Optimizing Surgical Management of Anterior Skull Base Meningiomas: Imaging Modalities, Key Surgical Considerations, and Risk Mitigation Strategies

Abstract

Skull base meningiomas pose significant surgical challenges due to their proximity to vital neurovascular structures. Key factors influencing surgical outcomes include the integrity of the arachnoid plane, tumor size and consistency, brain edema, nerve involvement, vascular encasement, and invasion of critical areas. These factors affect the feasibility of complete tumor removal and postoperative recovery. This review explores critical surgical considerations, effective imaging techniques for evaluation, and strategies to optimize decision-making, reduce risks, and minimize complications.