ABSTRACT
Vascular tumors of the skull base are both rare and diverse. Despite the heterogeneity of lesions presenting in this area, they share common principles of management and surgical approach, including reliance on radiology to establish diagnosis, surgery as the primary treatment, and a vital role for angiography as both diagnostic and adjunctive therapeutic modality. With the exception of the malignant subtype of hemangiopericytoma (HPC), these tumors are generally benign but locally aggressive due to their proximity to vital structures and potential for intracranial spread. The anatomic and functional complexity of this region mandates a collaborative, multidisciplinary approach, which may require the participation of otolaryngology/head and neck surgery, neurosurgery, neuroradiology, interventional radiology, reconstructive surgery, ophthalmology, speech and swallowing therapeutics, and other teams.
