ABSTRACT
Despite their often benign histology, convexity meningiomas can exhibit a malignant
nature through their propensity to recur. The mainstay of convexity meningioma treatment
remains aggressive surgical resection even for recurrences. Advances in microsurgical
techniques and intraoperative adjuncts have facilitated the safety and effectiveness
of this approach. Careful attention to surgical technique can reduce surgical mortality
and limit postoperative morbidity. For lesions that do recur or that are deemed unresectable,
consideration is give to radiotherapy. There is no doubt that radiotherapy is a valuable
adjunct to surgical resection in patients with tumors demonstrating more malignant
features. The risk of radiation therapy must be more cautiously evaluated following
resection of benign convexity meningiomas. This article discusses the classification,
presentation, and management pertinent to convexity meningiomas. The controversy surrounding
adjuvant radiotherapy is also explored as it relates to meningiomas of the convexity.
KEYWORDS
Convexity meningioma - surgical resection - radiotherapy - recurrence
