title: A review of stereotactic radiosurgery practice in the management of skull base meningiomas.
abstract: Gross total resection of skull base meningiomas poses a surgical challenge due to their proximity to neurovascular structures. Once the gold standard therapy for skull base meningiomas, microsurgery has been gradually replaced by or used in combination with stereotactic radiosurgery (SRS). This review surveys the safety and efficacy of SRS in the treatment of cranial base meningiomas including 36 articles from 1991 to 2010. SRS produces excellent tumor control with low morbidity rates compared with surgery alone for asymptomatic small skull base meningiomas, patients with risk factors precluding conventional surgery, and as adjuvant therapy for recurrent or residual lesions.
authors: Department of Anesthesiology, University of Texas Medical Center, Houston, Texas, United States.
authors: Elena
authors: E
authors: Vera
authors: Department of Neurological Surgery, Weill Cornell Medical College, New York, New York, United States.
authors: J Bryan
authors: JB
authors: Iorgulescu
authors: Department of Neurosurgery, University of Virginia, Charlottesville, Virginia, United States.
authors: Daniel M S
authors: DM
authors: Raper
authors: Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida, United States.
authors: Karthik
authors: K
authors: Madhavan
authors: Department of Radiation Oncology, University of Miami Miller School of Medicine, Miami, Florida, United States.
authors: Brian E
authors: BE
authors: Lally
authors: Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida, United States.
authors: Jacques
authors: J
authors: Morcos
authors: Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida, United States.
authors: Samy
authors: S
authors: Elhammady
authors: Department of Neurosurgery, George Washington University School of Medicine, Washington, District of Columbia, United States.
authors: Jonathan
authors: J
authors: Sherman
authors: Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida, United States.
authors: Ricardo J
authors: RJ
authors: Komotar
keywords: meningiomas; radiosurgery; skull base; stereotactic; surgery