{"id":8902,"date":"2024-04-04T12:44:45","date_gmt":"2024-04-04T10:44:45","guid":{"rendered":"http:\/\/www.neurochirurgie-lariboisiere.com\/meningioma\/"},"modified":"2026-03-23T15:34:54","modified_gmt":"2026-03-23T14:34:54","slug":"meningioma","status":"publish","type":"page","link":"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/healthcare\/skull-base-surgery\/meningioma\/","title":{"rendered":"Meningioma"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"8902\" class=\"elementor elementor-8902 elementor-6784\">\n\t\t\t\t<div class=\"elementor-element elementor-element-75f3897a e-flex e-con-boxed e-con e-parent\" data-id=\"75f3897a\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;pix_scale_in&quot;:&quot;none&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-43e73383 elementor-widget elementor-widget-shortcode\" data-id=\"43e73383\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\">\r\n    <style>\r\n    .bc-nav { display:flex; align-items:center; flex-wrap:wrap; font-size:14px; background:#EAF1FB; padding:12px 24px; border-radius:50px; margin-bottom:20px; width:100%; box-sizing:border-box; position:relative; }\r\n    .bc-nav a { color:#4A7FBF; text-decoration:none; white-space:nowrap; }\r\n    .bc-nav a:hover { text-decoration:underline; }\r\n    .bc-label { color:#4A7FBF; white-space:nowrap; margin-right:4px; }\r\n    .bc-dropdown { position:relative; display:inline-block; }\r\n    .bc-dropdown-btn { background:transparent; border:none; font-size:14px; color:#4A7FBF; cursor:pointer; display:flex; align-items:center; gap:5px; padding:0; font-family:inherit; white-space:nowrap; }\r\n    .bc-dropdown-btn.active { color:#1E3A6E; font-weight:700; }\r\n    .bc-dropdown-btn::after { content:\"\u25be\"; font-size:11px; }\r\n    .bc-dropdown-btn.no-arrow::after { content:\"\"; }\r\n    .bc-dropdown-list { display:none; position:absolute; top:calc(100% + 10px); left:0; background:#fff; border-radius:12px; box-shadow:0 8px 30px rgba(0,0,0,0.12); min-width:220px; z-index:9999; padding:6px 0; }\r\n    .bc-dropdown-list.open { display:block; }\r\n    .bc-dropdown-list a { display:block; padding:9px 18px; color:#4A7FBF; font-size:13px; text-decoration:none; white-space:nowrap; }\r\n    .bc-dropdown-list a:hover { background:#EAF1FB; color:#1E3A6E; }\r\n    .bc-dropdown-list a.current { color:#1E3A6E; font-weight:700; background:#EAF1FB; }\r\n    <\/style>\r\n    <script>\r\n    document.addEventListener(\"click\", function(e) {\r\n        document.querySelectorAll(\".bc-dropdown-list\").forEach(function(el) {\r\n            if (!el.parentElement.contains(e.target)) el.classList.remove(\"open\");\r\n        });\r\n    });\r\n    function bcToggle(id) {\r\n        var el = document.getElementById(id);\r\n        document.querySelectorAll(\".bc-dropdown-list\").forEach(function(d) { if(d.id !== id) d.classList.remove(\"open\"); });\r\n        el.classList.toggle(\"open\");\r\n    }\r\n    <\/script><nav class=\"bc-nav\"><span class=\"bc-label\" style=\"color:#951745; font-weight:700;\">Offre de soins :<\/span><div class=\"bc-dropdown\"><button class=\"bc-dropdown-btn\" onclick=\"bcToggle('bc-cat')\">Skull base surgery<\/button><div class=\"bc-dropdown-list\" id=\"bc-cat\"><a href=\"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/healthcare\/pituitary-surgery\/\">Pituitary surgery<\/a><a href=\"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/healthcare\/spine-surgery\/\">Spine surgery<\/a><a href=\"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/healthcare\/hinge-deformities\/\">Hinge deformities<\/a><a href=\"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/healthcare\/pain-surgery\/\">Pain surgery<\/a><a href=\"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/healthcare\/vascular-neurosurgery\/\">Vascular neurosurgery<\/a><a href=\"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/healthcare\/neuro-oncology\/\">Neuro-oncology<\/a><a href=\"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/healthcare\/epilepsy-surgery\/\">Epilepsy surgery<\/a><a href=\"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/healthcare\/craniopharyngioma\/\">Craniopharyngioma<\/a><a href=\"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/healthcare\/radiosurgery\/\">Radiosurgery<\/a><a href=\"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/healthcare\/skull-base-surgery\/\" class=\"current\">Skull base surgery<\/a><\/div><\/div><span style=\"color:#7AAAD4; margin:0 8px; font-size:13px;\">\u203a<\/span><div class=\"bc-dropdown\"><button class=\"bc-dropdown-btn active\" onclick=\"bcToggle('bc-sub')\">Meningioma<\/button><div class=\"bc-dropdown-list\" id=\"bc-sub\"><a href=\"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/healthcare\/skull-base-surgery\/what-is-skull-base-surgery\/\">What is the base of the skull?<\/a><a href=\"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/healthcare\/skull-base-surgery\/epidermoid-cystkyste-epidermoide\/\">Epidermoid cyst<\/a><a href=\"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/healthcare\/skull-base-surgery\/chondrosarcoma\/\">Chondrosarcoma<\/a><a href=\"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/healthcare\/skull-base-surgery\/chordome\/\">Chordoma<\/a><a href=\"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/healthcare\/skull-base-surgery\/meningioma\/\" class=\"current\">Meningioma<\/a><a href=\"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/healthcare\/skull-base-surgery\/neurinome-de-lacoustique\/\">Vestibular schwannoma<\/a><\/div><\/div><\/nav><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-76c5b5af e-flex e-con-boxed e-con e-parent\" data-id=\"76c5b5af\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;pix_scale_in&quot;:&quot;none&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-650450ce e-con-full e-flex e-con e-child\" data-id=\"650450ce\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;pix_scale_in&quot;:&quot;none&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1bf54f20 elementor-widget elementor-widget-pix-vertical-tabs\" data-id=\"1bf54f20\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pix-vertical-tabs.