{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:03:14Z","timestamp":1782864194475,"version":"3.54.5"},"reference-count":16,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>Atypical skull base meningiomas are characterized by aggressive growth and neurovascular invasion, which complicate resection and predispose to high recurrence rates. Lesions encasing major vessels and cranial nerves or refractory to surgery and radiation therapy are associated with significant morbidity, while systemic therapies remain largely ineffective despite ongoing trials. Their management, therefore, necessitates advanced microsurgical strategies. We describe a radiation-induced WHO grade II atypical meningioma extensively involving the cavernous sinus, supra-\/parasellar, and petroclival regions in a patient with 6 prior surgeries, 2 Gamma Knife treatments, and multiple systemic therapies, presenting with ophthalmoplegia and right-eye blindness, treated using a three-stage surgical approach.<\/jats:p>\n                  <jats:p>\n                    The video can be found here:\n                    <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/stream.cadmore.media\/r10.3171\/2025.10.FOCVID25163\">https:\/\/stream.cadmore.media\/r10.3171\/2025.10.FOCVID25163<\/jats:ext-link>\n                  <\/jats:p>","DOI":"10.3171\/2025.10.focvid25163","type":"journal-article","created":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T05:52:10Z","timestamp":1767246730000},"page":"V10","source":"Crossref","is-referenced-by-count":0,"title":["Staged microsurgical resection of supra-\/parasellar meningioma with cavernous sinus exenteration and carotid-to\u2013middle cerebral artery bypass"],"prefix":"10.3171","volume":"14","author":[{"given":"Umid","family":"Sulaimanov","sequence":"first","affiliation":[{"name":"Department of Neurological Surgery, School of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Franco","family":"Vera Figueroa","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, School of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdullah","family":"Keles","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, School of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ufuk","family":"Erginoglu","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, School of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yerkebulan","family":"Serikkanov","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, School of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Umut Tan","family":"Sevgi","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, School of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oyku","family":"Ozturk","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, School of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mustafa K.","family":"Baskaya","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, School of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Microneurosurgery, Volume IVB: Microneurosurgery of CNS Tumors","author":"Ya\u015fargil MG","year":"2021","unstructured":"Ya\u015fargil MG. Microneurosurgery, Volume IVB: Microneurosurgery of CNS Tumors. Georg Thieme Verlag;2021."},{"issue":"6","key":"b2","series-title":"J Neurosurg","first-page":"857","article-title":"Transpetrosal approach for aneurysms of the lower basilar artery","volume":"63","author":"Kawase T","year":"1985","unstructured":"Kawase T, Toya S, Shiobara R, Mine T. Transpetrosal approach for aneurysms of the lower basilar artery. J Neurosurg. 1985;63(6):857\u2013861. doi:10.3171\/jns.1985.63.6.0857"},{"key":"b3","article-title":"Anatomy and Surgery of the Cavernous Sinus","author":"Dolenc VV","year":"1989","unstructured":"Dolenc VV. Anatomy and Surgery of the Cavernous Sinus. Springer; 1989."},{"issue":"suppl 4","key":"b4","series-title":"J Neurol Surg B Skull Base","first-page":"S378","article-title":"Aggressive, multidisciplinary staged microsurgical resection of a giant cervicomedullary junction chordoma","volume":"80","author":"Sayyahmelli S","year":"2019","unstructured":"Sayyahmelli S, Dogan I, Wieland AM, Pyle M, Baskaya MK. Aggressive, multidisciplinary staged microsurgical resection of a giant cervicomedullary junction chordoma. J Neurol Surg B Skull Base. 2019;80(suppl 4):S378\u2013S379. doi:10.1055\/s-0039-1695062"},{"issue":"suppl 1","key":"b5","series-title":"Neurosurgery","first-page":"66","article-title":"Changing treatment strategy from clipping to radial artery graft bypass and parent artery sacrifice in patients with ruptured blister-like internal carotid artery aneurysms","volume":"10","author":"Kazumata K","year":"2014","unstructured":"Kazumata K, Nakayama N, Nakamura T, Kamiyama H, Terasaka S, Houkin K. Changing treatment strategy from clipping to radial artery graft bypass and parent artery sacrifice in patients with ruptured blister-like internal carotid artery aneurysms. Neurosurgery. 