{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T13:54:20Z","timestamp":1787320460025,"version":"build-2736575974"},"reference-count":74,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,4]]},"abstract":"\n OBJECTIVE<\/jats:title>\n Meningiomas arising from the cavernous sinus (CS) continue to be a significant technical challenge, and resection continues to carry a relatively higher risk of neurological morbidity in patients with these lesions because of the tumor\u2019s proximity to neurovascular structures. The authors report the surgical outcomes of 9 patients with primary CS meningiomas (CSMs) that were surgically treated using a minimal anterior and posterior combined (MAPC) transpetrosal approach, and they emphasize the usefulness of the approach.<\/jats:p>\n <\/jats:sec>\n \n METHODS<\/jats:title>\n This retrospective study included 9 patients who underwent surgery for CSM treatment between 2015 and 2016 via the MAPC transpetrosal approach. Two patients were men and 7 were women, with a mean age of 58.5 years (39\u201372 years). Five patients (55.5%) had undergone previous treatment. The surgical technique consisted of a temporo-occipito-suboccipital craniotomy and exposure of the posterolateral part of the CS via the presigmoidal MAPC approach. After opening Meckel\u2019s cave and identifying the 3rd\u20135th cranial nerves in the prepontine cistern, Parkinson\u2019s triangle and supratrochlear triangles were opened. Finally, the tumor occupying the posterolateral part of the CS was removed.<\/jats:p>\n <\/jats:sec>\n \n RESULTS<\/jats:title>\n All lesions were safely and maximally removed, with preservation of external ocular movements and preoperative Karnofsky Performance Scale scores. The mean extent of resection was 77.0% (range 58.7%\u201395.4%). Six patients underwent adjuvant therapy in the form of stereotactic radiosurgery (SRS) or stereotactic radiotherapy (SRT) during the follow-up period; none of these patients experienced recurrence.<\/jats:p>\n <\/jats:sec>\n \n CONCLUSION<\/jats:title>\n The authors conclude that the MAPC transpetrosal approach could be superior to other approaches for CSMs, as it provides direct visual access to the posterolateral portion of the CS. In their experience, this approach is an alternative and better option for safe maximal resection of CSMs.<\/jats:p>\n <\/jats:sec>","DOI":"10.3171\/2018.1.focus17703","type":"journal-article","created":{"date-parts":[[2018,4,1]],"date-time":"2018-04-01T03:31:08Z","timestamp":1522553468000},"page":"E11","source":"Crossref","is-referenced-by-count":24,"title":["Safe maximal resection of primary cavernous sinus meningiomas via a minimal anterior and posterior combined transpetrosal approach"],"prefix":"10.3171","volume":"44","author":[{"given":"Hiroki","family":"Morisako","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Osaka City University Graduate School of Medicine, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takeo","family":"Goto","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Osaka City University Graduate School of Medicine, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroki","family":"Ohata","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Osaka City University Graduate School of Medicine, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sachin Ranganatha","family":"Goudihalli","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Osaka City University Graduate School of Medicine, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keisuke","family":"Shirosaka","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Osaka City University Graduate School of Medicine, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenji","family":"Ohata","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Osaka City University Graduate School of Medicine, Osaka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Neurosurgery","first-page":"510","article-title":"Petrosal approach for petroclival meningiomas","volume":"22","author":"Al-Mefty O","year":"1988","unstructured":"Al-Mefty O, Fox JL, Smith RR: Petrosal approach for petroclival meningiomas. 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