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"\"  ><div class=\"row pix-waiting pix_tabs_container\"><div class=\"col-12 col-md-4 d-inline-block\"><div class=\"sticky-top\" style=\"top:110px;\"><div class=\"nav pix_tabs_btns text-left flex-column nav-pills pix-pills-1\" role=\"tablist\" id=\"v-pills-tab\"  aria-orientation=\"vertical\" ><div class=\"nav-item\"><a class=\"nav-link pix-tabs-btn text-24 pix-px-25 d-flex align-items-center py-2 my-2 active font-weight-bold  secondary-font\" data-id=\"1bf54f20-7f6c346\" role=\"tab\" id=\"pix-tab-btn-1bf54f20-7f6c346\" data-toggle=\"pill\" href=\"#pix-tab-1bf54f20-7f6c346\"  aria-controls=\"pix-tab-1bf54f20-7f6c346\">What is a meningioma?<\/a><\/div><div class=\"nav-item\"><a class=\"nav-link pix-tabs-btn text-24 pix-px-25 d-flex align-items-center py-2 my-2  font-weight-bold  secondary-font\" data-id=\"1bf54f20-40dc23d\" role=\"tab\" id=\"pix-tab-btn-1bf54f20-40dc23d\" data-toggle=\"pill\" href=\"#pix-tab-1bf54f20-40dc23d\"  aria-controls=\"pix-tab-1bf54f20-40dc23d\">What are the symptoms?<\/a><\/div><div class=\"nav-item\"><a class=\"nav-link pix-tabs-btn text-24 pix-px-25 d-flex align-items-center py-2 my-2  font-weight-bold  secondary-font\" data-id=\"1bf54f20-4569fe2\" role=\"tab\" id=\"pix-tab-btn-1bf54f20-4569fe2\" data-toggle=\"pill\" href=\"#pix-tab-1bf54f20-4569fe2\"  aria-controls=\"pix-tab-1bf54f20-4569fe2\">Classification<\/a><\/div><div class=\"nav-item\"><a class=\"nav-link pix-tabs-btn text-24 pix-px-25 d-flex align-items-center py-2 my-2  font-weight-bold  secondary-font\" data-id=\"1bf54f20-49fe413\" role=\"tab\" id=\"pix-tab-btn-1bf54f20-49fe413\" data-toggle=\"pill\" href=\"#pix-tab-1bf54f20-49fe413\"  aria-controls=\"pix-tab-1bf54f20-49fe413\">Location<\/a><\/div><div class=\"nav-item\"><a class=\"nav-link pix-tabs-btn text-24 pix-px-25 d-flex align-items-center py-2 my-2  font-weight-bold  secondary-font\" data-id=\"1bf54f20-3a0f683\" role=\"tab\" id=\"pix-tab-btn-1bf54f20-3a0f683\" data-toggle=\"pill\" href=\"#pix-tab-1bf54f20-3a0f683\"  aria-controls=\"pix-tab-1bf54f20-3a0f683\">What are the causes?<\/a><\/div><\/div><\/div><\/div><div class=\"col-12 col-md-8 d-inline-block\"><div class=\"pix_tabs_content\"><div class=\"tab-content \"><div class=\"tab-pane active fade show \" role=\"tabpanel\" id=\"pix-tab-1bf54f20-7f6c346\" data-bold=\"font-weight-bold\" data-italic=\"\" data-secondary=\"secondary-font\" data-id=\"1bf54f20-7f6c346\" data-icon=\"\" data-title=\"What is a meningioma?\" aria-labelledby=\"pix-tab-1bf54f20-7f6c346\"><div class=\"adenome-page\">\n\n  <!-- INTRO -->\n  <div class=\"adenome-intro\">\n A meningioma is a tumor that develops from the <strong>meninges<\/strong>\u2014the membranes that surround the brain and spinal cord. The outermost layer is called the <em>dura mater<\/em>, lined by a thin transparent membrane called the <em>arachnoid<\/em>, which is the origin of meningiomas. By growing toward the inside of the skull, they gradually compress the brain, spinal cord, or nerves, which can cause <strong>neurological disorders<\/strong>. The majority of meningiomas are <span class=\"mc\">benign and slow-growing<\/span>, although some can be more aggressive or located in areas where resection is delicate.   \n  <\/div>\n\n  <!-- IMAGE -->\n  <figure>\n    <img decoding=\"async\" src=\"http:\/\/www.neurochirurgie-lariboisiere.com\/wp-content\/uploads\/2024\/04\/meningiome-parasagital-300x284.jpg\" alt=\"Anterior clinoid process meningioma\">\n    <figcaption><em>Anterior clinoid process meningioma \u2014 MRI.<\/em><\/figcaption>\n  <\/figure>\n\n  <!-- QUI EST CONCERN\u00c9 -->\n  <section id=\"epidemio\" class=\"section-block\">\n    <h3>Who's concerned?<\/h3>\n    <p>Meningiomas represent approximately <span class=\"mc\">36% of all primary brain tumors<\/span>. They occur most often between the ages of 40 and 70 and are rare in children. <\/p>\n  <\/section>\n\n  <!-- DIAGNOSTIC -->\n  <section id=\"diagnostic\" class=\"section-block\">\n    <h3>Diagnosis<\/h3>\n    <p>The lesion is discovered via <a href=\"http:\/\/patient.radiologie.fr\/fr\/examens-en-pratique\/scanner\" target=\"_blank\" rel=\"noopener noreferrer\">CT scan<\/a> or <a href=\"http:\/\/patient.radiologie.fr\/fr\/examens-en-pratique\/irm\" target=\"_blank\" rel=\"noopener noreferrer\">MRI<\/a>, prescribed in response to symptoms of cerebral or spinal origin. As meningiomas are very characteristic, these exams often allow for near-diagnostic certainty. MRI is the gold standard for specifying the characteristics of the meningioma.  <\/p>\n  <\/section>\n\n  <!-- TRAITEMENTS -->\n  <section id=\"traitements\" class=\"section-block\">\n    <h3>Therapeutic options<\/h3>\n    <p>Since meningiomas grow slowly, it is not always necessary to treat them. The choice depends on the type of disorders caused, the patient's age and health status, as well as the location and size of the tumor. <\/p>\n\n    <ul class=\"traitements-list\">\n      <li>\n        <strong>MRI monitoring<\/strong>\n Suitable for elderly patients with few or no symptoms, and for meningiomas linked to certain hormonal treatments (e.g., cyproterone acetate)\u2014upon discontinuation of treatment, the meningioma generally stabilizes or regresses without intervention.