{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T06:21:12Z","timestamp":1790662872993,"version":"4.1.0"},"reference-count":95,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JNS"],"published-print":{"date-parts":[[2011,5]]},"abstract":"<jats:sec>\n<jats:title>Object<\/jats:title>\n<jats:p>Although numerous studies have analyzed the role of stereotactic radiosurgery for intracranial meningiomas, few studies have assessed outcomes of posterior fossa meningiomas after stereotactic radiosurgery. In this study, the authors evaluate the outcomes of posterior fossa meningiomas treated with Gamma Knife surgery (GKS). The authors also assess factors predictive of new postoperative neurological deficits and tumor progression.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>Methods<\/jats:title>\n<jats:p>A retrospective review was performed of a prospectively compiled database documenting the outcomes of 152 patients with posterior fossa meningiomas treated at the University of Virginia from 1990 to 2006. All patients had a minimum follow-up of 24 months. There were 30 males and 122 females, with a median age of 58 years (range 12\u201382 years). Seventy-five patients were treated with radiosurgery initially, and 77 patients were treated with GKS after resection. Patients were assessed clinically and radiographically at routine intervals following GKS. Factors predictive of new neurological deficit following GKS were assessed via univariate and multivariate analysis, and Kaplan-Meier analysis and Cox multivariate regression analysis were used to assess factors predictive of tumor progression.<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>Results<\/jats:title>\n<jats:p>Patients had meningiomas centered over the tentorium (35 patients, 23%), cerebellopontine angle (43 patients, 28%), petroclival region (28 patients, 18%), petrous region (6 patients, 4%), and clivus (40 patients, 26%). The median follow-up was 7 years (range 2\u201316 years). The mean preradiosurgical tumor volume was 5.7 cm<jats:sup>3<\/jats:sup> (range 0.3\u201333 cm<jats:sup>3<\/jats:sup>), and mean postradiosurgical tumor volume was 4.9 cm<jats:sup>3<\/jats:sup> (range 0.1\u201333 cm<jats:sup>3<\/jats:sup>). At last follow-up, 55 patients (36%) displayed no change in tumor volume, 78 (51%) displayed a decrease in volume, and 19 (13%) displayed an increase in volume. Kaplan-Meier analysis demonstrated radiographic progression-free survival at 3, 5, and 10 years to be 98%, 96%, and 78%, respectively. In Cox multivariable analysis, pre-GKS covariates associated with tumor progression included age greater than 65 years (hazard ratio [HR] 3.24, 95% CI 1.12\u20139.37; p = 0.03) and a low dose to the tumor margin (HR 0.76, 95% CI 0.60\u20130.97; p = 0.03), and post-GKS covariates included shunt-dependent hydrocephalus (HR 25.0, 95% CI 3.72\u2013100.0; p = 0.001). At last clinical follow-up, 139 patients (91%) demonstrated no change or improvement in their neurological condition, and 13 patients showed symptom deterioration (9%). In multivariate analysis, the only factors predictive of new or worsening symptoms were clival or petrous location (OR 4.0, 95% CI 1.1\u201313.7; p = 0.03).<\/jats:p><\/jats:sec>\n<jats:sec>\n<jats:title>Conclusions<\/jats:title>\n<jats:p>Gamma Knife surgery offers an acceptable rate of tumor control for posterior fossa meningiomas and accomplishes this with a low incidence of neurological deficits. In patients selected for GKS, tumor progression is associated with age greater than 65 years and decreasing dose to the tumor margin. Clival- or petrous-based locations are predictive of an increased risk of new or worsening neurological deficit following GKS.