Anterior Clinoid Metastasis Removed Extradurally: First Case Report

Mirza Pojskić; Blazej Zbytek; Kenan I. Arnautović

doi:10.1055/s-0038-1655773

Journal of Neurological Surgery Reports, Table of Contents

CC-BY-NC-ND 4.0 · J Neurol Surg Rep 2018; 79(02): e55-e62
DOI: 10.1055/s-0038-1655773

Case Report

Georg Thieme Verlag KG Stuttgart · New York

Anterior Clinoid Metastasis Removed Extradurally: First Case Report

Authors

Mirza Pojskić

¹Department of Neurosurgery, Philipps University of Marburg, Marburg, Germany
Blazej Zbytek

²Department of Pathology and Laboratory Medicine, Center for Adult Cancer Research, University of Tennessee Health Science Center, Memphis, Tennessee, United States

³Pathology Group of the MidSouth, Memphis, Tennessee, United States
Kenan I. Arnautović

⁴Semmes Murphey Neurologic & Spine Institute, Memphis, Tennessee, United States

⁵Department of Neurosurgery, University of Tennessee Health Science Center, Memphis, Tennessee, United States

Abstract

Background We report a case of isolated metastasis on the anterior clinoid process (ACP) mimicking meningioma.

Clinical Presentation A 58-year-old male presented with headaches, right-sided visual disturbances, and blurred and double vision. The cause of double vision was partial weakness of the right III nerve, resulting from compression of the nerve by “hypertrophied” tumor-involved right anterior clinoid. Medical history revealed two primary malignant tumors—male breast cancer and prostate cancer (diagnosed 6 and 18 months prior, respectively). The patient was treated with chemotherapy and showed no signs of active disease, recurrence, or metastasis. Postcontrast head magnetic resonance imaging (MRI) showed extra-axial well-bordered enhancing mass measuring 1.6 × 1.1 × 1 × 1 cm (anteroposterior, transverse, and craniocaudal dimensions) on the ACP, resembling a clinoidal meningioma. Extradural clinoidectomy with tumor resection was performed via right orbitozygomatic pretemporal skull base approach. Visual symptoms improved. Follow-up MRI showed no signs of tumor residual or recurrence.

Conclusion This is the first case report of a metastasis of any kind on ACP. Metastasis should be included as a part of the differential diagnosis of lesions of the anterior clinoid. Extradural clinoidectomy is a safe and effective method in the treatment of these tumors.

Keywords

anterior clinoid process - extradural clinoidectomy - metastasis - anterior clinoid metastasis - case report

