Meningioma



Overview

A meningioma is a noncancerous and slow-growing tumor that develops in the covering of the brain (meninges). Small meningiomas and those without symptoms can be observed with periodic MRI imaging to monitor tumor growth. The optimal treatment for the great majority of symptomatic or growing meningiomas is maximal safe surgical removal.

At the Stanford Skull Base Center we have one of the world’s largest experience treating meningiomas using innovative minimally invasive techniques. Our multidisciplinary team, led by Dr. Fernandez-Miranda, has pioneered several modifications of the endoscopic endonasal approach aiming to maximize tumor removal while focusing on preservation and recovery of neurological function and quality of life.

Unique to our surgical team is the ability to select the best approach for each particular patient since we master all possible surgical approaches, including traditional complex transcranial approaches, newest minimally invasive techniques using keyhole and transorbital approaches, innovative endoscopic endonasal surgery, and radiosurgery treatment.

Meningioma Location

Endonasal Approach

Endonasal Approach Surgery

Anterior Clinoid Meningioma
Transcranial Middle Fossa Approach with Extradural Anterior Clinoidectomy

Cavernous Meningioma:
Transcranial Extended Middle Fossa Approach with Extradural Anterior Clinoidectomy and Anterior Petrosectomy

Petroclival Meningioma:
Combined Transpetrosal Approach

Anterior Clinoid Meningioma
Transcranial Middle Fossa Approach with Extradural Anterior Clinoidectomy

Cavernous Meningioma:
Transcranial Extended Middle Fossa Approach with Extradural Anterior Clinoidectomy and Anterior Petrosectomy

Combined Transpetrosal Approach for Recurrent Petroclival Meningioma

Anterior Clinoid Meningioma
Transcranial Middle Fossa Approach with Extradural Anterior Clinoidectomy

Cavernous Meningioma:
Transcranial Extended Middle Fossa Approach with Extradural Anterior Clinoidectomy and Anterior Petrosectomy

Petroclival Meningioma:
Combined Transpetrosal Approach

Petroclival Meningioma:
Endoscopic Endonasal Approach

Endoscopic Endonasal Approach for Foramen Magnum Meningioma

Endoscopic Endonasal Surgery for Tubercullum Sella Meningiomas