Abstract
Although meningiomas represent only ~15% of intracranial tumors, they have been referred to as “the soul of neurosurgery.” This is because meningiomas, in their diagnosis, imaging, and treatment, parallel the evolution of neurosurgery. Treatment of these usually benign tumors can be one of the most satisfying aspects of neurosurgical practice. Microsurgical removal is enhanced by advanced technology, including microscopes, lasers, endoscopes, and frameless image guidance. The meticulous neurosurgeon is rewarded with long-term patient survivals and even cures. Adjunctive treatment of meningiomas with radiosurgery can allow long-term tumor control in patients whose lesion cannot be surgically resected. On the other hand, the small minority of meningiomas that are malignant continue to defy attempts to eradicate them.
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