title: Surgical navigation for meningioma surgery.
abstract: The use of surgical navigation systems (SNSs) is well established in intracranial surgery for gliomas and metastases yet some doubt its benefit in surgery for intracranial meningiomas. In this chapter we review the authors' experiences and literature on how use of surgical navigation may be useful in craniotomy for intracranial mengingiomas. With the exception of small convexity meningiomas, finding the tumor is not a common problem. The most important issues where the capabilities of SNS can be used to the surgeon's advantage are optimizing the bone and dural opening, avoiding arterial and venous structures, defining the frontal air sinuses and determining one's location within a large tumor devoid of landmarks. Contemporary SNS can provide instantaneous localization and orientation information, as well as utilize multimodality imaging that is required to address these problems and is an effective means of optimizing surgery for many intracranial meningiomas.
authors.affiliation: Brain Tumor and Neuro-Oncology Center, Department of Neurological Surgery, Taussig Cancer Institute, Neurological Institute, Cleveland Clinic, Cleveland, OH, USA.
authors.forename: S Bulent
authors.initials: SB
authors.lastname: Omay
authors.forename: Gene H
authors.initials: GH
authors.lastname: Barnett
mesh_terms: D003399:Craniotomy; D003952:Diagnostic Imaging; D006801:Humans; D007091:Image Processing, Computer-Assisted; D008577:Meningeal Neoplasms / Q000175:diagnosis / Q000601:surgery*; D008579:Meningioma / Q000175:diagnosis / Q000601:surgery*; D013238:Stereotaxic Techniques
references.citation: Neurosurgery. 2000 Jul;47(1):40-7; discussion 47-8
references.pmid: 10917345
references.citation: J Neurooncol. 1999 May;42(3):247-58
references.pmid: 10433108
references.citation: Clin Orthop Relat Res. 2007 Oct;463:3-6
references.pmid: 17912057
references.citation: Acta Neurochir (Wien). 1997;139(6):551-9
references.pmid: 9248590
references.citation: J Neurosurg. 1995 Aug;83(2):197-205
references.pmid: 7616261
references.citation: J Neurosurg. 1972 Oct;37(4):407-11
references.pmid: 4560951
references.citation: J Neurosurg. 1998 Apr;88(4):656-62
references.pmid: 9525711
references.citation: Skull Base. 2006 May;16(2):59-66
references.pmid: 17077870
references.citation: Neurosurgery. 1996 Jul;39(1):194-202; discussion 202-4
references.pmid: 8805161
references.citation: Ann R Coll Surg Engl. 1999 Jul;81(4):217-25
references.pmid: 10615186
references.citation: J Neurol. 2006 Sep;253(9):1123-36
references.pmid: 16988793
references.citation: Neurosurg Clin N Am. 1996 Apr;7(2):279-84
references.pmid: 8726441
references.citation: Surg Neurol. 1988 Sep;30(3):204-15
references.pmid: 3046022
references.citation: Neurol India. 2002 Sep;50(3):244-55
references.pmid: 12391447
references.citation: Laryngorhinootologie. 2005 Aug;84(8):567-76
references.pmid: 16080058
references.citation: IEEE Trans Biomed Eng. 1996 Jun;43(6):627-37
references.pmid: 8987267
references.citation: Neurosurgery. 1997 Apr;40(4):755-63; discussion 763-4
references.pmid: 9092849
references.citation: J Image Guid Surg. 1995;1(1):46-52
references.pmid: 9079426
references.citation: Science. 1947 Oct 10;106(2754):349-50
references.pmid: 17777432
references.citation: Neurosurgery. 2007 Feb;60(2 Suppl 1):ONSE173-4; discussion ONSE174
references.pmid: 17297354