<\/jats:p><\/jats:sec>","DOI":"10.3171\/2010.11.jns101193","type":"journal-article","created":{"date-parts":[[2011,1,7]],"date-time":"2011-01-07T15:03:20Z","timestamp":1294412600000},"page":"1399-1409","source":"Crossref","is-referenced-by-count":53,"title":["Gamma Knife surgery of meningiomas located in the posterior fossa: factors predictive of outcome and remission"],"prefix":"10.3171","volume":"114","author":[{"given":"Robert M.","family":"Starke","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James H.","family":"Nguyen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Rainey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian J.","family":"Williams","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan H.","family":"Sherman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jesse","family":"Savage","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chun Po","family":"Yen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason P.","family":"Sheehan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-jns101193","series-title":"J Neurosurg","first-page":"51","article-title":"The recurrence of intracranial meningiomas after surgical treatment","volume":"58","author":"Adegbite","year":"1983"},{"key":"b2-jns101193","series-title":"Acta Neurochir (Wien)","first-page":"647","article-title":"Gamma knife radiosurgery of skull base meningiomas","volume":"142","author":"Aichholzer","year":"2000"},{"key":"b3-jns101193","series-title":"J Neurosurg","first-page":"840","article-title":"Clinoidal meningiomas","volume":"73","author":"Al-Mefty","year":"1990"},{"key":"b4-jns101193","series-title":"Neurosurgery","first-page":"510","article-title":"Petrosal approach for petroclival meningiomas","volume":"22","author":"Al-Mefty","year":"1988"},{"key":"b5-jns101193","series-title":"Practical Statistics for Medical Research","author":"Altman","year":"1999"},{"key":"b6-jns101193","series-title":"J Neurosurg","first-page":"12","article-title":"Primary meningiomas of the jugular fossa","volume":"97","author":"Arnautovi\u0107","year":"2002"},{"issue":"1 Suppl","key":"b7-jns101193","series-title":"J Neurosurg","first-page":"71","article-title":"Ventral foramen magnum meningiomas","volume":"92","author":"Arnautovi\u0107","year":"2000"},{"key":"b8-jns101193","series-title":"Neurol Clin","first-page":"1209","article-title":"Current concepts in management of meningiomas and schwannomas","volume":"25","author":"Asthagiri","year":"2007"},{"key":"b9-jns101193","series-title":"J Neurosurg","first-page":"49","article-title":"Extreme lateral transcondylar approach: technical improvements and lessons learned","volume":"81","author":"Babu","year":"1994"},{"key":"b10-jns101193","series-title":"Neurosurgery","first-page":"525","article-title":"Radiation therapy in the treatment of partially resected meningiomas","volume":"20","author":"Barbaro","year":"1987"},{"key":"b11-jns101193","series-title":"Neurosurgery","first-page":"1177","article-title":"Foramen magnum meningiomas: clinical outcome after microsurgical resection via a posterolateral suboccipital retrocondylar approach","volume":"59","author":"Bassiouni","year":"2006"},{"key":"b12-jns101193","series-title":"Acta Neurochir Suppl","first-page":"82","article-title":"Microsurgical management of ventral and ventrolateral foramen magnum meningiomas","volume":"65","author":"Bertalanffy","year":"1996"},{"key":"b13-jns101193","series-title":"Acta Neurochir (Wien)","first-page":"555","article-title":"Aggressive surgery and focal radiation in the management of meningiomas of the skull base: preservation of function with maintenance of local control","volume":"143","author":"Black","year":"2001"},{"key":"b14-jns101193","series-title":"Neurosurg Rev","first-page":"19","article-title":"Foramen magnum meningiomas: detailed surgical approaches and technical aspects at Lariboisi\u00e8re Hospital and review of the literature","volume":"31","author":"Bruneau","year":"2008"},{"key":"b15-jns101193","series-title":"Acta Radiol Suppl","first-page":"1","article-title":"Meningiomas of the posterior