\n      <\/li>\n      <li>\n        <strong>Surgical resection<\/strong>\n The most common treatment for symptomatic meningiomas. Operative risks vary depending on the location\u2014some interventions are complex, particularly when the meningioma is located at the <a href=\"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/healthcare\/skull-base-surgery\/what-is-skull-base-surgery\/\" target=\"_blank\" rel=\"noopener\">skull base<\/a>. \n      <\/li>\n      <li>\n        <strong>Radiotherapy \/ Radiosurgery<\/strong>\n Indicated in cases of incomplete removal, high risk of recurrence (grade II or III), inoperable meningioma, or small size accessible to <a href=\"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/radiosurgery\/\" target=\"_blank\" rel=\"noopener\">stereotactic radiosurgery<\/a>.\n      <\/li>\n    <\/ul>\n  <\/section>\n\n  <!-- CHIRURGIE -->\n  <section id=\"chirurgie\" class=\"section-block\">\n    <h3>Surgery<\/h3>\n    <p>Technological progress has considerably improved surgical precision, allowing for better tumor delimitation, avoidance of functional areas, and making interventions safer and less invasive.<\/p>\n\n    <p>Among these advances, we notably have <a href=\"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/service\/operating-theatres\/\" target=\"_blank\" rel=\"noopener\"><strong>neuronavigation, neuro-monitoring, endoscopy, ultrasonic scalpels, and micro-Doppler<\/strong><\/a>.<\/p>\n  <\/section>\n\n  <!-- RADIOTH\u00c9RAPIE -->\n  <section id=\"radiotherapie\" class=\"section-block\">\n    <h3>Radiotherapy<\/h3>\n    <p>The effects of radiotherapy are not immediate: the tumor gradually stops growing and may decrease in size, but exceptionally disappears. There are two main techniques: <\/p>\n\n    <div class=\"types-grid\">\n      <div class=\"type-card\">\n        <h4>Stereotactic radiosurgery<\/h4>\n Delivery of a high dose in a single or a few sessions (Gamma Knife, CyberKnife, Novalis). The head is immobilized by a frame or a custom-made face mask. No incision is made.  \n      <\/div>\n      <div class=\"type-card\">\n        <h4>Fractionated radiotherapy<\/h4>\n Daily sessions over 5 to 6 weeks (resting on weekends). The dose is delivered in fractions to allow healthy cells to repair themselves between sessions, thereby reducing side effects. \n      <\/div>\n    <\/div>\n\n    <div style=\"text-align:center; margin-top: 8px;\">\n      <a href=\"https:\/\/www.e-cancer.fr\/Patients-et-proches\/Se-faire-soigner\/Traitements\/Radiotherapie\/Qu-est-ce-que-la-radiotherapie\" target=\"_blank\" rel=\"noopener\" style=\"display:inline-block; background:var(--bleu-accent); color:white; padding:12px 24px; border-radius:5px; font-weight:bold; text-decoration:none; font-size:0.9em; letter-spacing:0.03em;\">\n LEARN MORE ABOUT RADIOTHERAPY \u2192\n      <\/a>\n    <\/div>\n  <\/section>\n\n  <!-- SURVEILLANCE -->\n  <section id=\"surveillance\" class=\"section-block\">\n    <h3>Post-treatment monitoring<\/h3>\n    <p>After surgical treatment or radiotherapy, the patient is followed regularly with <strong>MRI checks over many years<\/strong>. Although the risk of recurrence decreases over time, a recurrence can occur late\u2014it is therefore essential to maintain this long-term follow-up. <\/p>\n  <\/section>\n\n  <!-- RECHERCHE -->\n  <section id=\"recherche\" class=\"section-block\">\n    <h3>Search<\/h3>\n\n    <ol class=\"examens\">\n      <li>\n        <h4>Clinical research<\/h4>\n        <p>Data from patients treated in our department are analyzed to better understand these tumors and evaluate our results. Our department is particularly interested in the <a href=\"https:\/\/ansm.sante.fr\/S-informer\/Points-d-information-Points-d-information\/Androcur-acetate-de-cyproterone-et-generiques-risque-de-meningiome-lors-d-une-utilisation-prolongee-Point-d-information\" target=\"_blank\" rel=\"noopener noreferrer\">links between meningiomas and exogenous hormonal treatments<\/a> (contraceptive pills, HRT for menopause, endometriosis treatments). <\/p>\n      <\/li>\n      <li>\n        <h4>Fundamental research<\/h4>\n        <p>Small fragments of operated meningiomas are preserved in the <strong>Lariboisi\u00e8re Hospital biobank<\/strong> (CRB \u2014 Biological Resource Center), following patient information and written consent. These samples are essential for understanding the origin of meningiomas and developing new treatments. <\/p>\n      <\/li>\n    <\/ol>\n  <\/section>\n\n  <!-- FOOTER -->\n  <div class=\"adenome-footer\">\n    <strong>General medical information:<\/strong> This page provides educational information and does not replace a medical consultation. No health decisions should be made without personalized medical advice.\n  <\/div>\n\n<\/div><\/div><div class=\"tab-pane   show \" role=\"tabpanel\" id=\"pix-tab-1bf54f20-40dc23d\" data-bold=\"font-weight-bold\" data-italic=\"\" data-secondary=\"secondary-font\" data-id=\"1bf54f20-40dc23d\" data-icon=\"\" data-title=\"What are the symptoms?\" aria-labelledby=\"pix-tab-1bf54f20-40dc23d\"><p>Some people with meningiomas have no symptoms at all. The tumor may be discovered during a radiological examination (CT scan or MRI) carried out for another reason or for screening. This is called serendipity. This is an increasingly frequent mode of discovery.<br>Symptoms most often appear gradually and vary depending on where the meningioma is located and which nerve structures they compress.