{"id":"0af0a2c3-8037-47ab-8ada-347c15b64f97","slug":"large-and-giant-skull-base-meningiomas-the-role-of-radical-surgical-removal","title":"Large and giant skull base meningiomas: The role of radical surgical removal","authors":["Carlos Eduardo da Silva","Paulo Eduardo Peixoto de Freitas"],"abstract":"Background: The large and giant skull base meningiomas are challenging lesions, and the involvement of crucial neurovascular structures needs the surgical removal as the primordial treatment. The authors report on a series of patients with large and giant skull base meningiomas who were treated with the goal of radical removal. Methods: A retrospective study including 49 patients with large and giant skull base meningiomas was carried out. Tumors presenting 3 cm or larger were included. Results: The meningiomas in the sample included the following types: 10 olfactory groove, 8 sphenoorbital, 8 petroclival, 8 tentorial, 4 clinoidal, 4 cavernous sinus, 3 temporal floor, 2 tuberculum sellae and 2 foramen magnum. The average age was 53 years, the mean follow-up period was 52 months, Simpson Grades I and II were obtained in 75.5%. The overall mortality was 5%. Transient cranial nerve deficits occurred in 32% with definite cranial nerve lesion in 18%. Cerebrospinal fluid leak occurred in 14%. Conclusions: The surgical treatment is a mandatory option for large and giant skull base meningiomas. The radical removal is achievable and should be considered an alternative with a good outcome and an acceptable morbidity for such challenge lesions.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/0af0a2c3-8037-47ab-8ada-347c15b64f97/featured/hero-1782420846877.png","publishDate":"2015-06-29T00:00:00.000Z","doi":"10.4103/2152-7806.159489","categories":["Original Article"],"fullTextUrl":"http://surgicalneurologyint.com/wp-content/uploads/2015/07/6100/SNI-6-113.pdf"}