Case presentation a 64yearold woman presented, 5 years ago. Brain mri with contrast and perfusion studies were obtained. Olfactory groove and planum sphenoidale meningioma. Role of planum sphenoidale meningioma resection in. Jul 24, 2015 meningiomas are mostly benign tumours which arise from the dura mater and are usually slowgrowing. The resection of planum sphenoidale and tuberculum sellae meningiomas is challenging. A universally accepted classification system predicting surgical risk and outcome is still lacking. Some are more aggressive in the sense that they are more likely to invade the surrounding parenchyma and are more likely to metastasise. Grace shu hui chiang, mmedfm and lee gan goh, mmedint med fcfps. The incidence of meningioma increases with increasing age, and the median age at diagnosis is 63 years. 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.
Surgical management of tuberculum sellae and planum. 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. Intracranial meningiomas outnumber spinal meningiomas by approximately 10 to 1 sloof et al. New concepts in the management of onsmsdalia berman and neil r miller 171 exploratory craniotomy. Planum sphenoidale meningioma leading to visual disturbance ncbi. Family members, caregivers, friends and interested persons are encouraged to attend. The extended pterional approach allows excellent results for.
Meningioma definition of meningioma by medical dictionary. If it got big enough it could irritate the brain and cause seizures, they said. This type of meningioma occurs near the nerves that connect the brain to the nose. Meningiomas are much more common in females, and are more common after 50 years of age. Planum sphenoidale meningioma leading to visual disturbance.
Hello johny249, the following information would be of great help. This type of meningioma occurs on the outer surface of the brain. Currently we have a number of neurosurgery free pdf handbook of neurosurgery 8th edition. 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. Pdf optic nerve haemangioblastoma mimicking a planum. Inflammatory response and meningioma tumorigenesis and the effect of cyclooxygenase2 inhibitors. Sx are related to tumor growth and compression prognosis 5yr survival 70%. 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.
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. Jan 25, 2018 demonstrates the technique of and exposure afforded by a frontotemporal pteryonal craniotomy for resection of planum sphenoidale meningioma. Coexistence of ghproducing pituitary macroadenoma and meningioma in a patient with multiple endocrine neoplasia type 1 with hyperglycemia and ketosis as first clinical sign. Meningiomas occur either intracranially or within the spinal canal. There is no charge to read or download any sni content, but registering for a free membership will provide you with additional special features. Meningiomas, in particular the atypical grade 2, vary greatly in their behaviour and prognosis. Meningiomas are predominantly found in the brain, most frequently in the parasagittal area4, and the cavernous sinus5. Olfactory grooveplanum sphenoidale meningiomas springerlink. 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.
Tuberculum sellae meningiomas are located not only on. Meningiomas are the most common extraaxial tumors of the central nervous system. Theyre keeping an eye on it to be sure it isnt enlarging. This meningioma is heavily calcified and so is dense enough to be visible precontrast. This book is aimed at neurosurgeons with an interest in updating their knowledge on the latest state of meningiomas surgery and management. It originates from the arachnoid not the dura, the tissue covering the brain and spinal cord lying deep to the dura. Meningiomas of the tuberculum sellae and 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. A delay in the diagnosis or treatment may be detrimental to visual recovery. Intraventricular chordoid meningioma presenting with castleman disease due to overproduction of interleukin6. All the chapters have been developed with high quality and including the most modern approaches for the different aspects they deal with. It vividly enhances following contrast except for a.
Meningioma cases were matched with controls at a ratio of 1. 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. A minority of these tumours present with clinical and histological features suggesting aggressive potential atypical and malignant meningiomas. Meningioma tumours are more common in older people and in women, although they may occur in men and in young people too. Most are removed, simply because the earlier one can be removed. In addition, the presence of enlarged, aerated, posterior ethmoid and sphenoid sinuses, a. The lesions may be suspected, however, in any patient with slowly progressive, unilateral loss of vision associated with signs of optic neuropathy. New concepts in the management of optic nerve sheath meningiomas. In some cases, deletions involving chromosome 22 are involved. A sphenoid wing meningioma is a benign brain tumor near the sphenoid bone. Mortazavi 1, harley brito da silva, manuel ferreira jr1, jason k. 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.
A young african american woman presented with progressive left vision loss. 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. In some cases, a meningioma is found after a computed tomography ct scan or mri is done for another reason such as after a. Meningioma is a type of brain tumor that develops in the meninges, the membranes that surround the spinal cord and brain. Doctor answers on symptoms, diagnosis, treatment, and more. 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. A meningioma is brain tumor that can vary from very mild to very severe. We report a case of tuberculum sellae meningioma with optic tract edema. These are called the meninges and also help to protect the brain.
