{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T00:17:34Z","timestamp":1788308254652,"version":"build-2803163510"},"reference-count":42,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,9,1]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>Jugular foramen meningiomas are challenging because of their deep, neurovascularly crowded location and multicompartment extension; hyperostosis and rigid dural attachment further narrow the corridor and increase the risk of lower cranial nerve morbidity, causing dysphagia and airway complications that may rarely require tracheostomy. This study aimed to describe a contemporary function-first workflow integrating compartment-based anatomy, venous sinus status, preoperative embolization, and continuous vagus nerve monitoring and its relation to clinically actionable recovery endpoints.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>The authors retrospectively reviewed 26 consecutive patients who underwent primary surgery for jugular foramen meningiomas (2014\u20132025). Tumors were classified as intradural + intrajugular (IJ) or intradural + intrajugular + extracranial extension (IJE). Retrosigmoid, suprajugular, or transjugular approaches were selected by tumor extension and sigmoid\u2013jugular venous status. Selective embolization and continuous vagus nerve monitoring were used when feasible. Outcomes included extubation timing, time to oral intake, 1-year swallowing\/voice severity, extent of resection, and salvage stereotactic radiosurgery (SRS) for progression\/regrowth.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Twenty tumors were IJ and 6 were IJE. Selective embolization was performed in 16 patients (62%) without complications. Continuous vagus nerve monitoring was implemented in 16 patients (62%); lower preservation rates showed an exploratory association with worse 1-year swallowing. All patients were extubated immediately after surgery. Oral intake began by postoperative day \u2264 7 in 20 patients (77%); only 1 required &gt; 14 days before resuming oral intake. At 1 year, swallowing and hoarseness remained worse in 54% and 46% of patients, respectively, but almost all cases were mild; the same patient had moderate dysphagia\/hoarseness, and none required tracheostomy, gastrostomy, long-term tube feeding, or phonosurgery. Simpson grade IV comprised 69% of cases but predominantly reflected intrajugular\/extracranial residual rather than persistent intradural disease. No patient without preoperative facial nerve palsy developed new palsy; serviceable hearing was preserved in 70%, and 38% with preoperative nonserviceable hearing improved to serviceable hearing. During a median 55.6-month follow-up, 3 patients (12%) underwent salvage SRS for regrowth; none required reoperation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>A function-first workflow guided by anatomical compartment extension and intraoperative monitoring can support rapid recovery and durable functional independence in jugular foramen meningiomas. The IJE phenotype identifies a higher-risk subgroup for delayed oral intake and postoperative subjective dysphagia\/hoarseness, while continuous vagus nerve monitoring may provide actionable insights to calibrate surgical aggressiveness and support function-prioritized acceptance of intrajugular\/extracranial residual with close surveillance and salvage SRS when needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/2026.6.focus26233","type":"journal-article","created":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T00:01:22Z","timestamp":1787702482000},"page":"E6","source":"Crossref","is-referenced-by-count":0,"title":["Surgical management of jugular foramen meningiomas: a function-prioritized perioperative workflow"],"prefix":"10.3171","volume":"61","author":[{"given":"Ken","family":"Matsushima","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Tokyo Medical University, Tokyo; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michihiro","family":"Kohno","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Tokyo