Research was performed in 50 cases of Cavernous sinus Meningiomas
Objective Today,meningiomas with primary or,more commonly,secondary involvement of the cavernous sinus remain a surgical challenge.Currently,in-dications,timing,and multimodal treatments with surgery and radiotherapy represent the main topics of discussion concerning these lesions .Methods 50 patients under-went surgery between 2000 and 2013.The patients were retrospectively divided into 2 groups according to the type of surgical treatment:group A (open sinus surgery) and group B (closed sinus surgery).The mean follow -up time was 5 years.Results Early postoperative morbidity and permanent postoperative morbidity showed signi?cant differences between the groups.At long-term follow-up,we found no statistical differences in the incidence of recurrences and progressions .Only patients treated with postoperative radiation therapy (81.5%) showed clinic radiological stability.Conclusion Growth control and preservation of neurological functions are the primary goals in the treatment of cavernous sinus meningiomas.In most cases,surgery and radio surgery alone do not reach the primary goals,and unresolved issues remain.There-fore,we have developed a treatment algorithm as a guide to the best therapeutic options for the most common presentations of the disease .
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