Black Peter M, Morokoff Andrew P, Zauberman Jacob
Brigham and Women's Hospital, Department of Neurosurgery, Harvard Medical School, Boston, Massachusetts 02115, USA.
Neurosurgery. 2008 Jun;62(6 Suppl 3):1115-21; discussion 1121-3. doi: 10.1227/01.neu.0000333778.66316.38.
Extra-axial tumors of the cerebral convexity and midline include both convexity and parasagittal meningiomas; they are the most common tumors of the cranial vault and are the principal topic of this article. Over the past 30 years, neurosurgery has witnessed steady change in both technological capacity and in conceptualization of certain diseases. Meningiomas are good examples of this change. Although cranial base meningiomas have received the most attention in the past two decades, the management of cranial vault meningiomas has also changed significantly. Particular issues include decisions about when to treat, deciding between surgery and radiosurgery, increasing use of image-guided surgery, the understanding of the biology of these tumors, and changing attitudes in the management of the sagittal sinus. These issues exemplify the changing biological, conceptual, and technological concepts that characterize contemporary neurosurgery.
大脑凸面和中线的轴外肿瘤包括凸面和矢状窦旁脑膜瘤；它们是颅顶最常见的肿瘤，也是本文的主要主题。在过去30年里，神经外科在技术能力和某些疾病的概念化方面都经历了稳步变化。脑膜瘤就是这种变化的很好例证。尽管颅底脑膜瘤在过去二十年中受到了最多关注，但颅顶脑膜瘤的治疗也发生了显著变化。具体问题包括何时治疗的决策、手术与放射外科之间的抉择、图像引导手术的使用增加、对这些肿瘤生物学的理解以及矢状窦处理态度的转变。这些问题体现了当代神经外科所特有的生物学、概念和技术观念的变化。
