Neurological Disorders

Perspectives in Meningioma Treatment

Abstract

Athanasios K Petridis, Joost Thissen, Friedhelm Brasse, Dan Meila and Martin Scholz

The treatment of meningiomas is still at the borderline of two or even three disciplines. Surgery, radiation and interventional neuroradiology. Even when it seems confusing, reviewing the literature allows us to draw a clear line between the therapeutic modalities. There are cases where surgery is the first line treatment and others where radiation should be first line and again others where pre-operative embolization, surgery and postsurgical radiation are the treatment options of choice. In the present short review we present four cases of different meningiomas treated surgically in our department and we review the literature to provide a flow chart, indicating which treatment modality would fit to different meningiomas. Of course the flow chart is based on the present literature and cannot be followed without restrictions and reservations. Randomized multicenter studies will help to clear this field more effectively.