Full Text

References

References
1 Al-Mefty O. Clinoidal meningiomas. J Neurosurg 1990; 73 (06) 840-849
2 al-Mefty O, Ayoubi S. Clinoidal meningiomas. Acta Neurochir Suppl (Wien) 1991; 53: 92-97
3 Aoyama Y, Ohtomo K, Sawamura H. Recurrent optic neuropathy caused by a mucocele of the anterior clinoid process after a 5-year remission: a case report and literature review. Neuroophthalmology 2014; 38 (05) 281-285
4 Arnavielle S, Vignal-Clermont C, Galatoire O. , et al. Compressive optic neuropathy related to an anterior clinoid mucocele [in French]. J Fr Ophtalmol 2010; 33 (03) 208.e1-208.e6
5 Chagla AS, Bhaganagare A, Kansal R, Tyagi D. Complete recovery of visual loss following surgical treatment of mucopyocele of the anterior clinoid process. J Clin Neurosci 2010; 17 (05) 670-672
6 Chang DJ. The “no-drill” technique of anterior clinoidectomy: a cranial base approach to the paraclinoid and parasellar region. Neurosurgery 2009; 64 (3, Suppl): ons96-ons105 , discussion ons105–ons106
7 Cheong JH, Kim JM, Kim CH. Bony protuberances on the anterior and posterior clinoid processes lead to traumatic internal carotid artery aneurysm following craniofacial injury. J Korean Neurosurg Soc 2011; 49 (01) 49-52
8 Chou PI, Chang YS, Feldon SE, Chen JT. Optic canal mucocele from anterior clinoid pneumatisation. Br J Ophthalmol 1999; 83 (11) 1306-1307
9 Chung DS, Park YS, Lee JH, Kang JK. Mucocele of the anterior clinoid process: case report. Neurosurgery 1999; 45 (02) 376-378
10 Deshmukh S, DeMonte F. Anterior clinoidal mucocele causing optic neuropathy: resolution with nonsurgical therapy. Case report. J Neurosurg 2007; 106 (06) 1091-1093
11 Dunya IM, Frangieh GT, Heilman CB, Miranda MR, Rand LI, Hedges TR. Anterior clinoid mucocele masquerading as retrobulbar neuritis. Ophthal Plast Reconstr Surg 1996; 12 (03) 171-173
12 Forer B, Hui NY, Sethi DS. Unilateral ophthalmoplegia secondary to anterior clinoid process mucocele. J Neuroophthalmol 2010; 30 (04) 321-324
13 Garaventa G, Arcuri T, Schiavoni S, Fonzari M. Anterior clinoid mucocele: a trans-nasal endoscopic approach. Minim Invasive Neurosurg 1997; 40 (04) 144-147
14 Hejazi N, Witzmann A, Hassler W. Ocular manifestations of sphenoid mucoceles: clinical features and neurosurgical management of three cases and review of the literature. Surg Neurol 2001; 56 (05) 338-343
15 Higgins HL, Schimdt III JH. Atypical presentation of a dermoid brain cyst. W V Med J 1996; 92 (06) 312-315
16 Hong CS, Lehman NL, Sauvageau E. A pilocytic astrocytoma mimicking a clinoidal meningioma. Case Rep Radiol 2014; 2014: 524574
17 Hopf-Jensen S, Rubarth O, von D Ahe I. , et al. Isolated oculomotor nerve palsy caused by a mucocele of an aerated anterior clinoid process. Clin Neuroradiol 2014; 24 (02) 161-164
18 Johnson LN, Hepler RS, Yee RD, Batzdorf U. Sphenoid sinus mucocele (anterior clinoid variant) mimicking diabetic ophthalmoplegia and retrobulbar neuritis. Am J Ophthalmol 1986; 102 (01) 111-115
19 Kasliwal MK, Suri A, Gupta DK, Suri V, Rishi A, Sharma BS. Sphenoid wing inflammatory pseudotumor mimicking a clinoidal meningioma: case report and review of the literature. Surg Neurol 2008; 70 (05) 509-513 , discussion 513
20 Kwon SH, Kim SH, Yoon JH. Anterior clinoid mucocele coexisting with sphenoid sinus mucocele. Auris Nasus Larynx 2009; 36 (05) 598-600
21 Lim CC, Dillon WP, McDermott MW. Mucocele involving the anterior clinoid process: MR and CT findings. AJNR Am J Neuroradiol 1999; 20 (02) 287-290
22 Mansour TR, Medhkour Y, Entezami P, Mrak R, Schroeder J, Medhkour A. The art of mimicry: anterior clinoid dural-based cavernous hemangioma mistaken for a meningioma. World Neurosurg 2017; 100: 708.e19-708.e22
23 Moisseiev E, Regenbogen M, Segev Y. Anterior clinoid process mucocele causing optic nerve compression [in Hebrew]. Harefuah 2013; 152 (02) 76-78 , 124
24 Nundkumar N, Mittal M, Kupsky WJ, Folbe A, Mittal S. Complete recovery of acute monocular visual loss following endoscopic resection of anterior clinoid mucocele: case report and review of the literature. J Neurol Sci 2012; 312 (1-2): 184-190
25 O'Donnell TJ, Michael II LM, Laster R, Fleming JC. Isolated pyocele of anterior clinoid process presenting as a cavernous sinus syndrome. Tenn Med 2013; 106 (05) 37-38 , 43
26 Righini CA, Darouassi Y, Boubagra K, Schmerber S, Reyt E. Sphenoid sinus mucocele of unusual aetiology and location [in French]. Rev Laryngol Otol Rhinol (Bord) 2006; 127 (03) 165-170
27 Schwaighofer BW, Sobel DF, Klein MV, Zyroff J, Hesselink JR. Mucocele of the anterior clinoid process: CT and MR findings. J Comput Assist Tomogr 1989; 13 (03) 501-503
28 Thurtell MJ, Besser M, Halmagyi GM. Anterior clinoid mucocele causing acute monocular blindness. Clin Experiment Ophthalmol 2007; 35 (07) 675-676
29 Tobias S, Kim CH, Kosmorsky G, Lee JH. Management of surgical clinoidal meningiomas. Neurosurg Focus 2003; 14 (06) e5
30 Ushikoshi S, Honma T, Uchida K, Yasuda H, Ajiki M. Dural arteriovenous fistula at the anterior clinoid process draining directly into the superficial middle cerebral vein. Neurol Med Chir (Tokyo) 2013; 53 (03) 195-198
31 Vaphiades MS, Yunker JJ, Roberson GH, Meyer DR, Mills DM. Optic neuritis is nothing to sneeze at. Surv Ophthalmol 2007; 52 (01) 106-110
32 Wang AC, Than KD, Ramnath S, Pandey AS. Anterior clinoid mucocele presenting with orbital apex syndrome. Surg Neurol Int 2013; 4: 63
33 Yamashita T, Mikami T, Minamida Y, Baba T, Houkin K. Primary intraosseous cavernous hemangioma in anterior clinoid process [in Japanese]. No Shinkei Geka 2006; 34 (08) 833-837
34 Drake CG, Vanderlinden RG, Amacher AL. Carotid-ophthalmic aneurysms. J Neurosurg 1968; 29 (01) 24-31
35 Hauser MJ, Gass H. Optic nerve pressure by aneurysm relieved by decompression of optic nerve; report of a case. AMA Arch Opthalmol 1952; 48 (05) 627-631
36 Copeland WR, Van Gompel JJ, Giannini C, Eckel LJ, Koeller KK, Link MJ. Can preoperative imaging predict tumor involvement of the anterior clinoid in clinoid region meningiomas?. Neurosurgery 2015; 77 (04) 525-529 , discussion 530
37 Arnautović KI, Al-Mefty O, Angtuaco E. A combined microsurgical skull-base and endovascular approach to giant and large paraclinoid aneurysms. Surg Neurol 1998; 50 (06) 504-518 , discussion 518–520
38 Krisht AF. Transcavernous approach to diseases of the anterior upper third of the posterior fossa. Neurosurg Focus 2005; 19 (02) E2
39 Hsu SP, Krisht AF, Lin CF. , et al. Immediate results of microsurgical clipping of posterior communicating artery aneurysms using the pretemporal transclinoidal approach. J Chin Med Assoc 2012; 75 (09) 454-458
40 Noguchi A, Balasingam V, Shiokawa Y, McMenomey SO, Delashaw Jr JB. Extradural anterior clinoidectomy. Technical note. J Neurosurg 2005; 102 (05) 945-950
41 Tan Y, Xiao S, Zhang C. , et al. Microsurgical resection of anterior clinoid meningiomas -- 46 cases report [in Chinese]. Zhonghua Wai Ke Za Zhi 2014; 52 (04) 271-275
42 Attia M, Umansky F, Paldor I, Dotan S, Shoshan Y, Spektor S. Giant anterior clinoidal meningiomas: surgical technique and outcomes. J Neurosurg 2012; 117 (04) 654-665
43 Bassiouni H, Asgari S, Sandalcioglu IE, Seifert V, Stolke D, Marquardt G. Anterior clinoidal meningiomas: functional outcome after microsurgical resection in a consecutive series of 106 patients. Clinical article. J Neurosurg 2009; 111 (05) 1078-1090
44 Pamir MN, Belirgen M, Ozduman K, Kiliç T, Ozek M. Anterior clinoidal meningiomas: analysis of 43 consecutive surgically treated cases. Acta Neurochir (Wien) 2008; 150 (07) 625-635 , discussion 635–636
45 Nanda A, Konar SK, Maiti TK, Bir SC, Guthikonda B. Stratification of predictive factors to assess resectability and surgical outcome in clinoidal meningioma. Clin Neurol Neurosurg 2016; 142: 31-37
46 Tao CS, Lou MQ, Lu YC. , et al. Experience of resection large clinoidal meningiomas [in Chinese]. Zhonghua Wai Ke Za Zhi 2005; 43 (21) 1414-1417
47 Puzzilli F, Ruggeri A, Mastronardi L, Agrillo A, Ferrante L. Anterior clinoidal meningiomas: report of a series of 33 patients operated on through the pterional approach. Neuro-oncol 1999; 1 (03) 188-195
48 Goel A, Gupta S, Desai K. New grading system to predict resectability of anterior clinoid meningiomas. Neurol Med Chir (Tokyo) 2000; 40 (12) 610-616 , discussion 616–617
49 Risi P, Uske A, de Tribolet N. Meningiomas involving the anterior clinoid process. Br J Neurosurg 1994; 8 (03) 295-305
50 Romani R, Laakso A, Kangasniemi M, Lehecka M, Hernesniemi J. Lateral supraorbital approach applied to anterior clinoidal meningiomas: experience with 73 consecutive patients. Neurosurgery 2011; 68 (06) 1632-1647 , discussion 1647
51 Sade B, Lee JH. High incidence of optic canal involvement in clinoidal meningiomas: rationale for aggressive skull base approach. Acta Neurochir (Wien) 2008; 150 (11) 1127-1132 , discussion 1132
52 Lee JH, Jeun SS, Evans J, Kosmorsky G. Surgical management of clinoidal meningiomas. Neurosurgery 2001; 48 (05) 1012-1019 , discussion 1019–1021
53 Cui H, Wang Y, Yin YH, Fei ZM, Luo QZ, Jiang JY. Surgical management of anterior clinoidal meningiomas: a 26-case report. Surg Neurol 2007; 68 (Suppl. 02) S6-S10 , discussion S10
54 Mariniello G, de Divitiis O, Seneca V, Maiuri F. Classical pterional compared to the extended skull base approach for the removal of clinoidal meningiomas. J Clin Neurosci 2012; 19 (12) 1646-1650
55 Yang YM, Jiang HZ, Sha C, Yuan QG, Xie HW, Wang DM. Microsurgical management of anterior clinoidal meningiomas [in Chinese]. Zhonghua Yi Xue Za Zhi 2010; 90 (25) 1764-1766
56 Kim JH, Jang WY, Jung TY. , et al. Predictive factors for surgical outcome in anterior clinoidal meningiomas: analysis of 59 consecutive surgically treated cases. Medicine (Baltimore) 2017; 96 (15) e6594
57 Chernov SV, Rzaev DA, Kalinovsky AV. , et al. Early postoperative results of surgical treatment of patients with anterior clinoidal meningiomas [in Russian]. Vopr Neirokhir 2017; 81 (01) 74-80
58 Czernicki T, Kunert P, Nowak A, Marchel A. Results of surgical treatment of anterior clinoidal meningiomas - our experiences. Neurol Neurochir Pol 2015; 49 (01) 29-35
59 Watts J, Box G, Galvin A, Brotchie P, Trost N, Sutherland T. Magnetic resonance imaging of meningiomas: a pictorial review. Insights Imaging 2014; 5 (01) 113-122
60 Altay T, Krisht KM, Couldwell WT. Sellar and parasellar metastatic tumors. Int J Surg Oncol 2012; 2012: 647256
61 Gupta RK, Saran RK, Jagetia A, Narang P. Extra-axial dural cavernous hemangioma with dural tail sign, masquerading as meningioma. J Neurosci Rural Pract 2016; 7 (04) 615-616
62 Azarpira N, Noshadi P, Pakbaz S, Torabineghad S, Rakei M, Safai A. Dural plasmacytoma mimicking meningioma. Turk Neurosurg 2014; 24 (03) 403-405
63 Morgenstern P, Pisapia D, Ramakrishna R. Calvarial plasmacytoma mimicking meningioma as the initial presentation of multiple myeloma. Cureus 2017; 9 (03) e1126
64 Yang G, Li C, Chen X. , et al. Large capillary hemangioma of the temporal bone with a dural tail sign: a case report. Oncol Lett 2014; 8 (01) 183-186
65 Harrison CJ, Martin SC, Hofer M, Corkill R, Jeyaretna DS, Griffiths SJ. More than meets the MRI: case report of a carcinoid tumour metastasis mimicking a meningioma. Br J Neurosurg 2017; 1-2 . doi: 10.1080/02688697.2017.1327018
66 Zagzoog N, Ra G, Koziarz A. , et al. Metastatic liposarcoma of the skull base: a case report and review of literature. Neurosurgery 2017; 80 (04) 219-223
67 Malhotra G, Asopa RV, Sridhar E. Unusual case of isolated parasellar metastasis from carcinoma of thyroid. Clin Nucl Med 2013; 38 (02) 145-148
68 Lin NU, Bellon JR, Winer EP. CNS metastases in breast cancer. J Clin Oncol 2004; 22 (17) 3608-3617
69 Gabos Z, Sinha R, Hanson J. , et al. Prognostic significance of human epidermal growth factor receptor positivity for the development of brain metastasis after newly diagnosed breast cancer. J Clin Oncol 2006; 24 (36) 5658-5663
70 Aversa C, Rossi V, Geuna E. , et al. Metastatic breast cancer subtypes and central nervous system metastases. Breast 2014; 23 (05) 623-628
71 Leone JP, Lee AV, Brufsky AM. Prognostic factors and survival of patients with brain metastasis from breast cancer who underwent craniotomy. Cancer Med 2015; 4 (07) 989-994
72 Leone JP, Leone BA. Breast cancer brain metastases: the last frontier. Exp Hematol Oncol 2015; 4: 33
73 Dolenc V. Direct microsurgical repair of intracavernous vascular lesions. J Neurosurg 1983; 58 (06) 824-831
74 Dolenc VV. A combined epi- and subdural direct approach to carotid-ophthalmic artery aneurysms. J Neurosurg 1985; 62 (05) 667-672
75 Day JD, Giannotta SL, Fukushima T. Extradural temporopolar approach to lesions of the upper basilar artery and infrachiasmatic region. J Neurosurg 1994; 81 (02) 230-235
76 Yonekawa Y, Ogata N, Imhof HG. , et al. Selective extradural anterior clinoidectomy for supra- and parasellar processes. Technical note. J Neurosurg 1997; 87 (04) 636-642
77 Krisht AF, Kadri PA. Surgical clipping of complex basilar apex aneurysms: a strategy for successful outcome using the pretemporal transzygomatic transcavernous approach. Neurosurgery 2005; 56 (2, Suppl): 261-273 , discussion 261–273
78 Roche PH, Mercier P, Fournier HD. Temporopolar epidural transcavernous transpetrous approach. Technique and indications [in French]. Neurochirurgie 2007; 53 (01) 23-31
79 Andrade-Barazarte H, Jägersberg M, Belkhair S. , et al. The extended lateral supraorbital approach and extradural anterior clinoidectomy through a frontopterio-orbital window: technical note and pilot surgical series. World Neurosurg 2017; 100: 159-166