<br>Meningiomas can cause headaches, convulsions or epileptic seizures, weakness in the arm or leg, speech or vision disorders, abnormal sensations, personality changes, balance problems, dizziness, hearing loss, loss of smell...<\/p><\/div><div class=\"tab-pane   show \" role=\"tabpanel\" id=\"pix-tab-1bf54f20-4569fe2\" data-bold=\"font-weight-bold\" data-italic=\"\" data-secondary=\"secondary-font\" data-id=\"1bf54f20-4569fe2\" data-icon=\"\" data-title=\"Classification\" aria-labelledby=\"pix-tab-1bf54f20-4569fe2\"><p>Meningiomas are classified into several grades. Treatment varies according to this grade, defined by analysis of a sample obtained at the time of surgery.<\/p><ul><li>Grade I: Benign meningiomas. They are slow-growing. If the meningioma doesn't cause symptoms, it's often more sensible to monitor it with a regular MRI or CT scan before treating it. Some meningiomas do not grow. They can also sometimes regress spontaneously when a hormonal treatment (progestogen therapy) that favored their growth is stopped.<\/li><li>Grade II: Atypical meningiomas. They are more aggressive, with a higher risk of recurrence once the meningioma has been removed. Some grade II meningiomas require radiotherapy after surgery.<\/li><li>Grade III: Malignant meningiomas. They are the most aggressive, but account for less than 1% of all meningiomas. It's a rare, serious pathology, and surgery is always followed by radiotherapy. The risk of recurrence is high.<\/li><\/ul><\/div><div class=\"tab-pane   show \" role=\"tabpanel\" id=\"pix-tab-1bf54f20-49fe413\" data-bold=\"font-weight-bold\" data-italic=\"\" data-secondary=\"secondary-font\" data-id=\"1bf54f20-49fe413\" data-icon=\"\" data-title=\"Location\" aria-labelledby=\"pix-tab-1bf54f20-49fe413\"><ul><li>Meningiomas are named according to their location (frontal meningioma, temporal meningioma, cavernous sinus meningioma...) and can cause very diverse symptoms depending on the exact spot where they are found.<br><a href=\"https:\/\/www.neurochirurgie-lariboisiere.com\/nos-specialites\/chirurgie-base-du-crane\/base-du-crane-intro\/\">Skull base<\/a> meningiomas, located under the brain, are among the most complicated to treat due to their deep location and the difficulty of accessing them. These meningiomas require specific advanced surgical techniques to access them, and are <a title=\"What is the base of the skull?\" href=\"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/healthcare\/skull-base-surgery\/what-is-skull-base-surgery\/\" target=\"_blank\" rel=\"noopener\">one of our department's specialties<\/a>.<\/li><\/ul><\/div><div class=\"tab-pane   show \" role=\"tabpanel\" id=\"pix-tab-1bf54f20-3a0f683\" data-bold=\"font-weight-bold\" data-italic=\"\" data-secondary=\"secondary-font\" data-id=\"1bf54f20-3a0f683\" data-icon=\"\" data-title=\"What are the causes?\" aria-labelledby=\"pix-tab-1bf54f20-3a0f683\"><div class=\"adenome-page\">\n\n&nbsp;\n\n<!-- INTRO -->\n<div class=\"adenome-intro\">The precise cause and mechanisms of meningioma development are not known, but a number of <strong>risk factors have been clearly identified<\/strong>. Some can be considered the direct cause of the meningioma, even if the mechanisms are not yet fully understood. <\/div>\n<!-- FACTEURS DE RISQUE -->\n\n<section id=\"facteurs\" class=\"section-block\">\n<h3>Identified risk factors<\/h3>\n<ol class=\"examens\">\n \t<li>\n<h4>Exposure to ionizing radiation<\/h4>\nPeople who have undergone <strong>cranial radiotherapy<\/strong>, particularly in childhood, have an increased risk of developing one or more meningiomas.<\/li>\n \t<li>\n<h4>Genetic factors<\/h4>\nThe presence of certain genes inherited from ancestors, as well as certain genetic diseases such as <strong>neurofibromatosis<\/strong>, are associated with an increased risk.<\/li>\n \t<li>\n<h4>Hormonal factors<\/h4>\nMeningiomas are more common in women. Their growth can accelerate during pregnancy and decrease after childbirth. It is now <span class=\"mc\">proven that taking progestogens promotes meningiomas<\/span>.  <\/li>\n<\/ol>\n<\/section><!-- PROGESTATIFS -->\n\n<section id=\"progestatifs\" class=\"section-block\">\n<h3>Progestogens and meningiomas<\/h3>\nProgestogens are used in many indications: gynecological diseases (endometriosis, fibroids, cycle disorders), hormone replacement therapy, oral contraception, intrauterine devices, or in obstetrics.\n\nCertain progestogens can be the direct cause of meningiomas:\n<div class=\"types-grid\">\n<div class=\"type-card\">\n<h4>Progestogens with established risk<\/h4>\n<ul style=\"margin: 0; padding-left: 18px; font-size: 0.93em;\">\n \t<li><strong>Cyproterone acetate<\/strong> (Androcur\u00ae)<\/li>\n \t<li><strong>Nomegestrol acetate<\/strong> (Lutenyl\u00ae)<\/li>\n \t<li><strong>Chlormadinone acetate<\/strong> (Luteran\u00ae)<\/li>\n<\/ul>\n<\/div>\n<div class=\"type-card\">\n<h4>ANSM Recommendations<\/h4>\n<ul style=\"margin: 0; padding-left: 18px; font-size: 0.93em;\">\n \t<li><a href=\"https:\/\/ansm.sante.fr\/dossiers-thematiques\/androcur-et-risque-de-meningiome\" target=\"_blank\" rel=\"noopener\">Androcur\u00ae and risk of meningiomas<\/a><\/li>\n \t<li><a href=\"https:\/\/ansm.sante.fr\/dossiers-thematiques\/lutenyl-luteran\" target=\"_blank\" rel=\"noopener\">Lutenyl\u00ae, Luteran\u00ae and risk of meningiomas<\/a><\/li>\n \t<li><a href=\"https:\/\/ansm.sante.fr\/actualites\/colprone-depo-provera-et-surgestone-premieres-recommandations-pour-limiter-le-risque-de-meningiome\" target=\"_blank\" rel=\"noopener\">Colprone\u00ae, Depo-Provera\u00ae, Surgestone\u00ae<\/a><\/li>\n<\/ul>\n<\/div>\n<\/div>\nIt is possible that some patients are more susceptible than others to developing meningiomas under the influence of these treatments\u2014which is the subject of much current research.