Salinero, coincidental pituitary adenoma and planum sphenoidale meningioma mimicking a single tumor, endocrinologia y nutricion, vol. 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. Lifestyle factors and primary glioma and meningioma tumours in the million women study cohort. Unenhanced axial ct of the base of the skull shows a hyperdense midline mass white arrows arising from the planum sphenoidale region. Mortazavi mm1, brito da silva h1, ferreira m jr1, barber jk1, pridgeon js1, sekhar ln2. Find highquality image of meningioma stock photos and editorial news pictures from getty images. If it got big enough it could irritate the brain and cause seizures, they said.
Meningioma tumours are more common in older people and in women, although they may occur in men and in young people too. However, even a benign tumor might require treatment because of its effects on the brain and central nervous system. 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. Evaluation of meningioma aggressiveness by 99mtctetrofosmin spect. Sx are related to tumor growth and compression prognosis 5yr survival 70%. Case presentation a 64yearold woman presented, 5 years ago. Mean relapsefree survival for atypical meningiomas was 11. This type of meningioma occurs on the outer surface of the brain. Symptoms depend on the location and occur as a result of the tumor pressing on nearby tissue. Meningiomas are much more common in females, and are more common after 50 years of age. Nov 07, 2018 magill st, theodosopoulos pv, mcdermott mw. 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.
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. 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. Operative nuances of a modern surgical technique with outcome and proposal of a new classification system. The incidence of meningioma increases with increasing age, and the median age at diagnosis is 63 years. Meningiomas are predominantly found in the brain, most frequently in the parasagittal area4, and the cavernous sinus5. Brain mri with contrast and perfusion studies were obtained. At the moment i forget what size it is, but its small. Jan 25, 2018 demonstrates the technique of and exposure afforded by a frontotemporal pteryonal craniotomy for resection of planum sphenoidale meningioma.
A delay in the diagnosis or treatment may be detrimental to visual recovery. The tumor was totally resected using a left pterional approach. It is not known what causes people to develop meningioma, but. Some are very slow growing and depending on the patients age and risks for surgery might not be removed. This behaviour has been partially explained by mitotic and mib1. Although meningiomas are considered a type of primary brain tumor, they do. The atypical meningiomas vary greatly in their histological characteristics and thus behaviour.
This meningioma is heavily calcified and so is dense enough to be visible precontrast. 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. New concepts in the management of optic nerve sheath. Planum sphenoidale definition of planum sphenoidale by. Meningiomas of the tuberculum sellae and planum sphenoidale. Surgical management of tuberculum sellae and planum. Operative nuances of a modern surgical technique with outcome and proposal of a new classi. Meningiomas are the most common extraaxial tumors of the central nervous system. Request pdf role of planum sphenoidale meningioma resection in improving visual function introduction.
Meningioma is a type of brain tumor that develops in the meninges, the membranes that surround the spinal cord and brain. In addition, the presence of enlarged, aerated, posterior ethmoid and sphenoid sinuses, a. 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. In some cases, a meningioma is found after a computed tomography ct scan or mri is done for another reason such as after a.
Meningiomas, in particular the atypical grade 2, vary greatly in their behaviour and prognosis. This book is aimed at neurosurgeons with an interest in updating their knowledge on the latest state of meningiomas surgery and management. A large enhancing extraaxial mass is demonstrated along the planum sphenoidale, additionally insinuating into the olfactory groove, consistent with a meningioma. Atypical grade ii and malignant grade iii meningiomas constitute approximately 57% and % of meningiomas, respectively 10, 19, 38. Optic tract edema in a meningioma of the tuberculum sellae. Meningioma definition of meningioma by medical dictionary. Image of meningioma stock pictures, royaltyfree photos. 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. 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. New concepts in the management of onsmsdalia berman and neil r miller 171 exploratory craniotomy. Demonstrates the technique of and exposure afforded by a frontotemporal pteryonal craniotomy for resection of planum sphenoidale meningioma. Meningioma cases were matched with controls at a ratio of 1. 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.
In some cases, deletions involving chromosome 22 are involved. There is no charge to read or download any sni content, but registering for a free membership will provide you with additional special features. The pathogenesis of this edema in meningioma is controversial. A minority of these tumours present with clinical and histological features suggesting aggressive potential atypical and malignant meningiomas. 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. Hello johny249, the following information would be of great help. Association of meningioma with reproductive factors. A universally accepted classification system predicting surgical risk and outcome is still lacking. All the chapters have been developed with high quality and including the most modern approaches for the different aspects they deal with. Grace shu hui chiang, mmedfm and lee gan goh, mmedint med fcfps. Oct 14, 2015 site related relapses with planum sphenoidale or olfactory groove meningioma, tumor recurrence reported in 7. A young african american woman presented with progressive left vision loss.