2014;10(suppl 1):66\u201373. doi:10.1227\/NEU.0000000000000076"},{"key":"b6","series-title":"Front Surg","first-page":"808446","article-title":"Maximal resection of tumors encasing the internal carotid artery and hindering internal carotid artery expansion followed by revascularization surgery: a series of nine cases at a single tertiary center","volume":"9","author":"Sun Y","year":"2022","unstructured":"Sun Y, Wang L, Shi X, Liu F. Maximal resection of tumors encasing the internal carotid artery and hindering internal carotid artery expansion followed by revascularization surgery: a series of nine cases at a single tertiary center. Front Surg. 2022;9:808446. doi:10.3389\/fsurg.2022.808446"},{"issue":"suppl 3","key":"b7","series-title":"J Neurol Surg B Skull Base","first-page":"e603","article-title":"Combined transcavernous and Kawase\u2019s approach for gross total resection of a cavernous sinus meningioma","volume":"83","author":"Elshamy W","year":"2022","unstructured":"Elshamy W, Ozaydin B, Pyle GM, Baskaya MK. Combined transcavernous and Kawase\u2019s approach for gross total resection of a cavernous sinus meningioma. J Neurol Surg B Skull Base. 2022;83(suppl 3):e603\u2013e605. doi:10.1055\/s-0041-1725025"},{"issue":"2","key":"b8","series-title":"Oper Neurosurg","first-page":"317","article-title":"Gross total resection of multicompartmental chondrosarcoma through combined transcavernous and anterior transpetrosal approaches with endoscopic assistance: 2-dimensional operative video","volume":"29","author":"Erginoglu U","year":"2024","unstructured":"Erginoglu U, Sayyahmelli S, Ataoglu C, Sapanci M, Roche JP, Baskaya MK. Gross total resection of multicompartmental chondrosarcoma through combined transcavernous and anterior transpetrosal approaches with endoscopic assistance: 2-dimensional operative video. Oper Neurosurg. 2024;29(2):317\u2013318. doi:10.1227\/ons.0000000000001429"},{"key":"b1","series-title":"Microneurosurgery, Volume IVB: Microneurosurgery of CNS Tumors","author":"Ya\u015fargil MG","year":"2021","unstructured":"Ya\u015fargil MG. Microneurosurgery, Volume IVB: Microneurosurgery of CNS Tumors. Georg Thieme Verlag;2021."},{"issue":"6","key":"b2","series-title":"J Neurosurg","first-page":"857","article-title":"Transpetrosal approach for aneurysms of the lower basilar artery","volume":"63","author":"Kawase T","year":"1985","unstructured":"Kawase T, Toya S, Shiobara R, Mine T. Transpetrosal approach for aneurysms of the lower basilar artery. J Neurosurg. 1985;63(6):857\u2013861. doi:10.3171\/jns.1985.63.6.0857"},{"key":"b3","article-title":"Anatomy and Surgery of the Cavernous Sinus","author":"Dolenc VV","year":"1989","unstructured":"Dolenc VV. Anatomy and Surgery of the Cavernous Sinus. 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Changing treatment strategy from clipping to radial artery graft bypass and parent artery sacrifice in patients with ruptured blister-like internal carotid artery aneurysms. Neurosurgery. 2014;10(suppl 1):66\u201373. doi:10.1227\/NEU.0000000000000076"},{"key":"b6","series-title":"Front Surg","first-page":"808446","article-title":"Maximal resection of tumors encasing the internal carotid artery and hindering internal carotid artery expansion followed by revascularization surgery: a series of nine cases at a single tertiary center","volume":"9","author":"Sun Y","year":"2022","unstructured":"Sun Y, Wang L, Shi X, Liu F. Maximal resection of tumors encasing the internal carotid artery and hindering internal carotid artery expansion followed by revascularization surgery: a series of nine cases at a single tertiary center. 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J Neurol Surg B Skull Base. 2022;83(suppl 3):e603\u2013e605. doi:10.1055\/s-0041-1725025"},{"issue":"2","key":"b8","series-title":"Oper Neurosurg","first-page":"317","article-title":"Gross total resection of multicompartmental chondrosarcoma through combined transcavernous and anterior transpetrosal approaches with endoscopic assistance: 2-dimensional operative video","volume":"29","author":"Erginoglu U","year":"2024","unstructured":"Erginoglu U, Sayyahmelli S, Ataoglu C, Sapanci M, Roche JP, Baskaya MK. Gross total resection of multicompartmental chondrosarcoma through combined transcavernous and anterior transpetrosal approaches with endoscopic assistance: 2-dimensional operative video. Oper Neurosurg. 2024;29(2):317\u2013318. doi:10.1227\/ons.0000000000001429"}],"container-title":["Neurosurgical Focus: Video"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/neurosurg-focus-video\/14\/1\/article-pV10.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/neurosurg-focus-video\/14\/1\/article-pV10.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/neurosurg-focus-video\/14\/1\/article-pV10.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T23:35:38Z","timestamp":1782862538000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/neurosurg-focus-video\/14\/1\/article-pV10.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":16,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.3171\/2025.10.focvid25163","relation":{},"ISSN":["2643-5217"],"issn-type":[{"value":"2643-5217","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]}}}