Consensus guidelines for the management of intracranial meningioma for lowand middle-income countries

Abstract

Intra-cranial meningiomas represent the most common
type of extra-axial brain tumour in adults.
Characteristically slow-growing and often asymptomatic,
these tumours may only require observation in some
cases. However, lesions that cause a significant mass
effect necessitate intervention, primarily through surgical
means. Additionally, in cases of significant unresectable
low-grade residual meningioma or high-grade tumours,
radiation therapy becomes essential. Notably, current
management guidelines predominantly reflect data
derived from high-income countries, failing to address
constraints prevalent in the developing world, such as
limited financial resources and restricted access to
advanced surgical facilities. This manuscript introduces
guidelines specifically tailored for the management of
meningioma in patients from low- and middle-income
countries, considering their unique healthcare challenges
and resources.
Keywords: Meningioma, brain neoplasms, health care,
neurooncology.