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Research shows that hospitals performing a high volume of meningioma operations (more than 10 per year) report fewer deaths than lower-volume hospitals – and that outcomes are better with high-volume neurosurgeons (those who perform more than seven operations per year). For the past five years, UT Southwestern Medical Center neurosurgeons have operated on more than 60 meningioma patients per year.
Our neurosurgeons are supported by a team of physicians and nurses equally experienced in the management of these tumors.
Symptoms and Diagnosis for MeningiomaBecause meningiomas can occur in many locations within the skull, they can produce a variety of neurologic problems. Large tumors in any location can cause headaches. Tumors that irritate the surface of the brain can produce seizures. Tumors that involve one or more of the cranial nerves can produce loss of function of those nerves – loss of vision or hearing, for example.
Many small meningiomas are discovered by chance imaging tests, before they have caused any symptoms or problems. In most cases, these incidental meningiomas are observed with MRI scans and not treated unless they show evidence of growth. Meningiomas that produce symptoms are evaluated by a team of neurosurgeons to determine the best management for each patient.
Meningiomas are classified into three groups:
- Grade 1: Benign,
approximately 70 percent
- Grade 2: Cells
that demonstrate aggressive growth potential, approximately 29 percent
- Grade 3: Malignant, 1 percent
Treatment for Meningioma
When a meningioma develops over the surface of the brain, it’s usually possible to remove it completely, but many meningiomas involve important arteries, veins, or cranial nerves. In these cases, a complete removal could be hazardous. In these instances, surgery often is combined with some form of radiation to control the remaining tumor.
When treatment is needed, the best option for all grades is complete surgical removal, when possible. If a complete removal is not possible, the remaining tumor is, in some cases, monitored with magnetic resonance scans. In other cases, especially for grade 2 or 3 tumors, remaining tumor fragments are treated with some form of radiation after the patient has recovered from surgery.
For meningiomas that cannot be completely removed and, in some cases, as an alternative to surgery, UT Southwestern offers access to the most accurate radiation delivery technology available.
We have the only Gamma Knife Icon in the Dallas–Fort Worth Metroplex, and whenever possible we use this device to treat recurrent or residual tumors on an outpatient basis.
We treat larger tumors or those that contact the optic nerves with the CyberKnife, a robotic device that maintains accurate radiation delivery for treatments that must be delivered in divided doses, over several days or weeks. Radiation oncologists and neurosurgeons who are highly experienced in the treatment of meningiomas plan radiation treatment jointly.
Related Conditions and Treatments
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4 major advancements in brain surgery since 2000
August 29, 2019
Results: 6 Locations
Neurosurgery Clinicat James W. Aston Ambulatory Care Center 5303 Harry Hines Blvd., 7th Floor
Dallas, Texas 75390 214-645-2300 Directions to Neurosurgery Clinic Parking Info for Neurosurgery Clinic
Otolaryngologyat UT Southwestern Monty and Tex Moncrief Medical Center at Fort Worth 600 South Main Street, 2nd Floor, Suite2.800
Fort Worth, Texas 76104 817-882-2430 Directions to Otolaryngology
Otolaryngology Clinicat West Campus Building 3 2001 Inwood Road, 6th and 7th Floor
Dallas, Texas 75390 214-645-8898 Directions to Otolaryngology Clinic Parking Info for Otolaryngology Clinic
Pediatric Neurosurgeryat UT Southwestern Pediatric Group at Plano 7609 Preston Road, 1st Floor, Suite P1100
Plano, Texas 75024 214-456-6660 Directions to Pediatric Neurosurgery Parking Info for Pediatric Neurosurgery
UT Southwestern Neurosurgery at Texas Health Dallasat Professional Building 3 8230 Walnut Hill Lane, Suite 514
Dallas, Texas 75231 214-645-2300 Directions to UT Southwestern Neurosurgery at Texas Health Dallas Parking Info for UT Southwestern Neurosurgery at Texas Health Dallas
University Hospital Radiation Oncology Clinicat Radiation Oncology Building 2280 Inwood Road
Dallas, Texas 75390 214-645-8525 Directions to University Hospital Radiation Oncology Clinic