Abstract
INTRODUCTIONThe petroclival region of the posterolateral skull base continues to be an anatomic challenge for neurosurgeons. This is particularly true when addressing symptomatic meningiomas, as they are heterogeneous in their nature and clinical behavior, with distinct biologies that we are just beginning to understand. The early surgical history was marked by attempts at understanding how to approach this region, with difficult outcomes; the development of transtemporal approaches was a turning point. Radiosurgery, endonasal and endoscopic techniques, and the concept of the tailored management paradigm are a part of the evolving approach to what remains one of the
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