\n\n<\/section><!-- RECHERCHE DU SERVICE -->\n\n<section id=\"recherche\" class=\"section-block\">\n<h3>Department research<\/h3>\nOur team was the <span class=\"mc\">first to identify the risk of meningioma<\/span> with cyproterone acetate and nomegestrol acetate. This has been a major research topic since the arrival of <strong>Prof. S\u00e9bastien Froelich<\/strong> in 2011, in close collaboration with the <a href=\"https:\/\/www.epi-phare.fr\/\" target=\"_blank\" rel=\"noopener\">Epi-Phare<\/a> agency and the <a href=\"https:\/\/ansm.sante.fr\/\" target=\"_blank\" rel=\"noopener\">ANSM<\/a>. \n<ul class=\"traitements-list\">\n \t<li><strong>Founding publication \u2014 cyproterone acetate<\/strong>\n<a href=\"https:\/\/www.em-consulte.com\/article\/67674\/article\/communications-orales\" target=\"_blank\" rel=\"noopener\">Does cyproterone acetate promote meningiomatosis?<\/a> \u2014 56th Congress of the French National Society of Internal Medicine<\/li>\n \t<li><strong>Founding publication \u2014 nomegestrol acetate<\/strong>\n<a href=\"https:\/\/link.springer.com\/article\/10.1007\/s00701-019-03848-x\" target=\"_blank\" rel=\"noopener\">Spontaneous regression of meningiomas after interruption of nomegestrol acetate<\/a> \u2014 Acta Neurochir, 2019<\/li>\n \t<li><strong>France Culture Podcast \u2014 Androcur and meningiomas<\/strong>\n<a href=\"https:\/\/www.radiofrance.fr\/franceculture\/podcasts\/la-science-cqfd\/androcur-4865893\" target=\"_blank\" rel=\"noopener\">Listen to the podcast on France Culture \u2192<\/a><\/li>\n<\/ul>\n<\/section><!-- PUBLICATIONS -->\n\n<section id=\"publications\" class=\"section-block\">\n<h3>List of publications<\/h3>\n<ul class=\"publications-list\">\n \t<li><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC11127190\/pdf\/main.pdf\" target=\"_blank\" rel=\"noopener\">Prolonged use of nomegestrol acetate and risk of intracranial meningioma: a population-based cohort study<\/a>\n<span class=\"pub-authors\">Nguyen P, Roland N, Neumann A, Hoisnard L, Passeri T, Duranteau L, Coste J, Froelich S, Zureik M, Weill A.<\/span><\/li>\n \t<li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/38537944\/\" target=\"_blank\" rel=\"noopener\">Use of progestogens and the risk of intracranial meningioma: national case-control study.<\/a>\n<span class=\"pub-authors\">Roland N, Neumann A, Hoisnard L, Duranteau L, Froelich S, Zureik M, Weill A. \u2014 BMJ, 2024.<\/span><\/li>\n \t<li><a href=\"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/139\/4\/article-p944.xml\" target=\"_blank\" rel=\"noopener\">Opposed evolution of the osseous and soft parts of progestin-associated osteomeningioma after progestin intake discontinuation.<\/a>\n<span class=\"pub-authors\">Florea SM, Passeri T, Abbritti R, Bernat AL et al. \u2014 J Neurosurg, 2023. <\/span><\/li>\n \t<li><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC9543130\/\" target=\"_blank\" rel=\"noopener\">Risk of intracranial meningioma with three potent progestogens: A population-based case-control study.<\/a>\n<span class=\"pub-authors\">Hoisnard L, Laanani M, Passeri T, Duranteau L et al. \u2014 Eur J Neurol, 2022. <\/span><\/li>\n \t<li><a href=\"https:\/\/www.thelancet.com\/journals\/lanonc\/article\/PIIS1470-2045(21)00647-1\/abstract\" target=\"_blank\" rel=\"noopener\">The tumours and the three bumps.<\/a>\n<span class=\"pub-authors\">Bousson V, Guichard JP, Froelich S, Orcel P. \u2014 Lancet Oncol, 2022.<\/span><\/li>\n \t<li><a href=\"https:\/\/link.springer.com\/article\/10.1007\/s00701-021-05005-9\" target=\"_blank\" rel=\"noopener\">Atypical evolution of meningiomatosis after discontinuation of cyproterone acetate.<\/a>\n<span class=\"pub-authors\">Passeri T, Giammattei L, Le Van T et al. \u2014 Acta Neurochir, 2022. <\/span><\/li>\n \t<li><a href=\"https:\/\/journals.lww.com\/neurosurgery\/abstract\/2021\/08000\/intracranial_meningiomas_decrease_in_volume_on.20.aspx\" target=\"_blank\" rel=\"noopener\">Intracranial Meningiomas Decrease in Volume on MRI After Discontinuing Progestin.<\/a>\n<span class=\"pub-authors\">Voormolen EHJ, Champagne PO, Roca E et al. \u2014 Neurosurgery, 2021. <\/span><\/li>\n \t<li><a href=\"https:\/\/www.bmj.com\/content\/372\/bmj.n37.long\" target=\"_blank\" rel=\"noopener\">Use of high dose cyproterone acetate and risk of intracranial meningioma in women: cohort study.<\/a>\n<span class=\"pub-authors\">Weill A, Nguyen P, Labidi M et al. \u2014 BMJ, 2021. <\/span><\/li>\n \t<li><a href=\"https:\/\/link.springer.com\/article\/10.1007\/s11060-020-03672-9\" target=\"_blank\" rel=\"noopener\">Cyproterone acetate and meningioma: a nationwide population-based study.<\/a>\n<span class=\"pub-authors\">Champeaux-Depond C, Weller J, Froelich S, Sartor A. \u2014 J Neurooncol, 2021.<\/span><\/li>\n \t<li><a href=\"https:\/\/link.springer.com\/article\/10.1007\/s00701-019-03848-x\" target=\"_blank\" rel=\"noopener\">Spontaneous regression of meningiomas after interruption of nomegestrol acetate: a series of three patients.<\/a>\n<span class=\"pub-authors\">Passeri T, Champagne PO, Bernat AL et al. \u2014 Acta Neurochir, 2019. <\/span><\/li>\n \t<li><a href=\"https:\/\/link.springer.com\/article\/10.1007\/s00701-018-03782-4\" target=\"_blank\" rel=\"noopener\">Combined hormonal influence of cyproterone acetate and nomegestrol acetate on meningioma: a case report.<\/a>\n<span class=\"pub-authors\">Champagne PO, Passeri T, Froelich S. \u2014 Acta Neurochir, 2019.