Medical University, Tokyo; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nobuyuki","family":"Nakajima","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Tokyo Medical University, Tokyo; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norio","family":"Ichimasu","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Tokyo Medical University, Tokyo; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takao","family":"Hashimoto","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Tokyo Medical University, Tokyo; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiyoaki","family":"Tsukahara","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery, Tokyo Medical University, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"1","key":"b1","series-title":"J Neurosurg","first-page":"12","article-title":"Primary meningiomas of the jugular fossa","volume":"97","author":"Arnautovi\u0107 KI","year":"2002","unstructured":"Arnautovi\u0107 KI, Al-Mefty O. Primary meningiomas of the jugular fossa. J Neurosurg. 2002;97(1):12\u201320. doi:10.3171\/jns.2002.97.1.0012"},{"issue":"3","key":"b2","series-title":"J Neurol Surg B Skull Base","first-page":"260","article-title":"Surgical approaches to the jugular foramen: a comprehensive review","volume":"77","author":"Griessenauer CJ","year":"2016","unstructured":"Griessenauer CJ, McGrew BM, Matusz P, De Caro R, Loukas M, Tubbs RS. Surgical approaches to the jugular foramen: a comprehensive review. J Neurol Surg B Skull Base. 2016;77(3):260\u2013264. doi:10.1055\/s-0035-1567863"},{"issue":"1","key":"b3","series-title":"Neurosurgery","first-page":"149","article-title":"The jugular foramen: microsurgical anatomy and operative approaches","volume":"41","author":"Katsuta T","year":"1997","unstructured":"Katsuta T, Rhoton AL Jr, Matsushima T. The jugular foramen: microsurgical anatomy and operative approaches. Neurosurgery. 1997;41(1):149\u2013201. doi:10.1097\/00006123-199707000-00030"},{"issue":"2","key":"b4","series-title":"AJNR Am J Neuroradiol","first-page":"211","article-title":"A compartment-based approach for the imaging evaluation of tinnitus","volume":"31","author":"Vattoth S","year":"2010","unstructured":"Vattoth S, Shah R, Cur\u00e9 JK. A compartment-based approach for the imaging evaluation of tinnitus. AJNR Am J Neuroradiol. 2010;31(2):211\u2013218. doi:10.3174\/ajnr.A1704"},{"issue":"2","key":"b5","series-title":"Neurol Med Chir (Tokyo)","first-page":"89","article-title":"Jugular foramen meningiomas: review of the major surgical series","volume":"50","author":"Bakar B","year":"2010","unstructured":"Bakar B. Jugular foramen meningiomas: review of the major surgical series. Neurol Med Chir (Tokyo). 2010;50(2):89\u201396. doi:10.2176\/nmc.50.89"},{"issue":"2","key":"b6","series-title":"Brain Sci","first-page":"182","article-title":"Jugular foramen tumors: surgical strategies and representative cases","volume":"14","author":"Castillo AL","year":"2024","unstructured":"Castillo AL, Meybodi AT, Liu JK. Jugular foramen tumors: surgical strategies and representative cases. Brain Sci. 2024;14(2):182. doi:10.3390\/brainsci14020182"},{"issue":"1","key":"b7","series-title":"Laryngoscope","first-page":"25","article-title":"Meningioma of the jugular foramen: glomus jugulare mimic and surgical challenge","volume":"114","author":"Gilbert ME","year":"2004","unstructured":"Gilbert ME, Shelton C, McDonald A,  Meningioma of the jugular foramen: glomus jugulare mimic and surgical challenge. Laryngoscope. 2004;114(1):25\u201332. doi:10.1097\/00005537-200401000-00004"},{"issue":"2","key":"b8","series-title":"AJR Am J Roentgenol","first-page":"373","article-title":"Primary jugular foramen meningioma: imaging appearance and differentiating features","volume":"182","author":"Macdonald AJ","year":"2004","unstructured":"Macdonald AJ, Salzman KL, Harnsberger HR, Gilbert E, Shelton C. Primary jugular foramen meningioma: imaging appearance and differentiating features. AJR Am J Roentgenol. 