fossa","volume":"104","author":"Castellano","year":"1953"},{"key":"b16-jns101193","series-title":"J Neurol Neurosurg Psychiatry","first-page":"226","article-title":"Complications after gamma knife radiosurgery for benign meningiomas","volume":"74","author":"Chang","year":"2003"},{"key":"b17-jns101193","series-title":"Neurosurgery","first-page":"1019","article-title":"Treatment of cranial base meningiomas with linear accelerator radiosurgery","volume":"41","author":"Chang","year":"1997"},{"key":"b18-jns101193","series-title":"Neurosurgery","first-page":"708","article-title":"Combined petrosal approach to petroclival meningiomas","volume":"51","author":"Cho","year":"2002"},{"key":"b19-jns101193","series-title":"J Neurooncol","first-page":"241","article-title":"Linear accelerator-based radiosurgery in the management of skull base meningiomas","volume":"66","author":"Chuang","year":"2004"},{"key":"b20-jns101193","series-title":"J Neurosurg","first-page":"30","article-title":"Patterns of skull base meningioma progression after failed radiosurgery","volume":"106","author":"Couldwell","year":"2007"},{"key":"b21-jns101193","series-title":"Acta Neurochir (Wien)","first-page":"1007","article-title":"Posterior fossa meningiomas: surgical experience in 52 cases","volume":"140","author":"Cudlip","year":"1998"},{"key":"b22-jns101193","series-title":"Stereotact Funct Neurosurg","first-page":"218","article-title":"Radiosurgery and stereotactic radiation therapy of skull base meningiomas: proposal of a grading system","volume":"76","author":"De Salles","year":"2001"},{"key":"b23-jns101193","series-title":"J Clin Oncol","first-page":"3547","article-title":"High efficacy of fractionated stereotactic radiotherapy of large base-of-skull meningiomas: long-term results","volume":"19","author":"Debus","year":"2001"},{"key":"b24-jns101193","series-title":"Minim Invasive Neurosurg","first-page":"333","article-title":"LINAC radiosurgery in skull base meningiomas","volume":"47","author":"Deinsberger","year":"2004"},{"key":"b25-jns101193","series-title":"Int J Radiat Oncol Biol Phys","first-page":"1021","article-title":"Stereotactic single high dose radiation therapy of benign intracranial meningiomas","volume":"19","author":"Engenhart","year":"1990"},{"issue":"2","key":"b26-jns101193","series-title":"Neurosurg Focus","first-page":"E7","article-title":"Surgical management of petroclival meningiomas: factors determining the choice of approach","volume":"19","author":"Erkmen","year":"2005"},{"key":"b27-jns101193","series-title":"Acta Neurochir Suppl","first-page":"71","article-title":"Preservation of cranial nerve function following Gamma Knife radiosurgery for benign skull base meningiomas: experience in 121 patients with follow-up of 5 to 9.8 years","volume":"84","author":"Eustacchio","year":"2002"},{"key":"b28-jns101193","series-title":"J Neurosurg","first-page":"957","article-title":"Long-term control of petroclival meningiomas through radiosurgery. Clinical article","volume":"112","author":"Flannery","year":"2010"},{"key":"b29-jns101193","series-title":"Int J Radiat Oncol Biol Phys","first-page":"801","article-title":"Gamma knife radiosurgery of imaging-diagnosed intracranial meningioma","volume":"56","author":"Flickinger","year":"2003"},{"key":"b30-jns101193","series-title":"Surg Neurol","first-page":"484","article-title":"Lateral approach to the anterior portion of the foramen magnum. Application to surgical removal of 14 benign tumors: technical note","volume":"29","author":"George","year":"1988"},{"key":"b31-jns101193","series-title":"Surg Neurol","first-page":"371","article-title":"Meningioma of the foramen magnum: a series of 40 cases","volume":"47","author":"George","year":"1997"},{"issue":"Suppl 1","key":"b32-jns101193","series-title":"Neurochirurgie","first-page":"1","article-title":"[French language Society of Neurosurgery. 