Petrous Face Meningiomas: Classification, Clinical Syndromes, and Surgical Outcomes

Magill, Stephen T.; Rick, Jonathan W.; Chen, William; Haase, David; Raleigh, David R.; Aghi, Manish K.; Theodosopoulos, Philip V.; McDermott, Michael W.

doi:10.1016/j.wneu.2018.03.194

Cited by 17 publications

(6 citation statements)

References 23 publications

(29 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Hearing impairment after treatment was common, with 30% to 35% of respondents reporting moderate or more severe loss in the tumor ear, which is consistent with the 30% to 40% rate of hearing complication cited in previous studies (24,25). Although about one-third of patients can present with hearing loss at the time of diagnosis (6,15), the majority of patients in this study reported normal hearing bilaterally before treatment. In the petroclival meningioma cohort, four patients underwent translabyrinthian resection, which obligates postoperative deafness.…”

Section: Discussionsupporting

confidence: 89%

“…Posterior fossa meningiomas are a heterogenous collection of tumors that can have varying outcomes depending on the predominant location of the tumor. There have been multiple classification schemes proposed to associate tumor position with clinical symptoms and treatment outcomes (3)(4)(5)(6). All of these classification schemes have separated tumors arising from the cerebellopontine angle from tumors arising in the petroclival region.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Differences in Hearing, Balance, and Quality-of-Life Outcomes in Petroclival Versus Nonpetroclival Posterior Fossa Meningiomas

et al. 2023

Self Cite

View full text Add to dashboard Cite

Objective: To compare hearing, tinnitus, balance, and quality-oflife treatment outcomes of petroclival meningioma and nonpetroclival cerebellopontine angle meningioma cohorts. Study Design: A retrospective cohort study of 60 patients with posterior fossa meningiomas, 25 petroclival and 35 nonpetroclival, who were treated at a single tertiary care center between 2000 and 2020. Intervention: A survey battery that included the Hearing Effort of the Tumor Ear, Speech and Spatial Qualities of Hearing, Tinnitus Functional Index, Dizziness Handicap Inventory (DHI), and Short Form Health Survey. Petroclival and nonpetroclival cohorts were matched for tumor size and demographic features. Main Outcome Measures: Differences between groups in hearing, balance outcomes, and quality of life and patient factors that influence posttreatment quality of life. Results: Petroclival meningioma patients reported poorer audiovestibular outcomes with a higher rate of deafness in the tumor ear (36.0% versus 8.6%, p = 0.032) and lower functional hearing by the Hear-ing Effort of the Tumor Ear, Speech and Spatial Qualities of Hearing (76.6 [6.1] versus 82.0 [4.4], p < 0.001). Current dizziness rate was higher (48.0% versus 23.5%, p = 0.05), with more severe dizziness by DHI (18.4 [4.8] versus 5.7 [2.2], p < 0.001). Both cohorts had similar high quality of life and low tinnitus severity indices. Quality-of-life Short Form Health Survey predictors were tumor size ( p = 0.012) and DHI ( p = 0.005) in multivariable analysis. Conclusions: Hearing and dizziness treatment outcomes of petroclival meningioma are poorer relative to other posterior fossa meningiomas. Despite audiovestibular outcome distinctions, the overall posttreatment quality of life was high for both petroclival and nonpetroclival meningioma.

show abstract

Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Differences in Hearing, Balance, and Quality-of-Life Outcomes in Petroclival Versus Nonpetroclival Posterior Fossa Meningiomas

et al. 2023

Self Cite

View full text Add to dashboard Cite

show abstract

“…Based on the central site of dural attachment, cerebellopontine angle meningiomas were classified into three types ( 6 ): anterior tumors were those that originated from the tentorium cerebelli or the petrous bone dura anterior the internal auditory canal; middle tumors were those that originated from the dura mater in the internal auditory canal; posterior tumors were those that originated from the sigmoid and transverse sinuses or the petrous bone dura posterior the internal auditory canal ( Figure 1 ).…”

Section: Methodsmentioning

confidence: 99%

Small Cerebellopontine Angle Meningioma—Surgical Experience of 162 Patients and Literature Review

Pan

Yao

et al. 2020

Front. Oncol.

View full text Add to dashboard Cite

Objective To retrospective analyze the clinical data of 162 patients with small cerebellopontine angle meningiomas. To compare with the nature of tumors, symptoms pre- and post-treatments, neurological deficit, and prognosis in literatures. To explore the surgical outcomes of small cerebellopontine angle meningiomas and summarize the surgical experience. Methods All of 162 patients with small cerebellopontine angle meningiomas underwent surgery between January 2010 and December 2019 in the neurosurgery department of the First Affiliated Hospital of Soochow University. This cohort of eight literatures reported about stereotactic radiotherapy of small cerebellopontine angle meningiomas between January 2010 and December 2019. All clinical data were obtained for analysis. Results Compared with stereotactic radiotherapy, surgical treatment for small cerebellopontine angle meningiomas lead to the better results in relieving symptoms and inhibiting tumor progression. Surgical treatment can obtain the exact pathological examination results to guide the further treatment. Conclusions Surgical treatment should be the first choice for small cerebellopontine angle meningiomas.

show abstract

“…True “clival meningiomas” originate from a broad attachment to the median upper two-thirds of the clivus, and petroclival meningiomas are described as tumors in which the dural attachment is located at the upper two-thirds of the clivus, lateral to the midline, at the level of the petroclival junction, and medial to the trigeminal nerve [ 103 ]. Over the years, several classifications arose to warrant different surgical routes aimed at maximizing surgical outcomes while restraining complications [ 104 , 105 , 106 , 107 ]. The main approaches described in the pertinent literature rely on the anterolateral, lateral, and posterolateral corridors ( Table 4 ).…”

Section: Discussionmentioning

confidence: 99%

Midline Skull Base Meningiomas: Transcranial and Endonasal Perspectives

Mastantuoni

Cavallo

Esposito

et al. 2022

Cancers

View full text Add to dashboard Cite

Skull base meningiomas have always represented a challenge for neurosurgeons. Despite their histological nature, they may be associated with unfavorable outcomes due to their deep-seated location and the surrounding neurovascular structures. The state of the art of skull base meningiomas accounts for both transcranial, or high, and endonasal, or low, routes. A comprehensive review of the pertinent literature was performed to address the surgical strategies and outcomes of skull base meningioma patients treated through a transcranial approach, an endoscopic endonasal approach (EEA), or both. Three databases (PubMed, Ovid Medline, and Ovid Embase) have been searched. The review of the literature provided 328 papers reporting the surgical, oncological, and clinical results of different approaches for the treatment of skull base meningiomas. The most suitable surgical corridors for olfactory groove, tuberculum sellae, clival and petroclival and cavernous sinus meningiomas have been analyzed. The EEA was proven to be associated with a lower extent of resection rates and better clinical outcomes compared with transcranial corridors, offering the possibility of achieving the so-called maximal safe resection.

show abstract

Petrous Face Meningiomas: Classification, Clinical Syndromes, and Surgical Outcomes

Cited by 17 publications

References 23 publications

Differences in Hearing, Balance, and Quality-of-Life Outcomes in Petroclival Versus Nonpetroclival Posterior Fossa Meningiomas

Differences in Hearing, Balance, and Quality-of-Life Outcomes in Petroclival Versus Nonpetroclival Posterior Fossa Meningiomas

Small Cerebellopontine Angle Meningioma—Surgical Experience of 162 Patients and Literature Review

Midline Skull Base Meningiomas: Transcranial and Endonasal Perspectives

Contact Info

Product

Resources

About