FEBAIR microsurgical principles in meningiomas and recurrence: a long-term follow-up series - Report - MDSpire

FEBAIR microsurgical principles in meningiomas and recurrence: a long-term follow-up series

  • By

  • Carlos Eduardo da Silva

  • Tamara Vidaletti

  • Paulo Eduardo Peixoto de Freitas

  • May 28, 2026

  • 0 min

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Long-Term Outcomes of FEBAIR Microsurgical Techniques in Meningioma Management

Overview

This study presents a long-term follow-up of surgical treatments for meningiomas, revealing a recurrence rate of approximately 20% over an average follow-up period of 14 years.

Background

Meningiomas are the most common primary intracranial tumors, accounting for nearly 39% of all brain lesions. This study provides data on recurrence rates and surgical effectiveness over an extended follow-up period.

Data Highlights

ParameterValue
Number of patients99
Mean follow-up period171 months
Recurrence rate~20%
Simpson grade zero, I, II resections~83%
Mortality rate7%
Karnofsky Performance Status (KPS) score 100 and 9087%

Key Findings

  • The study included 99 patients with a median age of 56 years.
  • Approximately 83% of resections achieved Simpson grades zero, I, and II.
  • Recurrence occurred in ~20% of cases, with 40% of recurrent cases being giant meningiomas.
  • In the non-recurrent group, 86.6% achieved Simpson grades zero, I, and II.
  • The mortality rate during the follow-up period was 7%.

Clinical Implications

The findings indicate a correlation between Simpson grades of resection and recurrence rates in meningioma surgeries.

Conclusion

This study presents a relationship between the extent of resection and recurrence rates in meningioma management.

Related Resources & Content

  1. Journal of Neuro-Oncology, 2024 -- Comparing Single and Multiple Surgical Interventions for Recurrent Intracranial Meningiomas
  2. Journal of Neuro-Oncology, 2024 -- Perifocal edema as a predictor of preoperative seizures in patients diagnosed with WHO grade 2 and 3 meningiomas
  3. Journal of Neuro-Oncology, 2020 -- Survival Rates in Patients with Gliomas of the Pineal Region Over Time
  4. Revisiting Microsurgical Approaches in the Posterior Fossa for Recurrent Trigeminal Neuralgia Following Microvascular Decompression: Key Factors—Scarring, Deformation, and the "Piston Effect
  5. EANO Guidelines on Meningioma Management
  6. NRG Oncology/RTOG 0539 Study Outcomes
  7. Grading meningioma resections: the Simpson classification and beyond | Acta Neurochirurgica | Springer Nature Link

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