Director & HOD – Neurosciences
Medically reviewed by Dr Manish Vaish
Meningiomas are the most common benign (non-cancerous) primary brain tumours, arising from the meninges — the membranes that cover the brain and spinal cord. Most meningiomas are Grade 1 (WHO) and grow slowly. They may present with headaches, seizures, focal neurological deficits, or be incidental findings on brain MRI. Treatment options include active surveillance (for small, asymptomatic meningiomas), microsurgical resection, and stereotactic radiosurgery. At Medanta Hospital, Sector 50, Noida, Dr. Manish Vaish (AANS International Fellow) leads meningioma management with the Team Sushrut neurosurgery team.
Symptoms
Treatments
Dr. Manish Vaish
Director and Head - Neurosciences
DNB. AANS International Fellow
Dr. Yashpal Singh Bundela
Director – Neurosurgery, Functional Neurosurgery and Spine Surgery
M.Ch
Dr. Anil Dhar
Associate Director – Neurosurgery and Stereotactic Radiosurgery
M.Ch.
Dr. Girish Rajpal
Director – Neurointervention Surgery and Stroke
M.Ch, AFSA, FINR
Is meningioma always operated upon?
No. Small, asymptomatic meningiomas in elderly patients may be safely observed with annual or biannual MRI scanning. Many meningiomas grow very slowly (or not at all) and will never cause problems. Surgery is recommended when: the tumour is causing neurological symptoms, there is significant mass effect, the tumour is enlarging on surveillance, or the patient is young with a growing tumour. Dr. Vaish discusses surveillance versus surgery at the initial consultation.
Is meningioma cancer?
The vast majority (about 80%) of meningiomas are WHO Grade 1 — benign, slow-growing, and curable with complete surgical removal. About 15–20% are WHO Grade 2 (atypical) with a higher recurrence rate, and about 1–3% are WHO Grade 3 (anaplastic/malignant) requiring additional radiotherapy after surgery.
Can meningioma recur after surgery?
Recurrence depends on the extent of resection (Simpson grade) and the tumour's WHO grade. A Simpson Grade 1 resection (complete removal including involved dura and bone) has a 10-year recurrence rate of less than 10%. Grade 2 (atypical) meningiomas have a higher recurrence rate regardless of resection extent and may require post-operative radiotherapy.
Is meningioma surgery available in Noida?
Yes. Dr. Manish Vaish (AANS International Fellow) and Team Sushrut at Medanta Hospital, Sector 50, Noida perform skull base and convexity meningioma surgery. Contact: +91 98103 24401.