44th Annual Congress. Brussels, 8\u201312 June 1993. Tumors of the foramen magnum.]","volume":"39","author":"George","year":"1993"},{"key":"b33-jns101193","series-title":"Neurosurgery","first-page":"102","article-title":"Surgery on anterior foramen magnum meningiomas using a conventional posterior suboccipital approach: a report on an experience with 17 cases","volume":"49","author":"Goel","year":"2001"},{"key":"b34-jns101193","series-title":"Neurosurg Clin N Am","first-page":"605","article-title":"Conventional radiation therapy for skull base meningiomas","volume":"11","author":"Goldsmith","year":"2000"},{"key":"b35-jns101193","series-title":"J Neurosurg","first-page":"195","article-title":"Postoperative irradiation for subtotally resected meningiomas. A retrospective analysis of 140 patients treated from 1967 to 1990","volume":"80","author":"Goldsmith","year":"1994"},{"key":"b36-jns101193","series-title":"J Clin Neurosci","first-page":"856","article-title":"Role of hypofractionated stereotactic radiotherapy in treatment of skull base meningiomas","volume":"15","author":"Gorman","year":"2008"},{"key":"b37-jns101193","series-title":"Zentralbl Neurochir","first-page":"14","article-title":"Radiosurgery\/stereotactic radiotherapy in the therapeutical concept for skull base meningiomas","volume":"69","author":"Hamm","year":"2008"},{"key":"b38-jns101193","series-title":"Int J Radiat Oncol Biol Phys","first-page":"1324","article-title":"Gamma knife radiosurgery for skull base meningiomas: long-term radiologic and clinical outcome","volume":"72","author":"Han","year":"2008"},{"key":"b39-jns101193","series-title":"Clin Neurosurg","first-page":"451","article-title":"Tentorial meningiomas","volume":"44","author":"Harrison","year":"1997"},{"key":"b40-jns101193","series-title":"J Neurosurg","first-page":"804","article-title":"Gamma Knife radiosurgery for skull base meningioma: long-term results of low-dose treatment. Clinical article","volume":"109","author":"Iwai","year":"2008"},{"key":"b41-jns101193","series-title":"J Clin Neurosci","first-page":"528","article-title":"The treatment of skull base meningiomas\u2014combining surgery and radiosurgery","volume":"8","author":"Iwai","year":"2001"},{"key":"b42-jns101193","series-title":"No Shinkei Geka","first-page":"411","article-title":"[Gamma knife radiosurgery for skull base meningiomas: the treatment results and patient satisfaction expressed in answers to a questionnaire.]","volume":"28","author":"Iwai","year":"2000"},{"key":"b43-jns101193","series-title":"Surg Neurol","first-page":"40","article-title":"Gamma knife surgery for skull base meningiomas. The effectiveness of low-dose treatment","volume":"52","author":"Iwai","year":"1999"},{"key":"b44-jns101193","series-title":"Radiology","first-page":"461","article-title":"Intracranial meningiomas: factors that influence the development of cerebral edema after stereotactic radiosurgery and radiation therapy","volume":"204","author":"Kalapurakal","year":"1997"},{"key":"b45-jns101193","series-title":"Br J Neurosurg","first-page":"33","article-title":"Foramen magnum meningiomas\u2014experience with the posterior suboccipital approach","volume":"23","author":"Kandenwein","year":"2009"},{"key":"b46-jns101193","series-title":"Int J Radiat Oncol Biol Phys","first-page":"1309","article-title":"A comparison of clinical target volumes determined by CT and MRI for the radiotherapy planning of base of skull meningiomas","volume":"46","author":"Khoo","year":"2000"},{"key":"b47-jns101193","series-title":"J Neurosurg","first-page":"44","article-title":"Long-term outcomes after meningioma radiosurgery: physician and patient perspectives","volume":"91","author":"Kondziolka","year":"1999"},{"key":"b48-jns101193","series-title":"Neurosurgery","first-page":"53","article-title":"Radiosurgery as definitive management of intracranial meningiomas","volume":"62","author":"Kondziolka","year":"2008"},{"key":"b49-jns101193","series-title":"Br