2004;182(2):373\u2013377. doi:10.2214\/ajr.182.2.1820373"},{"key":"b9","series-title":"Front Surg","first-page":"27","article-title":"Microsurgical anatomy of the jugular foramen applied to surgery of glomus jugulare via craniocervical approach","volume":"7","author":"Constanzo F","year":"2020","unstructured":"Constanzo F, Coelho Neto M, Nogueira GF, Ramina R. Microsurgical anatomy of the jugular foramen applied to surgery of glomus jugulare via craniocervical approach. Front Surg. 2020;7:27. doi:10.3389\/fsurg.2020.00027"},{"issue":"1","key":"b10","series-title":"Skull Base","first-page":"99","article-title":"Rehabilitation after treatment for jugular foramen lesions","volume":"19","author":"Cheesman AD","year":"2009","unstructured":"Cheesman AD, Kelly A. Rehabilitation after treatment for jugular foramen lesions. Skull Base. 2009;19(1):99\u2013108. doi:10.1055\/s-0028-1103122"},{"issue":"3","key":"b11","series-title":"J Neurol Surg B Skull Base","first-page":"239","article-title":"Function-preserving multimodal treatment for jugular foramen meningiomas","volume":"80","author":"Ito S","year":"2019","unstructured":"Ito S, Saegusa T, Ozawa Y,  Function-preserving multimodal treatment for jugular foramen meningiomas. J Neurol Surg B Skull Base. 2019;80(3):239\u2013243. doi:10.1055\/s-0038-1668137"},{"issue":"10","key":"b12","series-title":"Laryngoscope","first-page":"1710","article-title":"Surgical management of jugular foramen meningiomas: a series of 13 cases and review of the literature","volume":"117","author":"Sanna M","year":"2007","unstructured":"Sanna M, Bacciu A, Falcioni M, Taibah A, Piazza P. Surgical management of jugular foramen meningiomas: a series of 13 cases and review of the literature. Laryngoscope. 2007;117(10):1710\u20131719. doi:10.1097\/MLG.0b013e3180cc20a3"},{"issue":"4","key":"b13","series-title":"Neurosurg Rev","first-page":"671","article-title":"Microsurgical management of primary jugular foramen meningiomas: a series of 22 cases and review of the literature","volume":"39","author":"Tang J","year":"2016","unstructured":"Tang J, Zhang L, Zhang J,  Microsurgical management of primary jugular foramen meningiomas: a series of 22 cases and review of the literature. Neurosurg Rev. 2016;39(4):671\u2013683. doi:10.1007\/s10143-016-0730-y"},{"issue":"3","key":"b14","series-title":"J Neurosurg","first-page":"605","article-title":"Pharyngeal motor-evoked potentials elicited by transcranial electrical stimulation for intraoperative monitoring during skull base surgery","volume":"116","author":"Fukuda M","year":"2012","unstructured":"Fukuda M, Oishi M, Hiraishi T, Saito A, Fujii Y. Pharyngeal motor-evoked potentials elicited by transcranial electrical stimulation for intraoperative monitoring during skull base surgery. J Neurosurg. 2012;116(3):605\u2013610. doi:10.3171\/2011.10.JNS111343"},{"issue":"2","key":"b15","series-title":"World Neurosurg","first-page":"555","article-title":"Pharyngeal motor-evoked potential monitoring during skull base surgery predicts postoperative recovery from swallowing dysfunction","volume":"84","author":"Fukuda M","year":"2015","unstructured":"Fukuda M, Takao T, Hiraishi T, Yajima N, Saito A, Fujii Y. Pharyngeal motor-evoked potential monitoring during skull base surgery predicts postoperative recovery from swallowing dysfunction. World Neurosurg. 2015;84(2):555\u2013560. doi:10.1016\/j.wneu.2015.04.023"},{"issue":"5","key":"b16","series-title":"Am J Otol","first-page":"649","article-title":"Vagal nerve monitoring in surgery of the skull base: a comparison of efficacy of three techniques","volume":"20","author":"Jackson LE","year":"1999","unstructured":"Jackson LE, Roberson JB Jr. Vagal nerve monitoring in surgery of the skull base: a comparison of efficacy of three techniques. Am J Otol. 1999;20(5):649\u2013656."},{"issue":"4","key":"b17","series-title":"J Neurosurg","first-page":"1036","article-title":"Intraoperative continuous vagus nerve monitoring with repetitive direct stimulation in surgery for jugular foramen tumors","volume":"135","author":"Matsushima K","year":"2021","unstructured":"Matsushima K, Kohno M, Ichimasu N, Tanaka Y, Nakajima N, Yoshino M. Intraoperative continuous vagus nerve monitoring with repetitive direct stimulation in surgery for jugular foramen tumors. J Neurosurg. 