Petrosal Approach for Resection of Petroclival Meningioma
Abstract
A 41 year-old woman presented with progressive gait imbalance, headaches, short-term memory loss, and involuntary laughter. Imaging revealed a large right petroclival meningioma causing obstructive hydrocephalus. We performed a posterior petrosal approach with intraoperative CSF drainage via ventricular drain for near-total resection of the tumor. A pedicled superficial temporalis fascia flap aided reconstruction. The patient had improved function following resection, aside from new right trochlear palsy Publication History Article published online: 27 February 2026 © 2026. Thieme. All rights reserved. Georg Thieme Verlag KG Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany
Fields of Study & Subjects
Meningioma and schwannoma management
Neurosurgical Procedures and Complications
Head and Neck Surgical Oncology
Publication details
- Journal / source
- Journal of Neurological Surgery Part B Skull Base
- Volume
- 87
- Issue
- S 01
- Pages
- S1–S548
- Publication date
- 27 February 2026
- Language
- EN