ABSTRACT
Surgical management of patients with meningiomas is arguably the most rewarding, challenging, and at times, daunting task for a neurosurgeon. It is rewarding because of the benign nature of most meningiomas, leading to a possibility of providing a cure following total removal, in addition to reversal or improvement of preoperative symptoms. It is definitely challenging due to the tumor’s common compression, adherence, or displacement of adjacent neurovascular structures, especially for those arising along the skull base (SB), making surgery difficult and highly risky (1-3). Simultaneously, it is daunting because of the associated risks of surgery, the tumor’s tendency to recur following incomplete (and at times complete) removal, and its frequent involvement of the dural sinuses, surrounding skull base bone, dura, and neurovasculature, making complete removal often not possible (4). Real-time computer-assisted surgical navigation systems (SNSs) may mitigate some of the problems and challenges inherent in meningioma surgery, which would ultimately improve patient outcome (5-7).
