Current Evidence for the Management of Intracranial Meningiomas

Abstract

  Meningiomas are the most common benign brain tumor. Because most meningiomas are slow growing lesions, patients with meningiomas usually have ample time to determine which treatment they undergo. In order to provide the correct meningioma treatment information and to help patients feel convinced of their own decisions, neurosurgeons should understand the current evidence for best practice meningioma treatment. In this article, the authors summarized the recent evidence regarding the “judgment of whether to treat or not” and “determine how to treat meningiomas”. They focused on the natural history of meningiomas, management for asymptomatic meningiomas, the relationship between the extent of resection and the prognosis in the modern neurosurgical era, radiation therapy for meningiomas, as well as treatment strategies for WHO Grade Ⅱ and Ⅲ meningiomas.