Letter to the editor: interdural approach to the Meckel’s cave - Takeaways - MDSpire

Letter to the editor: interdural approach to the Meckel’s cave

  • By

  • Atul Goel

  • March 17, 2026

  • 0 min

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  • 1

    The authors first reported the interdural approach to trigeminal neurinomas in 1994, emphasizing tumor resection without craniotomy.

  • 2

    Trigeminal neurinomas remain confined within a distinct dural envelope, preserving relationships with adjacent cranial structures.

  • 3

    The well-defined dural covering of trigeminal neurinomas allows for a reliable surgical plane, reducing the need for extensive exposure.

  • 4

    The authors demonstrated that extracranial extensions of trigeminal neurinomas are often interdural, facilitating safer surgical approaches.

  • 5

    The interdural approach has been extended to other cranial nerve schwannomas, highlighting its broader anatomical and surgical significance.

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