Background:
Tentorial meningiomas attached to the inner edge of the tentorium are difficult to excise due to their deep location. Sufficient space may not be always available through a subtemporal approach. Thus, the aim of not retracting the brain is not fulfilled.
Methods:
To gain surgical corridor, we electively resected the inferior temporal lobe. This helped in greater working space, better visualization, and less chances of venous damage.
Results:
Employing this technique of elective temporal lobe resection helped us in complete tumor removal without compromising on vision or surgical corridor.
Conclusion:
A limited inferior temporal lobectomy greatly enhances the working space and vision in cases of difficult tentorial meningiomas. This translates into ease of tumor excision without compromising the patient safety.