{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T03:56:34Z","timestamp":1787025394377,"version":"build-2736575974"},"reference-count":28,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n Background:<\/jats:title>\n Anterior basal meningioma extends from the crista galli to the tuberculum sellae. They can be surgically approached through pterional, anterior bi-frontal trans-basal, eyebrow, trans-nasal, and notably through the fronto-lateral approach (FLA). Here, we highlight the feasibility and efficacy of this approach.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n A prospective observational study was conducted on 45 patients with anterior basal meningiomas using fronto-lateral, pterional, eyebrow, and bifrontal trans-basal approaches. Key surgical parameters assessed included brain retraction, cisternal opening, cerebrospinal fluid (CSF) aspiration, optic canal de-roofing, nerve decompression, duration, blood loss, bony work, and postoperative complications such as CSF leakage, muscle atrophy, and nerve palsy.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n The patients were followed for an average of 2.8 years. Olfactory groove meningiomas accounted for 35.5% and tuberculum sellae for 46.6%, with headache and visual loss being common symptoms. Gross total resection was achieved in 95% of cases. The FLA was associated with the shortest operative time (\n P<\/jats:italic>\n = 0.00001), high surgical unilaterality, minimal retraction, early CSF aspiration, less blood loss, reduced bony work, and better nerve preservation.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n The fronto-lateral (lateral supra-orbital) approach is the most in line with the principles of simplicity and safety. The use of papaverinated saline combined with early optic canal de-roofing has been associated with significant visual improvement in cases presenting with visual deterioration.<\/jats:p>\n <\/jats:sec>","DOI":"10.25259\/sni_945_2025","type":"journal-article","created":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T07:05:19Z","timestamp":1760079919000},"page":"429","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Anterior basal meningiomas: Can different approaches make a difference?"],"prefix":"10.25259","volume":"16","author":[{"given":"Saif","family":"Anmar Badran","sequence":"first","affiliation":[{"name":"Department of Surgery, Ibn Sina University of Medical and Pharmaceutical Sciences, Baghdad, Iraq"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aous","family":"Mohammad Qasim","sequence":"additional","affiliation":[{"name":"Department of Surgery, College of Medicine, Ninevah University, Baghdad, Iraq"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarmed","family":"Nabhan Yaseen","sequence":"additional","affiliation":[{"name":"Department of Pharmacology, Ibn Sina University of Medical and Pharmaceutical Sciences, Baghdad, Iraq"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Sabah Alsamok","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Dr. Saad AL-Witry Hospital for Neurosciences, Baghdad, Iraq"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Akram Shahadha","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Dr. Saad AL-Witry Hospital for Neurosciences, Baghdad, Iraq"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed","family":"Adnan Al-Juboori","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Dr. Saad AL-Witry Hospital for Neurosciences, Baghdad, Iraq"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mustafa","family":"Ismail","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Medical University of South Carolina, Charleston, South Carolina, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2025,10,10]]},"reference":[{"key":"10.25259\/SNI_945_2025\/ref-1","first-page":"e72723","article-title":"Clinicopathological correlations in intracranial meningiomas","volume":"16","author":"Badran","year":"2024","journal-title":"Cureus"},{"key":"10.25259\/SNI_945_2025\/ref-2","first-page":"e75218","article-title":"Anterior skull base tuberculosis mimicking an anterior skull base meningioma: