Review of Intracranial Meningiomas: An Update on Management from Diagnosis to Treatment

Karine A. Al Feghali, Lara Hilal, Caroline Chung

Abstract


Intracranial meningiomas represent the most common type of brain tumors. Meningiomas differ widely based on their presenting symptoms, their grade and biological behavior, location, and proximity to critical structures. We review briefly the epidemiology and clinical presentation of meningiomas, and present an overview of diagnostic approaches, as well as the evidence behind the different management strategies in meningioma, with emphasis on shifting paradigms in the surgical approach, and on the different radiation therapy modalities.  We also shed light on the diagnostic challenges, and literature gaps in the treatment of meningiomas. Future studies will provide clinicians with more guidance regarding the optimal timing of intervention and the need for adjuvant treatment in completely resected atypical meningiomas. 


Keywords


Meningioma; review; radiation therapy; stereotactic radiosurgery; fractionated radiotherapy

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DOI: http://dx.doi.org/10.18103/imr.v4i3.697

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