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Orbitosphenoid Meningiomas

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Book cover Meningiomas

Orbitosphenoid meningiomas present a challenge to the neurosurgeon in terms of surgical management and treatment options. To assist the neurosurgeon devise an optimal treatment plan for patients that present with an orbitosphenoid meningioma, collaboration with colleagues from otolaryngology, ophthalmology, plastic surgery, and radiation oncology is essential. Orbitosphenoid meningiomas were described by Cushing and Eisenhardt in 19381 as meningioma en plaque. Over the past several decades, as understanding of the associated anatomy and pathology of these lesions has developed,2 overall knowledge of these lesions has also improved. In the last 20 years advancements in skull base approaches, such as neuronavigation and modern imaging techniques, have allowed surgeons to be more aggressive with regard to primary resection of these lesions.3 While complete surgical excision of meningiomas with preservation of function continues to be the surgical goal, sphenoid wing meningiomas with orbital extension have historically exhibited high rates of recurrence, estimated at 35–50%.4–6 Advances in stereotactic radiation techniques have allowed patients a longer recurrence and symptom-free interval, but these tumors present difficulty because of their proximity to the optic nerve.7–9 This chapter will focus on the surgical and nonsurgical management of orbitosphenoid meningiomas, and a few case examples are presented.

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Authors and Affiliations

  1. Department of Neurosurgery, Oregon Health Sciences University, Portland, OR, USA

    Eric H. Sincoff & Johnny B. Delashaw Jr.

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  1. Eric H. Sincoff
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  2. Johnny B. Delashaw Jr.
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Editors and Affiliations

  1. Brain Tumor & Neuro-Oncology Center, Department of Neurosurgery, Neurological Institute, Cleveland Clinic Foundation, Cleveland, OH, USA

    Joung H. Lee

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Sincoff, E.H., Delashaw, J.B. (2009). Orbitosphenoid Meningiomas. In: Lee, J.H. (eds) Meningiomas. Springer, London. https://doi.org/10.1007/978-1-84628-784-8_40

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  • DOI: https://doi.org/10.1007/978-1-84628-784-8_40

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84882-910-7

  • Online ISBN: 978-1-84628-784-8

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