TENTORIAL MENINGIOMAS

Abstract
This survey of 24 cases showed supratentorial meningiomas to present with a relatively short period of symptoms suggesting a lateralized cerebral mass lesion. One group of infratentorial tumours gave the picture of obstructive hydro-cephalus and had a poor prognosis. Another infratentorial group produced a long history of trigeminal symptoms and demonstrated consistent involvement of the 5th and 8th cranial nerve systems. They had a better prognosis. A third infratentorial group featured a complex gait disturbance. All the infratentorial tumors presented signs of cerebellar involvement. Skull radiographs and spinal fluid examinations were generally not helpful in the infratentorial meningiomas. Meningiomas are histologically benign intracranial tumors and earlier clinical recognition should improve post-operative prognosis.