Meningiomas pp 403-414 | Cite as

Petroclival and Upper Clival Meningiomas I: An Overview of Surgical Approaches

  • Marcus L. Ware
  • Svetlana Pravdenkova
  • Kadir Erkmen
  • Ossama Al-Mefty

Petroclival meningiomas, by definition, are tumors that originate in the upper two thirds of the clivus at the petroclival junction medial to the fifth cranial nerve.1,2 These tumors often displace the brain stem and the basilar artery to the opposite side. Petroclival meningiomas may be in the posterior fossa alone, or may span the middle and posterior cranial fossae. These tumors may also involve the posterior cavernous sinus through the Meckel’s cave. Sphenopetroclival lesions are the most extensive of these lesions. They invade the posterior cavernous sinus and grow into the middle and posterior fossae. The bony clivus and the petrous apex are involved and the sphenoid sinus is invaded. Clival meningiomas originate from the midline clivus. They displace the basilar artery and brainstem posteriorly. Meningiomas arising from the lower third of the clivus are defined as foramen magnum lesions. Posterior fossa meningiomas arising lateral to the trigeminal nerve are termed petrosal meningiomas and are divided into anterior and posterior petrosal meningiomas.


Facial Nerve Posterior Fossa Trigeminal Neuralgia Sigmoid Sinus Middle Fossa 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer-Verlag London Limited 2009

Authors and Affiliations

  • Marcus L. Ware
    • 1
  • Svetlana Pravdenkova
    • 1
  • Kadir Erkmen
    • 2
  • Ossama Al-Mefty
    • 1
  1. 1.Department of NeurosurgeryUniversity of ArkansasLittle RockUSA
  2. 2.Department of NeurosurgeryDarthmoth-Hitchcock Medical CenterLebanonUSA

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