Skull Base Surgery of the Posterior Fossa

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Conclusions


  • Surgical difficulty is related to tumor location.

  • Incisural lesions require a skull base approach.

  • Falcotentorial lesions are difficult but can be
    well controlled by meticulous strategy.

  • Lateral lesions and posterior lesions that do
    not involve the major venous sinuses are rela-
    tively simple to treat.

  • Surgical management of posterior lesions
    invading the sinus remains controversial.

  • The normal deep venous system should be
    preserved to avoid any complications.


References


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  1. Sekhar LN, Jannetta PJ, Maroon JC. Tentorial
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  2. Goto T, Ohata K, Morino M, et al. Falcotentorial
    meningioma: surgical outcome in 14 patients.
    J Neurosurg. 2006;104(1):47–53.

  3. Mantovani A, Di Malio S, Ferreira MJ, Sekhar
    LN. Management of meningiomas invading the major
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  4. Raza SM, Gallia GL, Berm H, Weingart JD, Long
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  5. Stafford SL, Pollock BE, Foote RL, et al. Meningioma
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  6. DiMeco F, Li KW, Casali C, et al. Meningiomas invad-
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H. Morisako et al.
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