Site related relapses with planum sphenoidale or olfactory groove meningioma, tumor recurrence reported in 7. Arising from the planum sphenoidale, to the left of the midline is an extraaxial dural based mass which measures 16 x 15 x 16 mm. Nov 07, 2018 magill st, theodosopoulos pv, mcdermott mw. Meningiomas occur either intracranially or within the spinal canal. They are a nonglial neoplasm that originates from the arachnoid cap cells of the meninges and are typically benign with a low recurrence rate, but rarely can be ma. The pathogenesis of this edema in meningioma is controversial. Meningiomas usually form wellcircumscribed lesions but, rarely, can be more diffuse eg, when they grow next to the sphenoid ridge and are called meningioma en plaque. We report a case of tuberculum sellae meningioma with optic tract edema. The lesions may be suspected, however, in any patient with slowly progressive, unilateral loss of vision associated with signs of optic neuropathy. Of all cranial meningiomas, about 20% of them are in the sphenoid wing. The incidence of meningioma increases with increasing age, and the median age at diagnosis is 63 years. They are a nonglial neoplasm that originates from the arachnoid cap cells of the meninges and are typically benign with a low recurrence rate, but rarely can be malignant meningiomas occur in a magnitude of locations, one of the less common places being the planum sphenoidale. Due to the fact that i had no symptoms i chose to have gamma knife treatment to hopefully kill the cells to stop the growth and then watch and wait. It vividly enhances following contrast except for a small cystic area superiorly.
Doctor answers on symptoms, diagnosis, treatment, and more. Hyperostosis associated with meningioma of the cranial base. Sx are related to tumor growth and compression prognosis 5yr survival 70%. Mri gives a detailed image of the brain and can show if there is a tumor, especially if contrast material is given. Grace shu hui chiang, mmedfm and lee gan goh, mmedint med fcfps.
Most are removed, simply because the earlier one can be removed. Coexistence of ghproducing pituitary macroadenoma and meningioma in a patient with multiple endocrine neoplasia type 1 with hyperglycemia and ketosis as first clinical sign. Planum sphenoidale and tuberculum sellae meningiomas. Details of a typical meningioma treatment plan incidences of meningiomas increase with age and are most common in the sixth and seventh decade of life. Meningiomas are much more common in females, and are more common after 50 years of age. It is not known what causes people to develop meningioma, but. Meningiomas are the most common extraaxial tumors of the central nervous system. Demonstrates the technique of and exposure afforded by a frontotemporal pteryonal craniotomy for resection of planum sphenoidale meningioma. The planum sphenoidale or jugum sphenoidale is the planar surface of the sphenoid bone. New concepts in the management of optic nerve sheath meningiomas. The latest cancer research uk statistics show that between a quarter and a third 2533% of all primary brain tumours in adults is a meningioma.
Jul 24, 2015 meningiomas are mostly benign tumours which arise from the dura mater and are usually slowgrowing. Olfactory groove and planum sphenoidale meningioma. Occasionally seizures, dementia, trouble talking, vision problems, one sided weakness, or. Olfactory grooveplanum sphenoidale meningiomas springerlink. Planum sphenoidale meningioma is the meningioma attached to the dura of the planum sphenoidale, lying on the midline posterior to the olfactory nerve meningiomas and anterior to the tuberculum sella meningiomas. New concepts in the management of optic nerve sheath. Tuberculum sellae meningiomas are located not only on. No cavernous sinus invasion or vascular occlusion was seen. Meningiomas in general are more likely to recur in the presence of brain invasion. Is there an association between meningioma and hormone replacement therapy. The eyebrow supraorbital keyhole approach is gradually preferred to treat tuberculum sellae and planum sphenoidale meningiomas as a less invasive approach compared to the more traditional approaches.