A case report","volume":"16","author":"Badran","year":"2024","journal-title":"Cureus"},{"key":"10.25259\/SNI_945_2025\/ref-3","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/BF01413528","article-title":"Olfactory meningiomas. Report on a series of twenty-five cases","volume":"26","author":"Bakay","year":"1972","journal-title":"Acta Neurochir (Wien)"},{"key":"10.25259\/SNI_945_2025\/ref-4","first-page":"225","article-title":"Meningiomas; their classification, regional behaviour, life history, and surgical end results","author":"Cushing","year":"1962"},{"key":"10.25259\/SNI_945_2025\/ref-5","doi-asserted-by":"crossref","first-page":"282","DOI":"10.1093\/brain\/45.2.282","article-title":"The meningiomas (dural endotheliomas): Their source, and favoured seats of origin","volume":"45","author":"Cushing","year":"1922","journal-title":"Brain"},{"key":"10.25259\/SNI_945_2025\/ref-6","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1097\/00000658-191302000-00001","article-title":"I. An approach to the hypophysis through the anterior cranial fossa","volume":"57","author":"Frazier","year":"1913","journal-title":"Ann Surg"},{"key":"10.25259\/SNI_945_2025\/ref-7","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1007\/3-211-27911-3_4","article-title":"Lateral supraorbital approach as an alternative to the classical pterional approach","volume-title":"New trends of surgery for stroke and its perioperative management","author":"Hernesniemi","year":"2005"},{"key":"10.25259\/SNI_945_2025\/ref-8","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1097\/00006123-198210000-00016","article-title":"The supraorbital approach: Technical note","volume":"11","author":"Jane","year":"1982","journal-title":"Neurosurgery"},{"key":"10.25259\/SNI_945_2025\/ref-9","doi-asserted-by":"crossref","first-page":"1288","DOI":"10.1016\/j.clineuro.2012.12.004","article-title":"Preservation of olfaction in surgery of olfactory groove meningiomas","volume":"115","author":"Jang","year":"2013","journal-title":"Clin Neurol Neurosurg"},{"key":"10.25259\/SNI_945_2025\/ref-10","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1007\/978-1-84628-784-8_36","article-title":"Anterior clinoidal meningiomas","volume-title":"Meningiomas","author":"Lee","year":"2009"},{"key":"10.25259\/SNI_945_2025\/ref-11","doi-asserted-by":"crossref","first-page":"1558","DOI":"10.4103\/0366-6999.184457","article-title":"Frontolateral approach applied to sellar region lesions: A retrospective study in 79 patients","volume":"129","author":"Liu","year":"2016","journal-title":"Chin Med J"},{"key":"10.25259\/SNI_945_2025\/ref-12","doi-asserted-by":"crossref","first-page":"E3","DOI":"10.3171\/2011.2.FOCUS116","article-title":"Surgical nuances for removal of olfactory groove meningiomas using the endoscopic endonasal transcribriform approach","volume":"30","author":"Liu","year":"2011","journal-title":"Neurosurg Focus"},{"key":"10.25259\/SNI_945_2025\/ref-13","doi-asserted-by":"crossref","first-page":"523","DOI":"10.1227\/01.NEU.0000079506.75164.F4","article-title":"Meningiomas involving the optic nerve: Technical aspects and outcomes for a series of 50 patients","volume":"53","author":"Margalit","year":"2003","journal-title":"Neurosurgery"},{"key":"10.25259\/SNI_945_2025\/ref-14","doi-asserted-by":"crossref","first-page":"2009","DOI":"10.1001\/jama.1912.04260060362001","article-title":"An aseptic surgical access to the pituitary body and its neighborhood","volume":"58","author":"McArthur","year":"1912","journal-title":"J Am Med Assoc"},{"key":"10.25259\/SNI_945_2025\/ref-15","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1016\/j.wneu.2015.09.043","article-title":"Planum sphenoidale and tuberculum sellae meningiomas: Operative nuances of a modern surgical technique with outcome and proposal of a new classification system","volume":"86","author":"Mortazavi","year":"2016","journal-title":"World Neurosurg"},{"key":"10.25259\/SNI_945_2025\/ref-16","doi-asserted-by":"crossref","first-page":"626","DOI":"10.1227\/01.NEU.0000197104.78684.5D","article-title":"Medial sphenoid wing meningiomas: Clinical