<\/span><\/li>\n \t<li><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6058554\/\" target=\"_blank\" rel=\"noopener\">Regression of Giant Olfactory Groove Meningioma after Discontinuation of Cyproterone Acetate.<\/a>\n<span class=\"pub-authors\">Bernat AL, Bonnin S, Labidi M et al. \u2014 J Ophthalmic Vis Res, 2018. <\/span><\/li>\n \t<li><a href=\"https:\/\/link.springer.com\/article\/10.1007\/s00701-015-2532-3\" target=\"_blank\" rel=\"noopener\">Growth stabilization and regression of meningiomas after discontinuation of cyproterone acetate: a case series of 12 patients.<\/a>\n<span class=\"pub-authors\">Bernat AL, Oyama K, Hamdi S et al. \u2014 Acta Neurochir, 2015. <\/span><\/li>\n \t<li><a href=\"https:\/\/link.springer.com\/article\/10.1007\/s00701-010-0787-2\" target=\"_blank\" rel=\"noopener\">Regression of meningiomas after discontinuation of cyproterone acetate in a transsexual patient.<\/a>\n<span class=\"pub-authors\">Cebula H, Pham TQ, Boyer P, Froelich S. \u2014 Acta Neurochir, 2010.<\/span><\/li>\n \t<li><a href=\"https:\/\/www.endocrine-abstracts.org\/ea\/0016\/ea0016p158\" target=\"_blank\" rel=\"noopener\">Does cyproterone acetate promote multiple meningiomas?<\/a>\n<span class=\"pub-authors\">Froelich S et al. \u2014 10th European Congress of Endocrinology. <\/span><\/li>\n<\/ul>\n<\/section><!-- FOOTER -->\n<div class=\"adenome-footer\"><strong>General medical information:<\/strong> This page provides educational information and does not replace a medical consultation. No health decisions should be made without personalized medical advice.<\/div>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-16b53a4b e-flex e-con-boxed e-con e-parent\" data-id=\"16b53a4b\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;pix_scale_in&quot;:&quot;none&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-4aa4f81c e-con-full e-flex e-con e-child\" data-id=\"4aa4f81c\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;pix_scale_in&quot;:&quot;none&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-7979aba8 e-con-full e-flex e-con e-child\" data-id=\"7979aba8\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;pix_scale_in&quot;:&quot;none&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-660c0696 elementor-invisible elementor-widget elementor-widget-pix-text\" data-id=\"660c0696\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pix-text.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"pix-el-text w-100 text-center \" ><p class=\"text-sm resp-option text-white text-center font-weight-bold secondary-font\" ><span class=\"text-white animate-in d-inline-block\" data-anim-delay=\"0\" data-anim-type=\"fade-in\">Guide<\/span><\/p><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-37b20300 elementor-widget elementor-widget-pix-sliding-text\" data-id=\"37b20300\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pix-sliding-text.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"el-37b20300\" class=\"mb-3 text-center \"><div class=\"d-inline-block\" style=\"max-width:600px;\"><h1 class=\"mb-32 pix-sliding-headline-2 animate-in font-weight-bold secondary-font \" data-anim-type=\"pix-sliding-text\" data-class=\"secondary-font text-white\" style=\"\"><span class=\"slide-in-container\"><span class=\"pix-sliding-item pix-sliding-letter secondary-font text-white\" style=\"transition-delay: 0ms;transition-duration: 800ms;\">P<\/span><span class=\"pix-sliding-item pix-sliding-letter secondary-font text-white\" style=\"transition-delay: 9.0909090909091ms;transition-duration: 800ms;\">r<\/span><span class=\"pix-sliding-item pix-sliding-letter secondary-font text-white\" style=\"transition-delay: 18.181818181818ms;transition-duration: 800ms;\">o<\/span><span class=\"pix-sliding-item pix-sliding-letter secondary-font text-white\" style=\"transition-delay: 27.272727272727ms;transition-duration: 800ms;\">s<\/span><span class=\"pix-sliding-item pix-sliding-letter secondary-font text-white\" style=\"transition-delay: 36.363636363636ms;transition-duration: 800ms;\">p<\/span><span class=\"pix-sliding-item pix-sliding-letter secondary-font text-white\" style=\"transition-delay: 45.454545454545ms;transition-duration: 800ms;\">e<\/span><span class=\"pix-sliding-item pix-sliding-letter secondary-font text-white\" style=\"transition-delay: 54.545454545455ms;transition-duration: 800ms;\">c<\/span><span class=\"pix-sliding-item pix-sliding-letter secondary-font text-white\" style=\"transition-delay: 63.636363636364ms;transition-duration: 800ms;\">t<\/span><span class=\"pix-sliding-item pix-sliding-letter secondary-font text-white\" style=\"transition-delay: 72.727272727273ms;transition-duration: 800ms;\">i<\/span><span class=\"pix-sliding-item pix-sliding-letter secondary-font text-white\" style=\"transition-delay: 81.818181818182ms;transition-duration: 800ms;\">v<\/span><span class=\"pix-sliding-item pix-sliding-letter secondary-font text-white\" style=\"transition-delay: 90.909090909091ms;transition-duration: 800ms;\">e<\/span><\/span> <span class=\"slide-in-container\"><span class=\"pix-sliding-item pix-sliding-letter secondary-font text-white\" style=\"transition-delay: 100ms;transition-duration: 800ms;\">P<\/span><span class=\"pix-sliding-item pix-sliding-letter secondary-font text-white\" style=\"transition-delay: 112.5ms;transition-duration: 800ms;\">a<\/span><span class=\"pix-sliding-item pix-sliding-letter secondary-font text-white\" style=\"transition-delay: 125ms;transition-duration: 800ms;\">t<\/span><span class=\"pix-sliding-item pix-sliding-letter secondary-font