Open Transcranial Resection of Small (

Alessandro Della Puppa, Elena D'Avella, Marta Rossetto, Francesco Volpin, Oriela Rustemi, Giorgio Gioffrè, Giuseppe Lombardi, Giuseppe Rolma, Renato Scienza

Research output: Contribution to journalArticlepeer-review


Objective Despite technical surgical advance, the ultimate management of midline anterior skull base meningiomas remains to be defined. Open transcranial surgery is usually the first treatment option for large meningiomas, while less invasive techniques such as endoscopic surgery or radiosurgery might represent an alternative to open microsurgery for smaller lesions. The aim of our study is to investigate the outcome of open transcranial microsurgery in the resection of small (70 years was associated with postoperative visual impairment, although not significantly (P = 0.06). Visual function was preserved or improved in 95% of cases, in 100% of patients 70 years without preoperative visual deficit. Our data are consistent with the literature. Conversely, the standard of treatment for the subgroup of patients >70 years with preoperative visual deficit has not yet been defined. This specific subgroup of patients offers a topic for further investigation.

Original languageEnglish
Pages (from-to)741-750
Number of pages10
JournalWorld Neurosurgery
Issue number3
Publication statusPublished - Sep 1 2015


  • Endoscopic
  • Microsurgery
  • Midline anterior fossa meningiomas
  • Skull base
  • Small meningiomas
  • Surgical outcome

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery
  • Medicine(all)

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