Meningiomas: Diagnosis, Treatment, and Outcome

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Joung H. Lee
Springer Science & Business Media, Dec 11, 2008 - Medical - 639 pages
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Joung H. Lee has assembled a masterful volume on the diagnosis, treatment, and outcome of meningiomas. It is complete in that it covers all aspects of this tumor; every location is discussed by acknowledged experts and every technique is described in detail. Basic biology forms an important and up-to-date part of the text. This book will serve as a reference for many years; in particular, Dr. Lee feels surgeons and future patients will benefit. There is little question that these aims will be fulfilled in this important tour de force. John A. Jane, Sr. , MD, PhD Charlottesville, VA, USA vii Preface In planning this book, I had three major goals. The first was to compile and disseminate all the advances and new information relating to meningiomas which became available in the last 15-20 years. In this time frame, there has been a significant increase in our understanding in regards to the meningioma pathologic classification, the natural history and basic science. Dramatic technological advancements have also been made in diagnostic and interventional radiology as well as in surgical and radiation treatments for meningiomas, such as incorporation of the following in the treatment armamentaria: endoscopy, various skull base techniques, computer-assisted surgery and radiosurgery. Additionally, new information regarding surgical outcome and patient selection for surgery are becoming available, all of which are resulting in a significant change in how neurosurgeons treat patients with meningiomas. The second goal for this book was to teach and stimulate the next generation of neurosurgeons.
 

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Contents

Meningiomas Historical Perspective
3
Epidemiology
11
Human Meninges Anatomy and Its Role in Meningioma Pathogenesis
15
Meninges Embryology
25
Pathology of Meningiomas
31
Natural History Growth Rates and Recurrence
45
Diagnostic Neuroradiology CT MRI fMRI MRS PET and Octreotide SPECT
55
Meningiomas Imaging Mimics
67
Olfactory GroovePlanum Sphenoidale Meningiomas
327
Tuberculum Sellae Meningiomas
333
Anterior Clinoidal Meningiomas
347
Optic Nerve Sheath Meningiomas I Aggressive Surgical Management
355
Optic Nerve Sheath Meningiomas II Conservative Management with Fractionated Stereotactic Radiotherapy
363
Lateral and Middle Sphenoid Wing Meningiomas
371
Orbitosphenoid Meningiomas
379
Cavernous Sinus Meningiomas Conservative Surgical Management
389

Preoperative Embolization of Meningiomas
89
Neuroophthalmic Evaluations in Patients with Meningiomas
101
Meningioma Tumorigenesis An Overview of Etiologic Factors
137
Molecular Basis of Meningioma Tumorigenesis and Progression
147
Meningiomas of the Central Neuraxis Unique Tumors
157
RadiationInduced Meningioma Historical Perspective Presentation Management and Genetics
163
Emerging Treatment Modalities I Cyclooxygenase2 as a Therapeutic Target for Meningioma Tumor Growth
177
Emerging Treatment Modalities II Gene Therapy for Meningiomas
185
Management Options and Surgical Principles An Overview
203
Operative Outcome Following Meningioma Surgery A Personal Experience of 600 Cases
209
Factors Influencing Outcome in Meningioma Surgery
213
The Novel CLASS Algorithmic Scale for Patient Selection in Meningioma Surgery
217
Endoscopy in Meningioma Surgery Basic Principles Applications and Indications
223
ImageGuided Surgery for Meningiomas
231
Meningiomas and Epilepsy
243
Surgical Correction of Postoperative Strabismus
247
Recent Advances in Therapeutic Radiation An Overview
253
Conventional Radiation for Meningiomas
259
Gamma Knife Surgery for Meningiomas
267
Linear Accelerator Radiosurgery for Meningiomas
277
Brachytherapy for Meningiomas
283
Medical Therapy for Meningiomas
293
Convexity Meningiomas
301
Parasagittal Meningiomas
309
Falcine Meningiomas
319
Temporal Bone Meningiomas
393
Posterior Clinoidal Meningiomas
399
Petroclival and Upper Clival Meningiomas I An Overview of Surgical Approaches
403
Petroclival and Upper Clival Meningiomas II Anterior Transpetrosal Approach
415
Petroclival and Upper Clival Meningiomas III Combined Anterior and Posterior Approach
425
Petrous Meningiomas I An Overview
433
Petrous Meningiomas II Ventral Posterior and Superior Subtypes
443
Foramen Magnum Meningiomas
449
Cerebellar Convexity Meningiomas
457
Tentorial Meningiomas
465
Torcular Transverse and Sigmoid Sinus Meningiomas
473
Falcotentorial and Pineal Region Meningiomas
485
Intraventricular Meningiomas
495
Jugular Foramen Meningiomas I
515
Jugular Foramen Meningiomas II An Otologists Approach Perspective and Experience
521
Spinal Meningiomas
529
Pediatric Meningiomas
543
NF2Multiple Meningiomas
555
Peritumoral Edema
565
Primary Ectopic Meningiomas
573
Management of Arterial Encasement by Intracranial Meningiomas
585
Venous Reconstruction in the Management of Intracranial Meningiomas
603
Dural Reconstruction in Meningioma Surgery
619
Index
625
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About the author (2008)

Dr Joung H Lee is Director, Center for Neurofibromatosis and Benign Tumors, Brain Tumor Institute and Head, Section of Skull Base Surgery, Department of Neurosurgery at the Cleveland Clinic Foundation. He has published over 40 journal articles and guest-edited Neurosurgery Clinics of North America: Adjunct treatment modalities for skull base tumors. W.B. Saunders, October 2000.

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