Approach Strategy in Anterior Fossa and Parasellar Meningiomas

Introduction: Skull base tumors that originate or extend into parasellar area are challenging lesions due to the fact that they often surrounds vital nerves and vessels. To protect them each case should be analyzed meticulously and the best approach chosen accordingly. Despite the evolution of refined microsurgical instrumentation and techniques and shift toward minimal invasive approaches complex tumors requires more than straightforward approach. We report our experience and analyze the effectiveness of different approaches for safe and complete removal of anterior fossa and parasellar meningiomas.