ABSTRACT
Nine recurrent cases out of 52 patients with meningioma were studied between 1986 and 2003 with follow-up for a mean of 38 months. The clinical presentation, diagnostic evaluation, management in the form of surgical resection and adjuvant therapy, such as radiotherapy, radiosurgery, hormonal and chemotherapy, were studied. Again, the factors affecting the recurrence of meningioma whether the age, sex, histopathologic pattern and the modality of surgical behavior at the initial surgery, whether it was total, radical or subtotal excision, were studied and evaluated. Although radiotherapy is partially effective and radiosurgery is promising, yet surgical radical excision of the recurrent meningioma is the corner stone and must be considered as far as possible