Find out information about meningioma brain tumors,risk factors, meningioma diagnosis and treatment. The book is focused at performing a portrait of that what is state of the art in management of meningiomas. Total removal of meningiomas of the anterior cranial fossa was obtained in 86. Theyre keeping an eye on it to be sure it isnt enlarging. Some are more aggressive in the sense that they are more likely to invade the surrounding parenchyma and are more likely to metastasise.
Site related relapses with planum sphenoidale or olfactory groove meningioma, tumor recurrence reported in 7. Meningiomas in general are more likely to recur in the presence of brain invasion. It vividly enhances following contrast except for a small cystic area superiorly. We have a very active facebook forum where you can ask questions and join discussions with other meningioma patients and carers. Endoscopic, endonasal extended transsphenoidal, transplanum. Hyperostosis associated with meningioma of the cranial base. Twentyseven patients were found to have tumors arising.
Tsms originate from the limbus sphenoidale, chiasmatic sulcus and frontosphenoidal suture. The planum sphenoidale or jugum sphenoidale is the planar surface of the sphenoid bone. The ct scan was performed to investigate the cause of cognitive decline see the white matter low density asterisks indicating chronic small vessel disease. Meningioma, also known as meningeal tumor, is typically a slowgrowing tumor that forms from. No cavernous sinus invasion or vascular occlusion was seen. Coexistence of ghproducing pituitary macroadenoma and meningioma in a patient with multiple endocrine neoplasia type 1 with hyperglycemia and ketosis as first clinical sign. Frontotemporal craniotomy for planum sphenoidale meningioma. Paolo perrini azienda ospedaliero universitaria pisana. Meningioma is usually diagnosed after a scan of your brain, usually magnetic resonance imaging mri. Planum sphenoidale and tuberculum sellae meningiomas.
Tuberculum sellae meningiomas are located not only on the limited surface. This is the name given to the protective lining of the brain and spinal cord. Mortazavi 1, harley brito da silva, manuel ferreira jr1, jason k. Meningiomas occur either intracranially or within the spinal canal. We report a case of tuberculum sellae meningioma with optic tract edema.
Most publications are available for download in spanish. The lesions may be suspected, however, in any patient with slowly progressive, unilateral loss of vision associated with signs of optic neuropathy. Is there an association between meningioma and hormone replacement therapy. It originates from the arachnoid not the dura, the tissue covering the brain and spinal cord lying deep to the dura. Calcification is a common finding in longstanding meningiomas. Olfactory groove and planum sphenoidale meningioma. 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. Mass effect on the frontal lobes, optic nerves, optic chiasm, and pituitary infidibulum was present. I hope your daughters meningioma doesnt cause problems. 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.
The extended pterional approach allows excellent results for removal of anterior. Of all cranial meningiomas, about 20% of them are in the sphenoid wing. The endoscopic endonasal management of anterior skull base. Inflammatory response and meningioma tumorigenesis and the effect of cyclooxygenase2 inhibitors. New concepts in the management of optic nerve sheath meningiomas. Intracranial meningiomas outnumber spinal meningiomas by approximately 10 to 1 sloof et al. Role of planum sphenoidale meningioma resection in. Download premium images you cant get anywhere else. Download fulltext pdf optic nerve haemangioblastoma mimicking a planum sphenoidale meningioma article pdf available in british journal of neurosurgery 235. The extended pterional approach allows excellent results for. Mri gives a detailed image of the brain and can show if there is a tumor, especially if contrast material is given. Olfactory groove and planum sphenoidale meningioma ncbi. The resection of planum sphenoidale and tuberculum sellae meningiomas is challenging.
Inside the skull, and covering the brain, are 3 thin sheets of body tissue. 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. Olfactory grooveplanum sphenoidale meningiomas springerlink. Family members, caregivers, friends and interested persons are encouraged to attend. 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. This type of meningioma occurs near the nerves that connect the brain to the nose. These are called the meninges and also help to protect the brain. Doctor answers on symptoms, diagnosis, treatment, and more. Planum sphenoidale meningiomas are located more anterior and in proximity of the olfactory groove location 4, 10. Planum sphenoidale meningioma learning radiology meningioma. A meningioma is brain tumor that can vary from very mild to very severe. 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.
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