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. 1994 Oct;4(4):202–212. doi: 10.1055/s-2008-1058956

Posterior Fossa Meningioma

Surgical Strategy

Essam A Saleh, Abdel Kader Taibah, Vittorio Achilli, Miguel Aristegui, Antonio Mazzoni, Mario Sanna
PMCID: PMC1661815  PMID: 17171173

Abstract

Posterior fossa meningioma is the second most common tumor in the cerebellopontine angle. It has a higher rate of postoperative morbidity and mortality compared to acoustic neuroma. Forty posterior fossa meningioma patients managed in our centers were reviewed. Thirty-nine patients were managed surgically with 42 surgical procedures. The approaches used were the translabyrinthine approach in 18 patients (43%), the modified transcochlear in 11 cases (26%), the petro-occipital transsigmoid in 5 cases (12%), the suboccipital in 4 cases (10%), the petro-occipital trassigmoid transcervical in 2 cases (5%), the petro-occipital transsigmoid transtentorial in 1 case (2%), and a subtemporal transtentorial for another case (2%). Facial nerve anatomical integrity was preserved in 87% of procedures but was interrupted in 5 cases, with 4 of the latter subsequently repaired. Total tumor removal was accomplished in 38 cases. A second-stage total tumor removal is planned for the remaining case. There was only one case of perioperative death and no cases of radiological recurrence so far.

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These references are in PubMed. This may not be the complete list of references from this article.

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