Best treatment for meningioma with low recurrence rate is

The best treatment for meningioma of low recurrence rate is complete tumour resection including resection of underlying bone and associated dura. The constant principles in meningioma resection are the following: If possible, all involved or hyperostotic bone should be removed. The dura involved by the tumor as well as a dural rim that is free from tumor should be resected (duraplasty is performed). Dural tails that are apparent on MRI are best removed, even though some may not be involved with the tumor. Transaerial embolization has become a standard preoperative procedure in the preoperative management. Radiotherapy is mainly used as adjuvant therapy for incompletely resected, high-grade and/or recurrent tumors.