Surgical treatment of petroclival meningiomas: Experience with 16 cases

Giampaolo Cantore, Roberto Delfini, Pasquale Ciappetta

Research output: Contribution to journalArticlepeer-review

Abstract

This article presents the surgical results in a series of 16 petroclival meningiomas operated on from 1984-1990. Tumors with marked infiltration of the cavernous sinus, which belong to the category of spheno-petro-clival meningiomas, were excluded. The 16 petroclival meningiomas were all surgically treated using the combined transmastoid temporosuboccipital approach that offers a number of possible variants: retrosigmoidal, with or without recision of the sinus; presigmoidal retro-, or translabyrinthine. The choice of one or another of these variants depends on certain clinical (preoperative hearing status) and anatomic (size and extension, central or lateral, of the tumor; patency of the transverse sinuses; size and position, more or less anterior, of the sigmoid sinus; position, more or less high, of the jugular bulb) factors. The principle indications for each of these approaches are given with particular emphasis on their relative advantages and limitations.

Original languageEnglish
Pages (from-to)105-111
Number of pages7
JournalSurgical Neurology
Volume42
Issue number2
DOIs
Publication statusPublished - 1994

Keywords

  • Combined approach
  • Petroclival meningiomas
  • Presigmoid retrolabyrinthine
  • Presigmoid translabyrinthine
  • Transsigmoid retrolabyrinthine

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

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