J Neurosurg","first-page":"129","article-title":"The far lateral approach for ventrally placed foramen magnum and upper cervical spine tumours","volume":"7","author":"Kratimenos","year":"1993"},{"key":"b50-jns101193","series-title":"J Neurol Neurosurg Psychiatry","first-page":"1425","article-title":"Long term experience of gamma knife radiosurgery for benign skull base meningiomas","volume":"76","author":"Kreil","year":"2005"},{"key":"b51-jns101193","series-title":"Neurosurgery","first-page":"331","article-title":"Spinal neurofibromas: a report of 66 cases and a comparison with meningiomas","volume":"18","author":"Levy","year":"1986"},{"key":"b52-jns101193","series-title":"J Neurosurg","first-page":"804","article-title":"Spinal cord meningioma","volume":"57","author":"Levy","year":"1982"},{"key":"b53-jns101193","series-title":"Acta Neurochir Suppl","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1007\/978-3-7091-0583-2_7","article-title":"Gamma knife radiosurgery of skull base meningiomas","volume":"91","author":"Lisc\u00e1k","year":"2004"},{"key":"b54-jns101193","series-title":"Otolaryngol Clin North Am","first-page":"677","article-title":"Stereotactic radiosurgery and stereotactic radiotherapy in the treatment of skull base meningiomas","volume":"42","author":"McGregor","year":"2009"},{"key":"b55-jns101193","series-title":"J Neurosurg","first-page":"136","article-title":"Benign tumors of the foramen magnum","volume":"61","author":"Meyer","year":"1984"},{"key":"b56-jns101193","series-title":"Int J Radiat Oncol Biol Phys","first-page":"858","article-title":"Intensity-modulated radiotherapy for complex-shaped meningioma of the skull base: long-term experience of a single institution","volume":"68","author":"Milker-Zabel","year":"2007"},{"key":"b57-jns101193","series-title":"Radiat Oncol","first-page":"42","article-title":"Radiotherapy and radiosurgery for benign skull base meningiomas","volume":"4","author":"Minniti","year":"2009"},{"key":"b58-jns101193","series-title":"J Neurosurg","first-page":"42","article-title":"Risk of injury to cranial nerves after gamma knife radiosurgery for skull base meningiomas: experience in 88 patients","volume":"90","author":"Morita","year":"1999"},{"key":"b59-jns101193","series-title":"Surg Neurol","first-page":"268","article-title":"Stereotactic radiosurgery for anterior foramen magnum meningiomas","volume":"51","author":"Muthukumar","year":"1999"},{"key":"b60-jns101193","series-title":"Acta Neurochir (Wien)","first-page":"315","article-title":"Stereotactic radiosurgery for tentorial meningiomas","volume":"140","author":"Muthukumar","year":"1998"},{"key":"b61-jns101193","series-title":"Skull Base","first-page":"243","article-title":"Recurrence and outcome in skull base meningiomas: do they differ from other intracranial meningiomas?","volume":"18","author":"Nanda","year":"2008"},{"key":"b62-jns101193","series-title":"J Neurosurg","first-page":"302","article-title":"Far-lateral approach to intradural lesions of the foramen magnum without resection of the occipital condyle","volume":"96","author":"Nanda","year":"2002"},{"issue":"Suppl 1","key":"b63-jns101193","series-title":"Stereotact Funct Neurosurg","first-page":"112","article-title":"Gamma Knife radiosurgery in skull base meningiomas. Preliminary experience with 50 cases","volume":"66","author":"Nicolato","year":"1996"},{"key":"b64-jns101193","series-title":"Minim Invasive Neurosurg","first-page":"211","article-title":"Gamma knife radiosurgery in meningiomas of the posterior fossa. Experience with 62 treated lesions","volume":"44","author":"Nicolato","year":"2001"},{"key":"b65-jns101193","series-title":"J Clin Neurosci","first-page":"863","article-title":"Experience of a single institution treating foramen magnum meningiomas","volume":"11","author":"Pamir","year":"2004"},{"key":"b66-jns101193","series-title":"Acta