text-white\" style=\"transition-delay: 137.5ms;transition-duration: 800ms;\">i<\/span><span class=\"pix-sliding-item pix-sliding-letter secondary-font text-white\" style=\"transition-delay: 150ms;transition-duration: 800ms;\">e<\/span><span class=\"pix-sliding-item pix-sliding-letter secondary-font text-white\" style=\"transition-delay: 162.5ms;transition-duration: 800ms;\">n<\/span><span class=\"pix-sliding-item pix-sliding-letter secondary-font text-white\" style=\"transition-delay: 175ms;transition-duration: 800ms;\">t<\/span><span class=\"pix-sliding-item pix-sliding-letter secondary-font text-white\" style=\"transition-delay: 187.5ms;transition-duration: 800ms;\">s<\/span><\/span> <\/h1><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-517903c6 elementor-invisible elementor-widget elementor-widget-pix-text\" data-id=\"517903c6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pix-text.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"pix-el-text w-100 text-center \" ><div class=\"d-inline-block\" style=\"max-width:500px;\"><p class=\" resp-option text-light-opacity-7 text-center \" ><span class=\"text-light-opacity-7 animate-in d-inline-block\" data-anim-delay=\"150\" data-anim-type=\"fade-in-down\">Your stay is our priority, and we have established a patient pathway program for your surgical schedule, admission\n and intervention, through to your discharge. Please do not hesitate to contact us if you have any questions.<\/span><\/p><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3c6c1f88 elementor-widget elementor-widget-pix-button\" data-id=\"3c6c1f88\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pix-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<a href=\"https:\/\/8f1e-11d1aafe0b85.wptiger.fr\/votre-sejour-parcourspatient\/\" class=\"btn m-0      text-heading-default btn-white d-inline-flex align-items-center pix-hover-item       animate-in btn-md\" data-anim-type=\"fade-in-down\" data-anim-delay=\"300\" target=\"_blank\" rel=\"noopener\"><span class=\"font-weight-bold \" >Your stay<\/span><svg class=\"pixfort-icon font-weight-bold  pix-hover-right  ml-2\" width=\"24\" height=\"24\"  data-name=\"Duotone\/pixfort-icon-arrow-right-circle-2\" viewBox=\"2 2 20 20\"><g fill=\"none\" fill-rule=\"evenodd\"><path fill=\"var(--pf-icon-color)\" fill-opacity=\".25\" d=\"M12,2 C6.4771525,2 2,6.4771525 2,12 C2,17.5228475 6.4771525,22 12,22 C17.5228475,22 22,17.5228475 22,12 C22,6.4771525 17.5228475,2 12,2 Z\"\/><path fill=\"var(--pf-icon-color)\" d=\"M11.2071068,7.29289322 L15.2071068,11.2928932 C15.5976311,11.6834175 15.5976311,12.3165825 15.2071068,12.7071068 L11.2071068,16.7071068 C10.8165825,17.0976311 10.1834175,17.0976311 9.79289322,16.7071068 C9.40236893,16.3165825 9.40236893,15.6834175 9.79289322,15.2928932 L13.085,12 L9.79289322,8.70710678 C9.40236893,8.31658249 9.40236893,7.68341751 9.79289322,7.29289322 C10.1834175,6.90236893 10.8165825,6.90236893 11.2071068,7.29289322 Z\"\/><\/g><\/svg><\/a>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-65c40b0 e-con-full e-flex e-con e-child\" data-id=\"65c40b0\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;pix_scale_in&quot;:&quot;none&quot;}\">\n\t\t<div class=\"pix-base-transition elementor-element elementor-element-7aee5621 e-con-full bg-dark-blur e-flex e-con e-child\" data-id=\"7aee5621\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;pix_scale_in&quot;:&quot;none&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d4ce2d2 elementor-widget elementor-widget-pix-feature\" data-id=\"d4ce2d2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pix-feature.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<a href=\"\/patient\/informations-pratiques\/\" ><div id=\"d4ce2d2\" class=\"pix-feature-el  text-custom \"><div class=\"pix-feature-icon d-inline-block mw-100 text-white \"   style=\"aspect-ratio:1\/1 !important;position:relative;text-align:center;font-size:1px;line-height:1px;\"><svg class=\"pixfort-icon \" width=\"24\" height=\"24\"  data-name=\"Duotone\/pixfort-icon-information-circle-1\" viewBox=\"2 2 20 20\"><g fill=\"none\" fill-rule=\"evenodd\"><path fill=\"var(--pf-icon-color)\" fill-opacity=\".25\" d=\"M12,2 C6.4771525,2 2,6.4771525 2,12 C2,17.5228475 6.4771525,22 12,22 C17.5228475,22 22,17.5228475 22,12 C22,6.4771525 17.5228475,2 12,2 Z\"\/><path fill=\"var(--pf-icon-color)\" d=\"M12.15,8.475 L11.85,8.475 C11.2977153,8.475 10.85,8.02728475 10.85,7.475 L10.85,7.025 C10.85,6.47271525 11.2977153,6.025 11.85,6.025 L12.15,6.025 C12.7022847,6.025 13.15,6.47271525 13.15,7.025 L13.15,7.475 C13.15,8.02728475 12.7022847,8.475 12.15,8.475 Z M12,18 C12.5522847,18 13,17.5522847 13,17 L13,10.5 C13,9.94771525 12.5522847,9.5 12,9.5 C11.4477153,9.5 11,9.94771525 11,10.5 L11,17 C11,17.5522847 11.4477153,18 12,18 Z\"\/><\/g><\/svg><\/div><h5 class=\"pix-feature-title  font-weight-bold   text-white \" style=\"padding-top:20px;\"  >Practical Information<\/h5><div class=\"pix-feature-content text-body-default      \" style=\"\"  ><\/div><\/div><\/a>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"pix-base-transition elementor-element elementor-element-12af95d6 e-con-full bg-dark-blur e-flex e-con e-child\" data-id=\"12af95d6\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;pix_scale_in&quot;:&quot;none&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1dbb4bfb elementor-widget elementor-widget-pix-feature\" data-id=\"1dbb4bfb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pix-feature.