outcome and recurrence rate","volume":"58","author":"Nakamura","year":"2006","journal-title":"Neurosurgery"},{"key":"10.25259\/SNI_945_2025\/ref-17","doi-asserted-by":"crossref","first-page":"1224","DOI":"10.1227\/01.NEU.0000333788.83349.1E","article-title":"Olfactory groove meningiomas: Clinical outcome and recurrence rates after tumor removal through the frontolateral and bifrontal approach","volume":"62","author":"Nakamura","year":"2008","journal-title":"Neurosurgery"},{"key":"10.25259\/SNI_945_2025\/ref-18","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1016\/0090-3019(87)90005-X","article-title":"Incidental meningiomas in autopsy study","volume":"27","author":"Nakasu","year":"1987","journal-title":"Surg Neurol"},{"key":"10.25259\/SNI_945_2025\/ref-19","doi-asserted-by":"crossref","first-page":"839","DOI":"10.1227\/01.neu.0000318169.75095.cb","article-title":"Effect of early optic canal unroofing on the outcome of visual functions in surgery for meningiomas of the tuberculum sellae and planum sphenoidale","volume":"62","author":"Nozaki","year":"2008","journal-title":"Neurosurgery"},{"key":"10.25259\/SNI_945_2025\/ref-20","doi-asserted-by":"crossref","first-page":"1504","DOI":"10.1227\/NEU.0b013e31824a36e8","article-title":"Lateral supraorbital approach applied to tuberculum sellae meningiomas: Experience with 52 consecutive patients","volume":"70","author":"Romani","year":"2012","journal-title":"Neurosurgery"},{"key":"10.25259\/SNI_945_2025\/ref-21","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1227\/01.NEU.0000346266.69493.88","article-title":"Lateral supraorbital approach applied to olfactory groove meningiomas: Experience with 66 consecutive patients","volume":"65","author":"Romani","year":"2009","journal-title":"Neurosurgery"},{"key":"10.25259\/SNI_945_2025\/ref-22","first-page":"46","article-title":"Meningioma: A clinicopathological evaluation","volume":"14","author":"Samadi","year":"2007","journal-title":"Malays J Med Sci"},{"key":"10.25259\/SNI_945_2025\/ref-23","first-page":"593","article-title":"Atlas of neurosurgical techniques","author":"Sekhar","year":"2016","edition":"2nd ed"},{"key":"10.25259\/SNI_945_2025\/ref-24","first-page":"307","article-title":"Anterior cranial fossa meningioma","volume-title":"Current progress in neurosurgery","author":"Sharma","year":"2014","edition":"1st ed"},{"key":"10.25259\/SNI_945_2025\/ref-25","first-page":"268","article-title":"Olfactory groove meningiomas from neurosurgical and ear, nose, and throat perspectives: Approaches, techniques, and outcomes","volume":"57","author":"Spektor","year":"2005","journal-title":"Neurosurgery"},{"key":"10.25259\/SNI_945_2025\/ref-26","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1016\/j.jocn.2018.03.027","article-title":"Comparison between frontolateral approach and pterional approach in the surgical treatment of paraclinoid aneurysms","volume":"52","author":"Wang","year":"2018","journal-title":"J Clin Neurosci"},{"key":"10.25259\/SNI_945_2025\/ref-27","first-page":"208","article-title":"General operative techniques","volume-title":"Microneurosurgery I","author":"Yasargil","year":"1984"},{"key":"10.25259\/SNI_945_2025\/ref-28","article-title":"Microneurosurgery","volume":"4","author":"Yasargil","year":"1996"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/anterior-basal-meningiomas-can-different-approaches-make-a-difference\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/anterior-basal-meningiomas-can-different-approaches-make-a-difference\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T07:05:25Z","timestamp":1760079925000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/anterior-basal-meningiomas-can-different-approaches-make-a-difference\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,10]]},"references-count":28,"alternative-id":["10.25259\/SNI_945_2025"],"URL":"https:\/\/doi.org\/10.25259\/sni_945_2025","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"value":"2152-7806","type":"electronic"},{"value":"2229-5097","type":"print"}],"subject":[],"published":{"date-parts":[[2025,10,10]]},"article-number":"429"}}