Subtemporal approach for cavernous sinus meningiomas - Simple and effective

Michael Veldeman, Tobias Rossmann, Nuutti Vartiainen, Mika Niemelä

Research output: Contribution to journalArticleScientificpeer-review


Background: Over the past few decades, there has been a paradigm shift in treatment strategy for cavernous sinus meningiomas (CSMs). Preserving neurological function and cranial nerve (CN) decompression have become the primary goal of cases eligible for surgical treatment. Extensive skull base dissection and drilling can be avoided by approaching these lesions through a subtemporal route. Methods: We describe the subtemporal approach in a step-by-step fashion illustrating its advantages and pitfalls through and illustrative case. Results: The subtemporal approach to CSMs is a valuable alternative for CN decompression and maximal safe resection. We describe the technique in comparison to classical skull base approaches. Although rare, recurrence after adjuvant maximal radiation is possible leaving reoperation as the only treatment option. Conclusion: The subtemporal approach offers a less invasive alternative for initial and redo CN decompression and successful symptom control in patients suffering from CSM.

Original languageEnglish
JournalSurgical Neurology International
Publication statusPublished - 2023
MoE publication typeA1 Journal article-refereed

Bibliographical note

Publisher Copyright:
© 2023 Published by Scientific Scholar on behalf of Surgical Neurology International.

Fields of Science

  • Cavernous sinus
  • Meningioma
  • Skull base
  • Subtemporal approach
  • 3112 Neurosciences
  • 3124 Neurology and psychiatry
  • 3126 Surgery, anesthesiology, intensive care, radiology

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