Meningiomas: treatments

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Meningiomas: treatments. III. Gross total resection of tumour only, IV. Subtotal resection of tumour. Fully referenced neurology checklist.

Resection: Simpson grades

  • I. Gross total resection of tumour, dura, dural attachments, and abnormal bone
  • II. Gross total resection of tumour and coagulation of dural attachments
  • III. Gross total resection of tumour only
  • IV. Subtotal resection of tumour
  • V. Simple decompression (biopsy)

Radiotherapy: types

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Emerging treatments

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Post-operative monitoring

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Predictors of tumour recurrence

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References

  1. Rogers L, Barani I, Chamberlain M, et al. Meningiomas: knowledge base, treatment outcomes, and uncertainties. A RANO review. J Neurosurg 2015; 122:4-23.
  2. Nigim F, Wakimoto H, Kasper EM, Ackermans L, Temel Y. Emerging medical treatments for meningioma in the molecular era. Biomedicines 2018; 6(3) pii: E86.  
  3. Franke AJ, Skelton Iv WP, Woody LE, et al. Role of bevacizumab for treatment-refractory meningiomas: a systematic analysis and literature review. Surg Neurol Int 2018; 9:133.
  4. Bi WL, Zhang M, Wu WW, Mei Y, Dunn IF. Meningioma genomics: diagnostic, prognostic, and therapeutic applications. Front Surg 2016; 3:40.
  5. Huang RY, Bi WL, Griffith B, et al; International Consortium on Meningiomas . Imaging and diagnostic advances for intracranial meningiomas. Neuro Oncol 2019; 21(Supplement_1):i44-i61. 

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