Sphenoid wing meningiomas account for 11%-20% of all intracranial meningiomas, whereas meningiomas of the anterior clinoid process comprise about 34.0–43.9%. Assignment of these cranio-basal tumors to a separate group is due to the parasellar location and challenges in their surgical removal, mainly because of its anatomical syntopy: compression of the optic nerve, carotid artery inclusion, and invasion to the cavernous sinus. This chapter consists of the combination of current knowledge and our experience in understanding, diagnosis, surgical strategy, and complication avoidance with these tumors.
Part of the book: Skull Base Surgery