Neurochir (Wien)","first-page":"31","article-title":"Management of benign craniovertebral junction tumors","volume":"145","author":"Parlato","year":"2003"},{"issue":"Suppl 1","key":"b67-jns101193","series-title":"J Clin Neurosci","first-page":"12","article-title":"Radiosurgery as alternative treatment for skull base meningiomas","volume":"8","author":"Pendl","year":"2001"},{"key":"b68-jns101193","series-title":"Minim Invasive Neurosurg","first-page":"87","article-title":"Stereotactic radiosurgery of skull base meningiomas","volume":"40","author":"Pendl","year":"1997"},{"issue":"Suppl 1","key":"b69-jns101193","series-title":"Stereotact Funct Neurosurg","first-page":"11","article-title":"Stereotactic radiosurgery of skull base meningiomas","volume":"64","author":"Pendl","year":"1995"},{"key":"b70-jns101193","series-title":"Neurol Res","first-page":"577","article-title":"Lower clivus and foramen magnum anterolateral meningiomas: surgical strategy","volume":"20","author":"Pirotte","year":"1998"},{"key":"b71-jns101193","series-title":"Int J Radiat Oncol Biol Phys","first-page":"362","article-title":"Intensity modulated radiotherapy (IMRT) for recurrent, residual, or untreated skull-base meningiomas: preliminary clinical experience","volume":"55","author":"Pirzkall","year":"2003"},{"key":"b72-jns101193","series-title":"Neurosurg Clin N Am","first-page":"659","article-title":"Gamma knife radiosurgery for skull base meningiomas","volume":"11","author":"Pollock","year":"2000"},{"key":"b73-jns101193","series-title":"Int J Radiat Oncol Biol Phys","first-page":"1000","article-title":"Stereotactic radiosurgery provides equivalent tumor control to Simpson Grade 1 resection for patients with small- to medium-size meningiomas","volume":"55","author":"Pollock","year":"2003"},{"key":"b74-jns101193","series-title":"Surg Neurol","first-page":"8","article-title":"Posterior fossa meningiomas: surgical experience in 161 cases","volume":"56","author":"Roberti","year":"2001"},{"issue":"2 Suppl","key":"b75-jns101193","series-title":"J Neurosurg","first-page":"206","article-title":"Variations of the extreme-lateral craniocervical approach: anatomical study and clinical analysis of 69 patients","volume":"90","author":"Salas","year":"1999"},{"key":"b76-jns101193","series-title":"Neurosurgery","first-page":"1086","article-title":"Surgical results for meningiomas of the craniocervical junction","volume":"39","author":"Samii","year":"1996"},{"key":"b77-jns101193","series-title":"Neurosurgery","first-page":"197","article-title":"An extreme lateral approach to intradural lesions of the cervical spine and foramen magnum","volume":"27","author":"Sen","year":"1990"},{"key":"b78-jns101193","series-title":"Neurosurgery","first-page":"728","article-title":"Radiation tolerance limits of the brainstem","volume":"63","author":"Sharma","year":"2008"},{"key":"b79-jns101193","series-title":"J Neurol Neurosurg Psychiatry","first-page":"22","article-title":"The recurrence of intracranial meningiomas after surgical treatment","volume":"20","author":"Simpson","year":"1957"},{"issue":"Suppl 3","key":"b80-jns101193","series-title":"J Neurosurg","first-page":"57","article-title":"Early complications following gamma knife radiosurgery for intracranial meningiomas","volume":"93","author":"Singh","year":"2000"},{"key":"b81-jns101193","series-title":"J Neurosurg","first-page":"157","article-title":"Assessment of imaging studies used with radiosurgery: a volumetric algorithm and an estimation of its error. Technical note","volume":"104","author":"Snell","year":"2006"},{"key":"b82-jns101193","series-title":"Mayo Clin Proc","first-page":"936","article-title":"Primarily resected meningiomas: outcome and prognostic factors in 581 Mayo Clinic patients, 1978 through 1988","volume":"73","author":"Stafford","year":"1998"},{"key":"b83-jns101193","series-title":"J Craniovertebr Junction