{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T20:02:13Z","timestamp":1787256133762,"version":"build-2736575974"},"reference-count":70,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["FOC"],"published-print":{"date-parts":[[2011,12]]},"abstract":"<jats:p>With the increasing availability and use of modern brain diagnostic imaging modalities, discovery of incidental meningiomas has become fairly common. This creates a dilemma among neurosurgeons as to whether these lesions should be treated. Numerous natural history studies have been published in an effort to shed light on the potential for growth of incidental meningiomas. The available data appear to suggest that these tumors can fall into 1 of 3 main growth patterns: no growth, linear growth, or exponential growth. The therapeutic strategy selected should also consider several other factors, mainly the risk of complications from an eventual surgery, the possibility of malignancies and other pathological conditions that mimic meningiomas, and the age and medical condition of the patient. The authors believe that most asymptomatic incidental meningiomas can be observed using serial imaging and clinical follow-up evaluations. Surgical interventions are typically reserved for large, symptomatic lesions and those with documented potential for significant growth.<\/jats:p>","DOI":"10.3171\/2011.9.focus11220","type":"journal-article","created":{"date-parts":[[2011,12,1]],"date-time":"2011-12-01T10:36:12Z","timestamp":1322735772000},"page":"E19","source":"Crossref","is-referenced-by-count":86,"title":["Incidental meningiomas"],"prefix":"10.3171","volume":"31","author":[{"given":"Roukoz","family":"Chamoun","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khaled M.","family":"Krisht","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William T.","family":"Couldwell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-0310019","series-title":"Arch Path","first-page":"953","article-title":"Angioblastic meningiomas","volume":"6","author":"Bailey","year":"1928"},{"key":"b2-0310019","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"108","DOI":"10.1227\/01.NEU.0000126886.48372.49","article-title":"Tentorial meningiomas: clinical results in 81 patients treated microsurgically","volume":"55","author":"Bassiouni","year":"2004"},{"key":"b3-0310019","series-title":"J Korean Neurosurg Soc","doi-asserted-by":"publisher","first-page":"385","DOI":"10.3340\/jkns.2010.47.5.385","article-title":"Isolated recurrence of intracranial granulocytic sarcoma mimicking a falx meningioma in acute myeloblastic leukemia","volume":"47","author":"Cho","year":"2010"},{"key":"b4-0310019","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"1088","DOI":"10.1227\/01.NEU.0000188281.91351.B9","article-title":"Epidemiology of intracranial meningioma","volume":"57","author":"Claus","year":"2005"},{"key":"b5-0310019","series-title":"Epocrates Online","article-title":"Meningiomas","author":"Couldwell"},{"key":"b6-0310019","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"20","DOI":"10.3171\/jns.1996.84.1.0020","article-title":"Petroclival meningiomas: surgical experience in 109 cases","volume":"84","author":"Couldwell","year":"1996"},{"key":"b7-0310019","series-title":"Neuro Oncol","first-page":"152","article-title":"Prevalence estimates for primary brain tumors in the United States by behavior and major histology groups","volume":"3","author":"Davis","year":"2001"},{"key":"b8-0310019","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"545","DOI":"10.3171\/jns.1990.73.4.0545","article-title":"Growth rate of incidental meningiomas","volume":"73","author":"Firsching","year":"1990"},{"key":"b9-0310019","series-title":"World Neurosurg","doi-asserted-by":"publisher","first-page":"513","DOI":"10.1016\/j.wneu.2010.06.020","article-title":"Primary meningeal T-cell lymphoma at the clivus mimicking a meningioma","volume":"74","author":"Grau","year":"2010"},{"key":"b10-0310019","series-title":"Br J Radiol","doi-asserted-by":"publisher","first-page":"e138","DOI":"10.1259\/bjr\/15772106","article-title":"Isolated intracranial Rosai-Dorfman disease mimicking meningioma in a child: a case report and review of the literature","volume":"84","author":"Gupta","year":"2011"},{"key":"b11-0310019","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"675","DOI":"10.3171\/2008.8.JNS08481","article-title":"Serial volumetric assessment of the natural history and growth pattern of incidentally discovered meningiomas. 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