岩棚脑膜瘤因其深处位置和复杂的神经血管结构而具有较大的手术挑战。采用多种手术方法可以最大限度地优化从多个解剖区域安全地切除肿瘤。我们描述了一例患有生长的上额岩棚脑膜瘤的患者，该肿瘤位于后支的中心，并延伸至梅克尔洞，成功地通过联合后颅窝入路和颞下中颅窝入路进行了切除。这种策略避免了前石骨钻孔和脑帐裂开的需求。联合后颅窝入路和颞下中颅窝入路可安全进入跨越上颅窝和下颅窝区的肿瘤。 © 2023. 作者，独家许可 Springer-Verlag GmbH Austria，Springer Nature的一部分。

Petroclival meningiomas pose significant surgical challenges because of their deep location and complex surrounding neurovasculature. The use of multiple surgical approaches can optimize safe tumor removal from multiple anatomic compartments.We describe a patient with a growing superior petroclival meningioma centered at the posterior clinoid with extension into Meckel's cave that was successfully removed with a combined retrosigmoid and subtemporal middle fossa approach. This strategy avoided the need for anterior petrous bone drilling and tentorial splitting.A combined retrosigmoid and subtemporal middle fossa approach can provide safe access to tumors spanning the supra- and infratentorial compartments.© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Austria, part of Springer Nature.