Commentary to: Is “en‑bloc” excision, an option for select large vascular meningiomas?Sivashanmugam Dhandapani, Karamchand Sharma

COMMENTARY pattern of growth. In effect, this technique, which is largely employed in the neurosurgical practice, is well described in ancient textbooks, but it has not been so well described in recent literature;[1‑4] for this reason this paper may be useful for younger neurosurgeons. The authors report the technique of en‑bloc removal of large, highly vascularized, meningiomas of the convexity. I agree with them that this is the most appropriate way to perform exeresis of this kind of lesions when they are not embedded into the brain and have a superficialpattern of growth. In effect, this technique, which is largely employed in the neurosurgical practice, is well described in ancient textbooks, but it has not been so well described in recent literature[1‑4]; for this reason this paper may be useful for younger neurosurgeons. It is obvious that when large meningiomas are deeply embedded into the brain, the technique of intracapsular piecemeal decompression remains the more effective one.