Planum sphenoidale meningioma leading to visual disturbance. Intracranial meningiomas outnumber spinal meningiomas by approximately 10 to 1 sloof et al. Meningiomas are predominantly found in the brain, most frequently in the parasagittal area4, and the cavernous sinus5. Symptoms depend on the location and occur as a result of the tumor pressing on nearby tissue. This meningioma is heavily calcified and so is dense enough to be visible precontrast. Operative nuances of a modern surgical technique with outcome and proposal of a new classification system. Jan 25, 2018 demonstrates the technique of and exposure afforded by a frontotemporal pteryonal craniotomy for resection of planum sphenoidale meningioma. Download fulltext pdf optic nerve haemangioblastoma mimicking a planum sphenoidale meningioma article pdf available in british journal of neurosurgery 235. Olfactory groove and planum sphenoidale meningioma ncbi. The ct scan was performed to investigate the cause of cognitive decline see the white matter low density asterisks indicating chronic small vessel disease. The extended pterional approach allows excellent results for. Olfactory groove and planum sphenoidale meningiomas occur along the anterior cranial base overlying the area of the cribriform plate of the ethmoid bone, frontosphenoid suture, and planum.
This book is aimed at neurosurgeons with an interest in updating their knowledge on the latest state of meningiomas surgery and management. This type of meningioma occurs near the nerves that connect the brain to the nose. This behaviour has been partially explained by mitotic and mib1. Request pdf role of planum sphenoidale meningioma resection in improving visual function introduction. Meningioma tumours are more common in older people and in women, although they may occur in men and in young people too. A large enhancing extraaxial mass is demonstrated along the planum sphenoidale, additionally insinuating into the olfactory groove, consistent with a meningioma. Olfactory groove and planum sphenoidale meningiomas occur along the anterior cranial base overlying the area of the cribriform plate of the ethmoid bone, frontosphenoid suture, and planum sphenoidale.
There is no charge to read or download any sni content, but registering for a free membership will provide you with additional special features. Currently we have a number of neurosurgery free pdf handbook of neurosurgery 8th edition. Unenhanced axial ct of the base of the skull shows a hyperdense midline mass white arrows arising from the planum sphenoidale region. All the chapters have been developed with high quality and including the most modern approaches for the different aspects they deal with.
The tumor was totally resected using a left pterional approach. Theyre keeping an eye on it to be sure it isnt enlarging. Meningiomas of the tuberculum sellae and planum sphenoidale. Oct 14, 2015 site related relapses with planum sphenoidale or olfactory groove meningioma, tumor recurrence reported in 7. Contrary to a prior report on this topic, edema along the optic tract is not only seen in craniopharyngiomas but may be seen although rarely in other common parasellar tumors, as in our case of a tuberculum sellae meningioma. It vividly enhances following contrast except for a. This type of meningioma occurs on the outer surface of the brain. The extended pterional approach allows excellent results. The endoscopic endonasal management of anterior skull base.
Meningioma support group join us to learn about the latest treatment options, network with other meningioma patients, and find encouragement and support. A minority of these tumours present with clinical and histological features suggesting aggressive potential atypical and malignant meningiomas. Optic tract edema in a meningioma of the tuberculum sellae. Endoscopic, endonasal extended transsphenoidal, transplanum. A delay in the diagnosis or treatment may be detrimental to visual recovery. Total removal of meningiomas of the anterior cranial fossa was obtained in 86. Hello johny249, the following information would be of great help. Paolo perrini azienda ospedaliero universitaria pisana. Mortazavi 1, harley brito da silva, manuel ferreira jr1, jason k. Planum sphenoidale meningiomas are located more anterior and in proximity of the olfactory groove location 4, 10.
In addition, the presence of enlarged, aerated, posterior ethmoid and sphenoid sinuses, a. In some cases, a meningioma is found after a computed tomography ct scan or mri is done for another reason such as after a. A young african american woman presented with progressive left vision loss. Calcification is a common finding in longstanding meningiomas. Meningioma is a type of brain tumor that develops in the meninges, the membranes that surround the spinal cord and brain. Tsms originate from the limbus sphenoidale, chiasmatic sulcus and frontosphenoidal suture. If it got big enough it could irritate the brain and cause seizures, they said. Association of meningioma with reproductive factors. This is the name given to the protective lining of the brain and spinal cord. Download premium images you cant get anywhere else. Prospective experience of a single institution using routine ffpe samples malak s abedalthagafi, shakti h ramkissoon, keith l ligon, azra h ligon, rebecca d folkerth, sandro santagata.
