Follow-up/Surveillance

Question 1

What is the surgical complication rate after resection for meningiomas?

Answer 1

After resection, the surgical complication rate is 2%–30% depending on the location/type; 1%–14% mortality (worse in the elderly).

Question 2

If observed, pts should get MRIs at what intervals?

Answer 2

At 3 mos, 6 mos, and 12 mos, then every 6–12 mos for 5 yrs, then every 1–3 yrs if stable (NCCN 2018)

Question 3

What is the toxicity rate for SRS if doses >16 Gy are used?

Answer 3

There is temporary toxicity in 10% of pts and permanent toxicity in 6% of pts. Perilesional edema is observed in 15%. (Kullova A et al., J Neurosurg 2007)

Question 4

How are optic nerve sheath/cavernous sinus meningioma pts followed?

Answer 4

These pts should be followed with serial MRIs, neuro-ophthalmology exams, and regular endocrinology exams.