2021;135(4):1036\u20131043. doi:10.3171\/2020.8.JNS202680"},{"issue":"1","key":"b18","series-title":"J Neurosurg","first-page":"78","article-title":"Features of postoperative hearing function changes in patients with cerebellopontine angle and intratemporal tumors other than vestibular schwannomas","volume":"138","author":"Ichimasu N","year":"2023","unstructured":"Ichimasu N, Kohno M, Nakajima N,  Features of postoperative hearing function changes in patients with cerebellopontine angle and intratemporal tumors other than vestibular schwannomas. J Neurosurg. 2023;138(1):78\u201385. doi:10.3171\/2022.3.JNS212477"},{"issue":"1","key":"b19","series-title":"Acta Neurochir (Wien)","first-page":"191","article-title":"Long-term prognosis of preserved hearing function after surgery in patients with cerebellopontine angle tumors other than vestibular schwannoma","volume":"167","author":"Ichimasu N","year":"2025","unstructured":"Ichimasu N, Kohno M, Nakajima N, Matsunaga K, Matsushima K, Tsukahara K. Long-term prognosis of preserved hearing function after surgery in patients with cerebellopontine angle tumors other than vestibular schwannoma. Acta Neurochir (Wien). 2025;167(1):191. doi:10.1007\/s00701-025-06507-6"},{"issue":"VideoSuppl2","key":"b20","series-title":"Neurosurg Focus","first-page":"V3","article-title":"Retrosigmoid transmeatal and suprajugular approach for cerebellopontine angle meningioma: operative video","volume":"43","author":"Matsushima K","year":"2017","unstructured":"Matsushima K, Kohno M. Retrosigmoid transmeatal and suprajugular approach for cerebellopontine angle meningioma: operative video. Neurosurg Focus. 2017;43(VideoSuppl2):V3. doi:10.3171\/2017.10.FocusVid.17290"},{"key":"b21","series-title":"World Neurosurg","first-page":"e984","article-title":"Retrosigmoid intradural suprajugular approach to jugular foramen tumors with intraforaminal extension: surgical series of 19 cases","volume":"125","author":"Matsushima K","year":"2019","unstructured":"Matsushima K, Kohno M, Nakajima N,  Retrosigmoid intradural suprajugular approach to jugular foramen tumors with intraforaminal extension: surgical series of 19 cases. World Neurosurg. 2019;125:e984\u2013e991. doi:10.1016\/j.wneu.2019.01.223"},{"issue":"2","key":"b22","series-title":"J Neurosurg","first-page":"397","article-title":"Suprajugular extension of the retrosigmoid approach: microsurgical anatomy","volume":"121","author":"Matsushima K","year":"2014","unstructured":"Matsushima K, Kohno M, Komune N, Miki K, Matsushima T, Rhoton AL Jr. Suprajugular extension of the retrosigmoid approach: microsurgical anatomy. J Neurosurg. 2014;121(2):397\u2013407. doi:10.3171\/2014.3.JNS132419"},{"issue":"4","key":"b23","series-title":"Acta Neurochir (Wien)","first-page":"739","article-title":"Transjugular transsigmoid approach for triple dumbbell-shaped jugular foramen schwannomas","volume":"161","author":"Matsushima K","year":"2019","unstructured":"Matsushima K, Kohno M. Transjugular transsigmoid approach for triple dumbbell-shaped jugular foramen schwannomas. Acta Neurochir (Wien). 2019;161(4):739\u2013743. doi:10.1007\/s00701-019-03860-1"},{"issue":"3","key":"b24","series-title":"Expert Rev Neurother","first-page":"241","article-title":"Current treatment options for meningioma","volume":"18","author":"Apra C","year":"2018","unstructured":"Apra C, Peyre M, Kalamarides M. Current treatment options for meningioma. Expert Rev Neurother. 2018;18(3):241\u2013249. doi:10.1080\/14737175.2018.1429920"},{"issue":"Suppl 1","key":"b25","series-title":"Chin Clin Oncol","first-page":"S7","article-title":"Current and emerging principles in surgery for meningioma","volume":"6","author":"Bi WL","year":"2017","unstructured":"Bi WL, Dunn IF. Current and emerging principles in surgery for meningioma. Chin Clin Oncol. 