title: [Microsurgical management of anterior clinoidal meningiomas].
abstract: OBJECTIVE
  To explore the method and efficacy of microsurgery for anterior clinoidal meningiomas.
  
  
  METHODS
  The clinical data of 53 patients with anterior clinoidal meningiomas treated from 1991-2009 were analyzed retrospectively. There were 15 males and 38 females. The age range was 33 - 65.5 years old (mean: 45.5). All patients underwent microsurgery through pterional, extended pterional, frontotemporal, frontotemporal and orbitozygomatic approaches.
  
  
  RESULTS
  Of 53 patients, total, subtotal and partial resections were performed in 38, 10 and 5 cases respectively. Postoperatively, 48 patients recovered well, 4 had mild disability, 1 severe disability and no dead case.
  
  
  CONCLUSIONS
  Most anterior clinoidal meningiomas can be removed safely and effectively. Several approaches may be used to achieve the best results. Microsurgical operation can offer a great aid in an effective resection of anterior clinoidal meningiomas and reduce the postoperative complications and mortality. Postoperative radiotherapy should be carried out for the residual tumor invading cavernous sinus or internal carotid artery.
authors.affiliation: Department of Neurosurgery, Beijing Hospital, Beijing 100730, China. yym5182002@yahoo.com.cn
authors.forename: Yu-ming
authors.initials: YM
authors.lastname: Yang
authors.forename: Hong-zhi
authors.initials: HZ
authors.lastname: Jiang
authors.forename: Cheng
authors.initials: C
authors.lastname: Sha
authors.forename: Qing-guo
authors.initials: QG
authors.lastname: Yuan
authors.forename: Hong-wen
authors.initials: HW
authors.lastname: Xie
authors.forename: Da-ming
authors.initials: DM
authors.lastname: Wang
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008577:Meningeal Neoplasms / Q000601:surgery*; D008579:Meningioma / Q000601:surgery*; D008866:Microsurgery; D008875:Middle Aged; D011184:Postoperative Period; D012189:Retrospective Studies; D016896:Treatment Outcome