Family members, caregivers, friends and interested persons are encouraged to attend. Planum sphenoidale definition of planum sphenoidale by. A universally accepted classification system predicting surgical risk and outcome is still lacking. I hope your daughters meningioma doesnt cause problems. Find out information about meningioma brain tumors,risk factors, meningioma diagnosis and treatment. Over a 19 year period, we operated on 169 meningiomas on 86 patients and of those, 9 cases of atypical meningiomas were found which met the 2007 world health organization who classification. Surgical management of tuberculum sellae and planum.
The resection of planum sphenoidale and tuberculum sellae meningiomas is challenging. Some are very slow growing and depending on the patients age and risks for surgery might not be removed. The studies showed a duralbased lesion involving the lateral aspect of the left cavernous sinus which extended superiorly and crossed the planum sphenoidale to insinuate itself around the contralateral anterior clinoid process. Image of meningioma stock pictures, royaltyfree photos. In some cases, deletions involving chromosome 22 are involved. Most publications are available for download in spanish. Meningioma definition of meningioma by medical dictionary.
Role of planum sphenoidale meningioma resection in. Lifestyle factors and primary glioma and meningioma tumours in the million women study cohort. A meningioma is brain tumor that can vary from very mild to very severe. The atypical meningiomas vary greatly in their histological characteristics and thus behaviour. These are called the meninges and also help to protect the brain. The extended pterional approach allows excellent results for removal of anterior. Although meningiomas are considered a type of primary brain tumor, they do. At the moment i forget what size it is, but its small. Operative nuances of a modern surgical technique with outcome and proposal of a new classi. Find highquality image of meningioma stock photos and editorial news pictures from getty images. Meningioma cases were matched with controls at a ratio of 1. It originates from the arachnoid not the dura, the tissue covering the brain and spinal cord lying deep to the dura. Mass effect on the frontal lobes, optic nerves, optic chiasm, and pituitary infidibulum was present. Mortazavi mm1, brito da silva h1, ferreira m jr1, barber jk1, pridgeon js1, sekhar ln2.
New concepts in the management of onsmsdalia berman and neil r miller 171 exploratory craniotomy. Evaluation of meningioma aggressiveness by 99mtctetrofosmin spect. Some are more aggressive in the sense that they are more likely to invade the surrounding parenchyma and are more likely to metastasise. Mean relapsefree survival for atypical meningiomas was 11. Frontotemporal craniotomy for planum sphenoidale meningioma. Tuberculum sellae meningiomas are located not only on the limited surface. Brain mri with contrast and perfusion studies were obtained. Planum sphenoidale meningioma leading to visual disturbance ncbi. Meningioma is usually diagnosed after a scan of your brain, usually magnetic resonance imaging mri. The book is focused at performing a portrait of that what is state of the art in management of meningiomas. Planum sphenoidale meningioma learning radiology meningioma.
Salinero, coincidental pituitary adenoma and planum sphenoidale meningioma mimicking a single tumor, endocrinologia y nutricion, vol. Atypical grade ii and malignant grade iii meningiomas constitute approximately 57% and % of meningiomas, respectively 10, 19, 38. Meningioma, also known as meningeal tumor, is typically a slowgrowing tumor that forms from the meninges, the membranous layers surrounding the brain and spinal cord. However, even a benign tumor might require treatment because of its effects on the brain and central nervous system. Twentyseven patients were found to have tumors arising. Inside the skull, and covering the brain, are 3 thin sheets of body tissue. Case presentation a 64yearold woman presented, 5 years ago.
701 1283 750 1305 642 580 31 1426 1043 668 589 856 999 499 1409 203 1247 159 1254 1055 384 1556 272 390 422 944 710 303 351 1303 1137 1204 133