(2):206–9.

    Article  PubMed  Google Scholar 

  116. Hasegawa T, Kida Y, Yoshimoto M, Koike J, Iizuka H, Ishii D. Long-term outcomes of Gamma Knife surgery for cavernous sinus meningioma. J Neurosurg. 2007;107(4):745–51.

    Article  PubMed  Google Scholar 

  117. Pollock BE, Stafford SL, Link MJ, Brown PD, Garces YI, Foote RL. Single-fraction radiosurgery of benign intracranial meningiomas. Neurosurgery. 2012;71(3):604–12. doi:10.1227/NEU. 0b013e31825ea557. discussion 613.

    Article  PubMed  Google Scholar 

  118. Henzel M, Gross MW, Hamm K, Surber G, Kleinert G, Failing T, Strassmann G, Engenhart-Cabillic R. Significant tumor volume reduction of meningiomas after stereotactic radiotherapy: results of a prospective multicenter study. Neurosurgery. 2006;59(6): 1188–94. discussion 1194.

    Article  PubMed  Google Scholar 

  119. Adler Jr JR, Gibbs IC, Puataweepong P, Chang SD. Visual field preservation after multisession cyberknife radiosurgery for perioptic lesions. Neurosurgery. 2006;59(2):244–54. discussion 244–54.

    Article  PubMed  Google Scholar 

  120. Litré CF, Colin P, Noudel R, Peruzzi P, Bazin A, Sherpereel B, Bernard MH, Rousseaux P. Fractionated stereotactic radiotherapy treatment of cavernous sinus meningiomas: a study of 100 cases. Int J Radiat Oncol Biol Phys. 2009;74(4):1012–7.

    Article  PubMed  Google Scholar 

  121. Combs SE, Adeberg S, Dittmar JO, Welzel T, Rieken S, Habermehl D, Huber PE, Debus J. Skull base meningiomas: Long-term results and patient self-reported outcome in 507 patients treated with fractionated stereotactic radiotherapy (FSRT) or intensity modulated radiotherapy (IMRT). Radiother Oncol. 2013;106(2): 186–91.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Neurosurgery, University of California Los Angeles, Los Angeles, CA, USA

    Alessandra Gorgulho M.D., M.Sc. & Antonio A. F. De Salles M.D., Ph.D.

  2. Department of Neurosurgery, Hospital de Coração-Associação do Sanatório Sírio, Sao Paulo, Brazil

    Alessandra Gorgulho M.D., M.Sc. & Antonio A. F. De Salles M.D., Ph.D.

  3. Department of Surgery, Division of Neurosurgery, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA

    Carlos A. Mattozo M.D. (Assistant Professor)

  4. Neurosurgery, Department of Neurosurgery, Pontificia Universidade Catolica de Curitiba, Curitiba, Brazil

    Carlos A. Mattozo M.D. (Assistant Professor)

Authors
  1. Alessandra Gorgulho M.D., M.Sc.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Carlos A. Mattozo M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Antonio A. F. De Salles M.D., Ph.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Alessandra Gorgulho M.D., M.Sc. .

Editor information

Editors and Affiliations

  1. Department of Neurosurgery, SUNY Upstate Medical University, Syracuse, USA

    Lawrence S. Chin

  2. Dept. of Radiation Oncology, Univ. of Maryland School of Medicine, Baltimore, Maryland, USA

    William F. Regine

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer Science+Business Media New York

About this chapter

Cite this chapter

Gorgulho, A., Mattozo, C.A., De Salles, A.A.F. (2015). Meningioma. In: Chin, L., Regine, W. (eds) Principles and Practice of Stereotactic Radiosurgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8363-2_20

Download citation

  • DOI: https://doi.org/10.1007/978-1-4614-8363-2_20

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-8362-5

  • Online ISBN: 978-1-4614-8363-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation