Severe Edema and Venous Congestion Following Sphenoorbital Meningioma Resection in a Meningiomatosis Case: Importance of Predicting Venous Disturbances

Carlos Eduardo da Silva; Alicia Del Carmen Becerra Romero; Paulo Eduardo Peixoto de Freitas; Leonardo Desesards Olijnyk

doi:10.1055/s-0035-1564058

Journal of Neurological Surgery Reports, Table of Contents

J Neurol Surg Rep 2015; 76(02): e239-e243
DOI: 10.1055/s-0035-1564058

Case Report

Georg Thieme Verlag KG Stuttgart · New York

Severe Edema and Venous Congestion Following Sphenoorbital Meningioma Resection in a Meningiomatosis Case: Importance of Predicting Venous Disturbances

Carlos Eduardo da Silva

¹Department of Neurosurgery and Skull Base Surgery, Hospital Ernesto Dornelles, Porto Alegre/RS, Brazil

,

Alicia Del Carmen Becerra Romero

¹Department of Neurosurgery and Skull Base Surgery, Hospital Ernesto Dornelles, Porto Alegre/RS, Brazil

,

Paulo Eduardo Peixoto de Freitas

¹Department of Neurosurgery and Skull Base Surgery, Hospital Ernesto Dornelles, Porto Alegre/RS, Brazil

,

Leonardo Desesards Olijnyk

¹Department of Neurosurgery and Skull Base Surgery, Hospital Ernesto Dornelles, Porto Alegre/RS, Brazil

› Author Affiliations

Abstract

To achieve local disease control, radical removal is the best option for sphenoorbital meningiomas. Preservation of the venous system is crucial during the resection of skull base meningiomas. This vascular injury represents a major risk both for life and neurologic function. We present a case of a severe postoperative frontotemporal venous disturbance and cerebral edema following the radical removal of a giant sphenoorbital meningioma in a patient with meningiomatosis and occlusion of the superior sagittal sinus. The anatomical, radiologic, and surgical aspects are reviewed and discussed, with the aim of preventing such a serious complication.

Keywords

meningioma - cerebral veins - sphenoparietal sinus - dural venous sinus - sphenoorbital

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References

References
1 Tanaka M, Imhof HG, Schucknecht B, Kollias S, Yonekawa Y, Valavanis A. Correlation between the efferent venous drainage of the tumor and peritumoral edema in intracranial meningiomas: superselective angiographic analysis of 25 cases. J Neurosurg 2006; 104 (3) 382-388
2 da Silva CE, Peron CS, Nesi A, Nunes CAS, Santos SC, Silveira LC. Importance of the temporal venous drainage to the petrosal approaches to the skull base. JBNC 2009; 20 (1) 27-32 . Available at: www.abnc.org.br/ed_art_down.php?id=562
3 Rhoton Jr AL. The cerebral veins. Neurosurgery 2002; 51 (4, Suppl): S159-S205
4 Ide M, Jimbo M, Yamamoto M, Umebara Y, Hagiwara S, Kubo O. MIB-1 staining index and peritumoral brain edema of meningiomas. Cancer 1996; 78 (1) 133-143
5 Lobato RD, Alday R, Gómez PA , et al. Brain oedema in patients with intracranial meningioma. Correlation between clinical, radiological, and histological factors and the presence and intensity of oedema. Acta Neurochir (Wien) 1996; 138 (5) 485-493 ; discussion 493–494
6 Philippon J, Foncin JF, Grob R, Srour A, Poisson M, Pertuiset BF. Cerebral edema associated with meningiomas: possible role of a secretory-excretory phenomenon. Neurosurgery 1984; 14 (3) 295-301
7 Pistolesi S, Fontanini G, Camacci T , et al. Meningioma-associated brain oedema: the role of angiogenic factors and pial blood supply. J Neurooncol 2002; 60 (2) 159-164
8 Inamura T, Nishio S, Takeshita I, Fujiwara S, Fukui M. Peritumoral brain edema in meningiomas—influence of vascular supply on its development. Neurosurgery 1992; 31 (2) 179-185
9 Bikmaz K, Mrak R, Al-Mefty O. Management of bone-invasive, hyperostotic sphenoid wing meningiomas. J Neurosurg 2007; 107 (5) 905-912
10 Pieper DR, Al-Mefty O, Hanada Y, Buechner D. Hyperostosis associated with meningioma of the cranial base: secondary changes or tumor invasion. Neurosurgery 1999; 44 (4) 742-746 ; discussion 746–747
11 Simpson D. The recurrence of intracranial meningiomas after surgical treatment. J Neurol Neurosurg Psychiatry 1957; 20 (1) 22-39
12 Hasseleid BF, Meling TR, Rønning P, Scheie D, Helseth E. Surgery for convexity meningioma: Simpson grade I resection as the goal: clinical article. J Neurosurg 2012; 117 (6) 999-1006
13 Obeid F, Al-Mefty O. Recurrence of olfactory groove meningiomas. Neurosurgery 2003; 53 (3) 534-542 ; discussion 542–543
14 Oya S, Sade B, Lee JH. Sphenoorbital meningioma: surgical technique and outcome. J Neurosurg 2011; 114 (5) 1241-1249
15 da Silva CE, da Silva VD, da Silva JL. Sodium fluorescein in skull base meningiomas: a technical note. Clin Neurol Neurosurg 2014; 120: 32-35
16 da Silva CE, da Silva VD, da Silva JL. Convexity meningiomas enhanced by sodium fluorescein. Surg Neurol Int 2014; 5: 3
17 Sakata K, Al-Mefty O, Yamamoto I. Venous consideration in petrosal approach: microsurgical anatomy of the temporal bridging vein. Neurosurgery 2000; 47 (1) 153-160 ; discussion 160–161