Cerebellopontine angle (CPA) tumours are the most common neoplasms in the posterior fossa, accounting for 5–10% of intracranial tumours. Most CPA tumours are benign, with most being vestibular schwannomas. Meningiomas arising from the jugular foramen are among the rarest of all with very few being described in the literature. Treatment options vary considerably as experience with these tumours is limited. One option is a skull base approach, but this depends on size, location and ability to preserve lower cranial nerve function. This can be extremely challenging and is accompanied by high mortality risk; therefore, a more conservative option must be considered. This case report highlights the difficulty in management of patients with jugular fossa meningiomas, including appropriate investigations, analysis of surgical versus conservative treatment and associated complications. Furthermore, we elaborate the decision-making process pertaining to the tailoring of the surgical route used for the resection of jugular foramen meningiomas. (Jugular Foramen Meningioma, cerebellopontine angle).

The iPhone ® and iPad ® are connected via a camera application, with a live video feed recorded on the iPhone ® and displayed on the iPad ®. Surgical simulation exercises include sugar cube stacking, passing beads between forceps, cutting shapes from latex gloves, inserting a string through hoops, and tying knots and suturing. DISCUSSION The iSurgery device (Fig 1) is an inexpensive simulator for developing laparoscopic skills. It is reproducible, transportable and operable in remote areas. Juniors must self-direct their training outside their compliant clinical hours and acquiring skills via simulation improves surgical dexterity.

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