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Management of Meningiomas
File 8: FLOOR OF FRONTAL FOSSA MENINGIOMA

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by ROBERT G. OJEMANN, M.D.\
© Congress of Neurological Surgeons Honored Guest Presentation
Originally Published Clinical Neurosurgery, Volume 40, Chapter 17, Pages 321-383, 1992
Used with permission of the Congress of Neurological Surgeons.
HTML Editor: Stephen B. Tatter, M.D., Ph.D.
Disclaimer: The information and reference materials contained herein are intended solely to provide background information. They were written for an audience of physicians. They are in no way intended to constitute medical advise. For medical advise a physician must, of course, be consulted.

Contents

FLOOR OF FRONTAL FOSSA MENINGIOMAS

(Meningioma Management, File 8)

Management

These meningiomas arise from the dura over the orbital roof and compress and/or cause edema in the adjacent frontal lobe. The diagnosis is established by MRI. Angiography is not needed. The indications for operation are headache or frontal lobe symptoms. Radiation therapy has not been used.

A subfrontal approach is used. The key considerations in the operation are the same as outlined for meningiomas in general. (see File 1.)

Results

In the two cases in my series the indication for treatment was persistent headache. Both were women, of age 51 and 63 years. A total removal was done and both resumed their preoperative level of activity. There has been no recurrence.

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