Spine","first-page":"23","article-title":"Gamma knife radiosurgery of meningiomas involving the foramen magnum","volume":"1","author":"Starke","year":"2010"},{"key":"b84-jns101193","series-title":"Schmidek and Sweet Operative Neurosurgical Techniques","first-page":"530","article-title":"Gamma surgery in cerebral vascular lesions, malformations, tumors, and functional disorders","volume":"1","author":"Steiner","year":"2006"},{"key":"b85-jns101193","series-title":"Radiother Oncol","first-page":"177","article-title":"Neuropsychological outcome after fractionated stereotactic radiotherapy (FSRT) for base of skull meningiomas: a prospective 1-year follow-up","volume":"69","author":"Steinvorth","year":"2003"},{"key":"b86-jns101193","series-title":"Clin Neurosurg","first-page":"320","article-title":"Small skull base meningiomas. Surgical management","volume":"48","author":"Strang","year":"2001"},{"key":"b87-jns101193","series-title":"Neurosurgery","first-page":"437","article-title":"Management of petroclival meningiomas by stereotactic radiosurgery","volume":"42","author":"Subach","year":"1998"},{"key":"b88-jns101193","series-title":"Br J Neurosurg","first-page":"599","article-title":"Surgical management of posterior cranial fossa meningiomas","volume":"7","author":"Symon","year":"1993"},{"key":"b89-jns101193","series-title":"Prog Neurol Surg","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1159\/000163385","article-title":"Gamma knife radiosurgery for skull-base meningiomas","volume":"22","author":"Takanashi","year":"2009"},{"key":"b90-jns101193","series-title":"Int J Radiat Oncol Biol Phys","first-page":"99","article-title":"Stereotactic proton beam therapy of skull base meningiomas","volume":"49","author":"Vernimmen","year":"2001"},{"key":"b91-jns101193","series-title":"Acta Neurochir (Wien)","first-page":"1141","article-title":"Linac radiosurgery for skull base meningiomas","volume":"143","author":"Villavicencio","year":"2001"},{"key":"b92-jns101193","series-title":"Acta Neurochir Suppl","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1007\/978-3-7091-6513-3_23","article-title":"Effect of LINAC radiosurgery on regional cerebral blood flow, glucose metabolism and sodium-potassium AtPase in skull base meningiomas and metastasis","volume":"68","author":"Warnke","year":"1997"},{"key":"b93-jns101193","series-title":"J Neurosurg","article-title":"Gamma Knife radiosurgery for parasellar meningiomas: long term results including complications, predictive factors and progression free survival","author":"Williams","year":"2010"},{"key":"b94-jns101193","series-title":"Microneurosurgery. Microneurosurgery of CNS Tumors","first-page":"134","article-title":"Meningiomas","volume":"Vol IVB","author":"Ya\u015fargil","year":"1996"},{"key":"b95-jns101193","series-title":"Neurosurgery","first-page":"28","article-title":"Gamma-knife radiosurgery for cranial base meningiomas: experience of tumor control, clinical course, and morbidity in a follow-up of more than 8 years","volume":"58","author":"Zachenhofer","year":"2006"}],"container-title":["Journal of Neurosurgery"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/114\/5\/article-p1399.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/114\/5\/article-p1399.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/114\/5\/article-p1399.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,27]],"date-time":"2023-03-27T06:50:12Z","timestamp":1679899812000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/114\/5\/article-p1399.xml"}},"subtitle":["Clinical article"],"short-title":[],"issued":{"date-parts":[[2011,5]]},"references-count":95,"journal-issue":{"issue":"5"},"URL":"https:\/\/doi.org\/10.3171\/2010.11.jns101193","relation":{},"ISSN":["0022-3085","1933-0693"],"issn-type":[{"value":"0022-3085","type":"print"},{"value":"1933-0693","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,5]]}}}