2017;6(Suppl 1):S7. doi:10.21037\/cco.2017.06.10"},{"issue":"Suppl 1","key":"b26","series-title":"Head Neck","first-page":"E1041","article-title":"Surgical approaches to jugular foramen schwannomas: an anatomic study","volume":"38","author":"Komune N","year":"2016","unstructured":"Komune N, Matsushima K, Matsushima T, Komune S, Rhoton AL Jr. Surgical approaches to jugular foramen schwannomas: an anatomic study. Head Neck. 2016;38(Suppl 1):E1041\u2013E1053. doi:10.1002\/hed.24156"},{"issue":"3","key":"b27","series-title":"Ann Otol Rhinol Laryngol","first-page":"192","article-title":"Surgical rehabilitation of voice and swallowing after jugular foramen surgery","volume":"119","author":"Oestreicher-Kedem Y","year":"2010","unstructured":"Oestreicher-Kedem Y, Agrawal S, Jackler RK, Damrose EJ. Surgical rehabilitation of voice and swallowing after jugular foramen surgery. Ann Otol Rhinol Laryngol. 2010;119(3):192\u2013198. doi:10.1177\/000348941011900308"},{"issue":"1","key":"b28","series-title":"J Neurosurg","first-page":"121","article-title":"Significance of Simpson grading system in modern meningioma surgery: integration of the grade with MIB-1 labeling index as a key to predict the recurrence of WHO grade I meningiomas","volume":"117","author":"Oya S","year":"2012","unstructured":"Oya S, Kawai K, Nakatomi H, Saito N. Significance of Simpson grading system in modern meningioma surgery: integration of the grade with MIB-1 labeling index as a key to predict the recurrence of WHO grade I meningiomas. J Neurosurg. 2012;117(1):121\u2013128. doi:10.3171\/2012.3.JNS111945"},{"issue":"Suppl 1","key":"b29","series-title":"Chin Clin Oncol","first-page":"S3","article-title":"Radiation for skull base meningiomas: review of the literature on the approach to radiotherapy","volume":"6","author":"Moraes FY","year":"2017","unstructured":"Moraes FY, Chung C. Radiation for skull base meningiomas: review of the literature on the approach to radiotherapy. Chin Clin Oncol. 2017;6(Suppl 1):S3. doi:10.21037\/cco.2017.06.08"},{"issue":"1","key":"b30","series-title":"Neurosurgery","first-page":"58","article-title":"Long-term results of stereotactic radiosurgery for skull base meningiomas","volume":"79","author":"Cohen-Inbar O","year":"2016","unstructured":"Cohen-Inbar O, Lee CC, Schlesinger D, Xu Z, Sheehan JP. Long-term results of stereotactic radiosurgery for skull base meningiomas. Neurosurgery. 2016;79(1):58\u201368. doi:10.1227\/NEU.0000000000001045"},{"issue":"11","key":"b31","series-title":"Neuro Oncol","first-page":"1821","article-title":"EANO guideline on the diagnosis and management of meningiomas","volume":"23","author":"Goldbrunner R","year":"2021","unstructured":"Goldbrunner R, Stavrinou P, Jenkinson MD,  EANO guideline on the diagnosis and management of meningiomas. Neuro Oncol. 2021;23(11):1821\u20131834. doi:10.1093\/neuonc\/noab150"},{"issue":"10","key":"b32","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 W","year":"2005","unstructured":"Kreil W, Luggin J, Fuchs I, Weigl V, Eustacchio S, Papaefthymiou G. Long term experience of gamma knife radiosurgery for benign skull base meningiomas. J Neurol Neurosurg Psychiatry. 2005;76(10):1425\u20131430. doi:10.1136\/jnnp.2004.049213"},{"issue":"4","key":"b33","series-title":"Jpn J Clin Oncol","first-page":"462","article-title":"Long-term outcomes of fractionated stereotactic radiotherapy for intracranial skull base benign meningiomas in single institution","volume":"41","author":"Onodera S","year":"2011","unstructured":"Onodera S, Aoyama H, Katoh N,  Long-term outcomes of fractionated stereotactic radiotherapy for intracranial skull base benign meningiomas in single institution. Jpn J Clin Oncol. 2011;41(4):462\u2013468. doi:10.1093\/jjco\/hyq231"},{"issue":"2","key":"b34","series-title":"Neurosurgery","first-page":"322","article-title":"Long-term outcomes and patterns of tumor progression after Gamma Knife radiosurgery for benign meningiomas","volume":"67","author":"Zada G","year":"2010","unstructured":"Zada G, Pagnini PG, Yu C,  Long-term outcomes and patterns of tumor progression after Gamma Knife radiosurgery for benign meningiomas. Neurosurgery. 