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<a href=\"\/prendre-un-rdv\/\" ><div id=\"pix-feature-1dbb4bfb\" class=\"pix-feature-el  text-custom \"><div class=\"pix-feature-icon d-inline-block mw-100 text-white \"   style=\"aspect-ratio:1\/1 !important;position:relative;text-align:center;font-size:1px;line-height:1px;\"><svg class=\"pixfort-icon \" width=\"24\" height=\"24\"  data-name=\"Duotone\/pixfort-icon-calendar-3\" viewBox=\"2 2 20 20\"><g fill=\"none\" fill-rule=\"evenodd\"><path fill=\"var(--pf-icon-color)\" fill-opacity=\".25\" d=\"M2,10 L2,18.7857143 C2,20.5609153 3.34314575,22 5,22 L19,22 C20.6568542,22 22,20.5609153 22,18.7857143 L22,10 L2,10 Z\"\/><path fill=\"var(--pf-icon-color)\" d=\"M14,17 C14.5522847,17 15,17.4477153 15,18 C15,18.5522847 14.5522847,19 14,19 L7,19 C6.44771525,19 6,18.5522847 6,18 C6,17.4477153 6.44771525,17 7,17 L14,17 Z M17,13 C17.5522847,13 18,13.4477153 18,14 C18,14.5522847 17.5522847,15 17,15 L7,15 C6.44771525,15 6,14.5522847 6,14 C6,13.4477153 6.44771525,13 7,13 L17,13 Z M19,4 C20.6568542,4 22,5.34314575 22,7 L22,9 L2,9 L2,7 C2,5.34314575 3.34314575,4 5,4 L6,4 L6,6 C6,6.49091978 6.17687516,6.94052815 6.47037492,7.28857455 L6.58578644,7.41421356 C6.94771525,7.77614237 7.44771525,8 8,8 C8.55228475,8 9.05228475,7.77614237 9.41421356,7.41421356 C9.77614237,7.05228475 10,6.55228475 10,6 L10,4 L14,4 L14,6 C14,6.49091978 14.1768752,6.94052815 14.4703749,7.28857455 L14.5857864,7.41421356 C14.9477153,7.77614237 15.4477153,8 16,8 C16.5522847,8 17.0522847,7.77614237 17.4142136,7.41421356 C17.7761424,7.05228475 18,6.55228475 18,6 L18,4 L19,4 Z M8,2 C8.55228475,2 9,2.44771525 9,3 L9,6 C9,6.55228475 8.55228475,7 8,7 C7.44771525,7 7,6.55228475 7,6 L7,3 C7,2.44771525 7.44771525,2 8,2 Z M16,2 C16.5522847,2 17,2.44771525 17,3 L17,6 C17,6.55228475 16.5522847,7 16,7 C15.4477153,7 15,6.55228475 15,6 L15,3 C15,2.44771525 15.4477153,2 16,2 Z\"\/><\/g><\/svg><\/div><h5 class=\"pix-feature-title  font-weight-bold   text-white \" style=\"padding-top:20px;\"  >Make an appointment<\/h5><div class=\"pix-feature-content text-body-default      \" style=\"\"  ><\/div><\/div><\/a>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"pix-base-transition elementor-element elementor-element-136b4a35 e-con-full bg-dark-blur e-flex e-con e-child\" data-id=\"136b4a35\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;pix_scale_in&quot;:&quot;none&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-22d2aedd elementor-widget elementor-widget-pix-feature\" data-id=\"22d2aedd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pix-feature.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<a href=\"\/le-service\/\" ><div id=\"pix-feature-22d2aedd\" class=\"pix-feature-el  text-custom \"><div class=\"pix-feature-icon d-inline-block mw-100 text-white \"   style=\"aspect-ratio:1\/1 !important;position:relative;text-align:center;font-size:1px;line-height:1px;\"><svg class=\"pixfort-icon \" width=\"24\" height=\"24\"  data-name=\"Duotone\/pixfort-icon-users-2\" viewBox=\"2 2 20 20\"><g fill=\"none\" fill-rule=\"evenodd\"><path fill=\"var(--pf-icon-color)\" fill-opacity=\".25\" d=\"M8.5,3 C10.9852814,3 13,5.01471863 13,7.5 C13,9.98528137 10.9852814,12 8.5,12 C6.01471863,12 4,9.98528137 4,7.5 C4,5.01471863 6.01471863,3 8.5,3 Z M15.5,3 C17.9852814,3 20,5.01471863 20,7.5 C20,9.98528137 17.9852814,12 15.5,12 C14.4476244,12 13.4796227,11.6387526 12.7132352,11.0334979 C13.5168958,10.078042 14,8.84543853 14,7.5 C14,6.15456147 13.5168958,4.92195798 12.7146919,3.96619398 C13.4796227,3.36124744 14.4476244,3 15.5,3 Z\"\/><path fill=\"var(--pf-icon-color)\" d=\"M8.4,13 C5.798822,13 3.75396103,14.1726441 2.37901154,16.444405 C2.09548025,16.9101552 1.94454731,17.4473717 1.94370085,17.9953861 C1.9411563,19.6522375 3.28223338,20.9974471 4.9390849,21 L11.859375,21 C12.4084564,20.9991532 12.9453208,20.8484782 13.4133368,20.5642998 C14.8296962,19.7042892 15.2805792,17.8588724 14.4200494,16.4428566 C13.046039,14.1726441 11.001178,13 8.4,13 Z M15.4,13 C18.001178,13 20.046039,14.1726441 21.4200494,16.4428566 C22.2805792,17.8588724 21.8296962,19.7042892 20.4133368,20.5642998 C19.9453208,20.8484782 19.4084564,20.9991532 18.859375,21 L14.8368013,21.0013558 C16.2550737,19.8357918 16.6377146,17.7748139 15.656601,16.1603756 C14.946022,14.9863196 14.0919073,14.0471004 13.1043953,13.3493638 C13.8104463,13.117273 14.5774052,13 15.4,13 Z\"\/><\/g><\/svg><\/div><h6 class=\"pix-feature-title  font-weight-bold   text-white \" style=\"padding-top:20px;\"  >Service<\/h6><div class=\"pix-feature-content text-body-default      \" style=\"\"  ><\/div><\/div><\/a>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>What is a meningioma?What are the symptoms?ClassificationLocationWhat are the causes? A meningioma is a tumor that develops from the meninges\u2014the membranes that surround the brain and spinal cord. The outermost layer is called the dura mater, lined by a thin&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":8933,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-8902","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/wp-json\/wp\/v2\/pages\/8902","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/wp-json\/wp\/v2\/comments?post=8902"}],"version-history":[{"count":4,"href":"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/wp-json\/wp\/v2\/pages\/8902\/revisions"}],"predecessor-version":[{"id":661983,"href":"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/wp-json\/wp\/v2\/pages\/8902\/revisions\/661983"}],"up":[{"embeddable":true,"href":"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/wp-json\/wp\/v2\/pages\/8933"}],"wp:attachment":[{"href":"https:\/\/www.neurochirurgie-lariboisiere.com\/en\/wp-json\/wp\/v2\/media?parent=8902"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}