TY - JOUR
T1 - Craniotomy for anterior cranial fossa meningiomas
T2 - Historical overview
AU - Morales-Valero, Saul F.
AU - Van Gompel, Jamie J.
AU - Loumiotis, Ioannis
AU - Lanzino, Giuseppe
PY - 2014/4
Y1 - 2014/4
N2 - The surgical treatment of meningiomas located at the base of the anterior cranial fossa is often challenging, and the evolution of the surgical strategy to resect these tumors parallels the development of craniotomy, and neurosurgery in general, over the past century. Early successful operations to treat these tumors were pioneered by prominent figures such as Sir William Macewen and Francesco Durante. Following these early reports, Harvey Cushing made significant contributions, allowing a better understanding and treatment of meningiomas in general, but particularly those involving the anterior cranial base. Initially, large-sized unilateral or bilateral craniotomies were necessary to approach these deep-seated lesions. Technical advances such as the introduction of electrosurgery, the operating microscope, and refined microsurgical instruments allowed neurosurgeons to perform less invasive surgical procedures with better results. Today, a wide variety of surgical strategies, including endoscopic surgery and radiosurgery, are used to treat these tumors. In this review, the authors trace the evolution of craniotomy for anterior cranial fossa meningiomas.
AB - The surgical treatment of meningiomas located at the base of the anterior cranial fossa is often challenging, and the evolution of the surgical strategy to resect these tumors parallels the development of craniotomy, and neurosurgery in general, over the past century. Early successful operations to treat these tumors were pioneered by prominent figures such as Sir William Macewen and Francesco Durante. Following these early reports, Harvey Cushing made significant contributions, allowing a better understanding and treatment of meningiomas in general, but particularly those involving the anterior cranial base. Initially, large-sized unilateral or bilateral craniotomies were necessary to approach these deep-seated lesions. Technical advances such as the introduction of electrosurgery, the operating microscope, and refined microsurgical instruments allowed neurosurgeons to perform less invasive surgical procedures with better results. Today, a wide variety of surgical strategies, including endoscopic surgery and radiosurgery, are used to treat these tumors. In this review, the authors trace the evolution of craniotomy for anterior cranial fossa meningiomas.
KW - Anterior cranial fossa
KW - Craniotomy
KW - History
KW - Intracranial meningiomas
UR - http://www.scopus.com/inward/record.url?scp=84897476842&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84897476842&partnerID=8YFLogxK
U2 - 10.3171/2014.1.FOCUS13569
DO - 10.3171/2014.1.FOCUS13569
M3 - Article
C2 - 24684326
AN - SCOPUS:84897476842
SN - 1092-0684
VL - 36
JO - Neurosurgical focus
JF - Neurosurgical focus
IS - 4
M1 - E14
ER -