2010;67(2):322\u2013328. doi:10.1227\/01.NEU.0000371974.88873.15"},{"key":"b35","series-title":"Front Surg","first-page":"40","article-title":"Meningioma genomics: diagnostic, prognostic, and therapeutic applications","volume":"3","author":"Bi WL","year":"2016","unstructured":"Bi WL, Zhang M, Wu WW, Mei Y, Dunn IF. Meningioma genomics: diagnostic, prognostic, and therapeutic applications. Front Surg. 2016;3:40. doi:10.3389\/fsurg.2016.00040"},{"issue":"4","key":"b36","series-title":"Neurosurg Focus","first-page":"E4","article-title":"Relationship between tumor location, size, and WHO grade in meningioma","volume":"44","author":"Magill ST","year":"2018","unstructured":"Magill ST, Young JS, Chae R, Aghi MK, Theodosopoulos PV, McDermott MW. Relationship between tumor location, size, and WHO grade in meningioma. Neurosurg Focus. 2018;44(4):E4. doi:10.3171\/2018.1.FOCUS17752"},{"issue":"1","key":"b37","series-title":"J Neurosurg","first-page":"23","article-title":"Survival in patients treated for anaplastic meningioma","volume":"123","author":"Moliterno J","year":"2015","unstructured":"Moliterno J, Cope WP, Vartanian ED,  Survival in patients treated for anaplastic meningioma. J Neurosurg. 2015;123(1):23\u201330. doi:10.3171\/2014.10.JNS14502"},{"issue":"7874","key":"b38","series-title":"Nature","first-page":"119","article-title":"A clinically applicable integrative molecular classification of meningiomas","volume":"597","author":"Nassiri F","year":"2021","unstructured":"Nassiri F, Liu J, Patil V,  A clinically applicable integrative molecular classification of meningiomas. Nature. 2021;597(7874):119\u2013125. doi:10.1038\/s41586-021-03850-3"},{"issue":"2","key":"b39","series-title":"J Neurosurg","first-page":"438","article-title":"Targeted sequencing of SMO and AKT1 in anterior skull base meningiomas","volume":"127","author":"Strickland MR","year":"2017","unstructured":"Strickland MR, Gill CM, Nayyar N,  Targeted sequencing of SMO and AKT1 in anterior skull base meningiomas. J Neurosurg. 2017;127(2):438\u2013444. doi:10.3171\/2016.8.JNS161076"},{"issue":"11","key":"b40","series-title":"Nat Med","first-page":"3173","article-title":"Molecular classification to refine surgical and radiotherapeutic decision-making in meningioma","volume":"30","author":"Wang JZ","year":"2024","unstructured":"Wang JZ, Patil V, Landry AP,  Molecular classification to refine surgical and radiotherapeutic decision-making in meningioma. Nat Med. 2024;30(11):3173\u20133183. doi:10.1038\/s41591-024-03167-4"},{"issue":"1","key":"b41","series-title":"J Neurosurg","first-page":"20","article-title":"Petroclival meningiomas: surgical experience in 109 cases","volume":"84","author":"Couldwell WT","year":"1996","unstructured":"Couldwell WT, Fukushima T, Giannotta SL, Weiss MH. Petroclival meningiomas: surgical experience in 109 cases. J Neurosurg. 1996;84(1):20\u201328. doi:10.3171\/jns.1996.84.1.0020"},{"issue":"1","key":"b42","series-title":"Neurosurg Rev","first-page":"55","article-title":"Meningiomas of the jugular foramen","volume":"29","author":"Ramina R","year":"2006","unstructured":"Ramina R, Coelho Neto M, Fernandes YB, Aguiar PH, de Meneses MS, Torres LF. Meningiomas of the jugular foramen. Neurosurg Rev. 2006;29(1):55\u201360. doi:10.1007\/s10143-005-0415-4"}],"container-title":["Neurosurgical Focus"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/neurosurg-focus\/61\/3\/article-pE6.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/neurosurg-focus\/61\/3\/article-pE6.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/neurosurg-focus\/61\/3\/article-pE6.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T00:01:22Z","timestamp":1788307282000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/neurosurg-focus\/61\/3\/article-pE6.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,1]]},"references-count":42,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.3171\/2026.6.focus26233","relation":{},"ISSN":["1092-0684"],"issn-type":[{"value":"1092-0684","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,1]]}}}