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The historical perspective in approaches to the spheno-petro-clival meningiomas

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Abstract

The current literature regarding surgical treatment for tumors in the sphenopetroclival (SPC) region is merely scarce. Through a comprehensive literature review, we investigated the indications, outcomes, and complications of different surgical approaches to the SPC meningiomas. Given its complicated relationship between these slow-progression tumors and some critical neurovascular structures in the SPC region, surgical treatment of these tumors faces the challenge of achieving a maximal grade of resection, while preserving patient functionality. The development of new surgical techniques and approaches in recent years have permitted the advancement in the treatment of these tumors, with acceptable rates of morbidity and mortality. The choice of a surgical approach as a treatment for the lesion depends mainly on the type of tumor extension, surgeon’s preferences, and the displacement of neurovascular structures. Rather than focusing on one single strategy of treatment, the skull-base surgeon should tailor the approach based on the origin and features of the lesion; as well as the peculiarities of the surgical anatomy. This strategy aims to decrease morbidity and to optimize tumor resection and patient quality of life.

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Authors and Affiliations

  1. Department of Neurological Surgery, Wexner Medical Center, The Ohio State University, 410W 10th Ave, Columbus, OH, 43215, USA

    Rafael Martínez-Pérez, Giuliano Silveira-Bertazzo, Douglas Hardesty, Ricardo L. Carrau & Daniel M. Prevedello

  2. Department of Head and Neck Surgery, Wexner Medical Center, The Ohio State University, Columbus, OH, USA

    Gustavo G. Rangel, Douglas Hardesty, Ricardo L. Carrau & Daniel M. Prevedello

  3. Department of Neurosurgery, Hospital Barros Luco, Universidad de Santiago de Chile, Santiago, Chile

    Pablo Albiña

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  1. Rafael Martínez-Pérez
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Correspondence to Rafael Martínez-Pérez.

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Conflict of interest

Photographs of the dissections were performed at ALT-VISION at The Ohio State University. This laboratory receives educational support from the following companies: Carl Zeiss Microscopy, Intuitive Surgical Corp., KLS Martin Corp., Karl Storz Endoscopy, Leica Microsystems, Medtronic Corp., Stryker Corp., and Vycor Medical. Dr Prevedello is a consultant for Stryker Corp., Medtronic Corp., and Codman; received honorarium from Leica Microsystem; has received royalties from KLS- Martin. Dr Carrau is a consultant for Medtronic Corp.

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Informed consent and ethical approval were not deemed necessary by the local ethics in view of the design of the study (comprehensive review) and the application of strict patient privacy regulations operating in our center (cadavers were unidentified).

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Martínez-Pérez, R., Silveira-Bertazzo, G., Rangel, G.G. et al. The historical perspective in approaches to the spheno-petro-clival meningiomas. Neurosurg Rev 44, 51–60 (2021). https://doi.org/10.1007/s10143-019-01197-y

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