Convexity meningioma surgery indications [Neurosurgery Wiki]

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====== Convexity meningioma surgery indications ======

With the [[conservative]] [[recommendation]]s for [[surgery]] for [[asymptomatic meningioma]]s and the advent of [[radiosurgery]] during the past 10 years, microsurgically treated [[convexity meningioma]]s are now typically large in size
((Sanai N, Sughrue ME, Shangari G, Chung K, Berger MS, McDermott MW. Risk profile associated with convexity meningioma resection in the modern neurosurgical era. J Neurosurg. 2010 May;112(5):913-9. doi: 10.3171/2009.6.JNS081490. PMID: 19645533.)).
Nevertheless, the patient's clinical course following microsurgical removal of these lesions is expected to be uncomplicated.
((Morokoff AP, Zauberman J, Black PM. Surgery for convexity meningiomas. Neurosurgery. 2008 Sep;63(3):427-33; discussion 433-4. doi: 10.1227/01.NEU.0000310692.80289.28. PMID: 18812953.))
((Sanai N, Sughrue ME, Shangari G, Chung K, Berger MS, McDermott MW. Risk profile associated with convexity meningioma resection in the modern neurosurgical era. J Neurosurg. 2010 May;112(5):913-9. doi: 10.3171/2009.6.JNS081490. PMID: 19645533.)).

If the [[convexity meningioma]] is symptomatic or growing and the patient is of an age in which surgery is appropriate.

If the meningioma is large and has a rich vascular supply, its amenable for a pre-surgery [[embolization]].


The resection of the meningiomas surrounding the dura is an important goal during the removal of a convexity meningioma. 

Simpson Grade I resection should continue to be the goal for [[convexity meningioma]]s
((Hasseleid BF, Meling TR, Rønning P, Scheie D, Helseth E. Surgery for convexity
meningioma: Simpson Grade I resection as the goal: clinical article. J Neurosurg.
2012 Dec;117(6):999-1006. doi: 10.3171/2012.9.JNS12294. Epub 2012 Oct 12. PubMed 
PMID: 23061394.
)).
----