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. Unenhanced axial ct of the base of the skull shows a hyperdense midline mass white arrows arising from the planum sphenoidale region. Planum sphenoidale definition of planum sphenoidale by. Find out information about meningioma brain tumors,risk factors, meningioma diagnosis and treatment. Mass effect on the frontal lobes, optic nerves, optic chiasm, and pituitary infidibulum was present. However, even a benign tumor might require treatment because of its effects on the brain and central nervous system. The planum sphenoidale or jugum sphenoidale is the planar surface of the sphenoid bone. Demonstrates the technique of and exposure afforded by a frontotemporal pteryonal craniotomy for resection of planum sphenoidale meningioma. Frontotemporal craniotomy for planum sphenoidale meningioma. Mortazavi mm1, brito da silva h1, ferreira m jr1, barber jk1, pridgeon js1, sekhar ln2. Oct 14, 2015 site related relapses with planum sphenoidale or olfactory groove meningioma, tumor recurrence reported in 7. 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. I hope your daughters meningioma doesnt cause problems.
Occasionally seizures, dementia, trouble talking, vision problems, one sided weakness, or. Planum sphenoidale and tuberculum sellae meningiomas. Some are very slow growing and depending on the patients age and risks for surgery might not be removed. Meningioma, also known as meningeal tumor, is typically a slowgrowing tumor that forms from. The book is focused at performing a portrait of that what is state of the art in management of meningiomas. We have a very active facebook forum where you can ask questions and join discussions with other meningioma patients and carers. Mri gives a detailed image of the brain and can show if there is a tumor, especially if contrast material is given. The ct scan was performed to investigate the cause of cognitive decline see the white matter low density asterisks indicating chronic small vessel disease. We will give you all the flexibility of a variety of formats.
Of all cranial meningiomas, about 20% of them are in the sphenoid wing. This behaviour has been partially explained by mitotic and mib1. Hyperostosis associated with meningioma of the cranial base. Twentyseven patients were found to have tumors arising.
Optic tract edema in a meningioma of the tuberculum sellae. This is the name given to the protective lining of the brain and spinal cord. Lifestyle factors and primary glioma and meningioma tumours in the million women study cohort. Inside the skull, and covering the brain, are 3 thin sheets of body tissue. At the moment i forget what size it is, but its small.
Meningiomas in general are more likely to recur in the presence of brain invasion. Olfactory groove and planum sphenoidale meningioma ncbi. Evaluation of meningioma aggressiveness by 99mtctetrofosmin spect. The extended pterional approach allows excellent results for removal of anterior.
The endoscopic endonasal management of anterior skull base. Symptoms depend on the location and occur as a result of the tumor pressing on nearby tissue. Although meningiomas are considered a type of primary brain tumor, they do. Most publications are available for download in spanish. 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. Meningioma support group join us to learn about the latest treatment options, network with other meningioma patients, and find encouragement and support. It vividly enhances following contrast except for a small cystic area superiorly. Planum sphenoidale meningiomas are located more anterior and in proximity of the olfactory groove location 4, 10.
Request pdf role of planum sphenoidale meningioma resection in improving visual function introduction. Is there an association between meningioma and hormone replacement therapy. Planum sphenoidale meningioma learning radiology meningioma. Total removal of meningiomas of the anterior cranial fossa was obtained in 86. The tumor was totally resected using a left pterional approach.
Meningioma is usually diagnosed after a scan of your brain, usually magnetic resonance imaging mri. The pathogenesis of this edema in meningioma is controversial. Operative nuances of a modern surgical technique with outcome and proposal of a new classi. The atypical meningiomas vary greatly in their histological characteristics and thus behaviour. Operative nuances of a modern surgical technique with outcome and proposal of a new classification system. Find highquality image of meningioma stock photos and editorial news pictures from getty images. Image of meningioma stock pictures, royaltyfree photos. New concepts in the management of optic nerve sheath. Site related relapses with planum sphenoidale or olfactory groove meningioma, tumor recurrence reported in 7. Paolo perrini azienda ospedaliero universitaria pisana. Endoscopic, endonasal extended transsphenoidal, transplanum. No cavernous sinus invasion or vascular occlusion was seen.
Download fulltext pdf optic nerve haemangioblastoma mimicking a planum sphenoidale meningioma article pdf available in british journal of neurosurgery 235. Tsms originate from the limbus sphenoidale, chiasmatic sulcus and frontosphenoidal suture. Association of meningioma with reproductive factors. Download premium images you cant get anywhere else. It is not known what causes people to develop meningioma, but. Mean relapsefree survival for atypical meningiomas was 11. The extended pterional approach allows excellent results. A large enhancing extraaxial mass is demonstrated along the planum sphenoidale, additionally insinuating into the olfactory groove, consistent with a meningioma.
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. 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. Calcification is a common finding in longstanding meningiomas. Nov 07, 2018 magill st, theodosopoulos pv, mcdermott mw. Tuberculum sellae meningiomas are located not only on the limited surface. 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.
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