Skull base meningioma

Last revised by Joachim Feger on 28 Jun 2024

Skull base meningiomas can be located at the olfactory groove, tuberculum sella, sphenoid ridge, petroclival region, foramen magnum and jugular foramen 1.  

Similar to typical meningiomas, they are slowly growing and usually asymptomatic. Apart from headache, they can present with proptosis, ophthalmoplegia, anosmia, and cranial nerve palsies.

Their imaging features are similar to meningiomas seen elsewhere.

Due to proximity to vital structures, skull base meningiomas are surgically challenging because of poor resectability, inaccessibility, and post-operative complications 2. Adjuvant radiotherapy or stereotaxic radiosurgery is often used.

  • metastasis
  • multiple myeloma
  • infection

Cases and figures

  • Case 1
  • Case 2
  • Case 3
  • Case 4: posterior fossa meningioma
  • Case 5: petroclival meningioma
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