Right Transverse Venous Sinus Thrombosis Concomitant to an Occipital Basal Meningioma
[1]
Dorian Skënderaj , Service of Radiology, University Hospital Center “Mother Theresa”, Albania.
[2]
Maksi Basho , Service of Radiology, University Hospital Center “Mother Theresa”, Albania.
[3]
Altin Jusufati , Service of Radiology, University Hospital Center “Mother Theresa”, Albania.
[4]
Edmond Pistulli , Faculty of Medical and Technical Sciences, University of Medicine in Tirana, Albania.
[5]
Gentian Vyshka , Biomedical and Experimental Department, Faculty of Medicine, University of Medicine in Tirana, Albania.
We refer the case of an Albanian female patient aged 50 years, which presented to the emergency department of with confusional state, profound headache, vomiting unrelated to meals, unstable gait and general malaise. The attending physician denoted a cerebellar syndrome and a slight papillary stasis, making the clinical diagnosis compatible with an event causing increased intracranial pressure. A CT scan performed detected a basal occipital meningioma, partially calcified, at the level of sagittal sinus confluent to the right transverse sinus. The latter was completely hyperdense in the respective images, suggesting a thrombotic occurrence that would explain the acuity of the situation. The patient was treated conservatively for one week with symptoms receding substantially, thereafter referred to a neurosurgical facility.
Basal Meningioma, Venous Sinus Thrombosis, Increased Intracranial Pressure
[1]
Horinaka N, Nonaka Y, Nakayama T, Mori K, Wada R, Maeda M. Dural arteriovenous fistula of the transverse sinus with concomitant ipsilateral meningioma. Acta Neurochir (Wien). 2003 Jun; 145(6):501-4; discussion 504.
[2]
Toledo MM, Wilson TJ, Dashti S, McDougall CG, Spetzler RF. Dural arteriovenous fistula associated with superior sagittal sinus occlusion secondary to invasion by a parafalcine meningioma: case report. Neurosurgery. 2010 Jul; 67(1):205-7; discussion 207.
[3]
Nadel L, Braun IF, Muizelaar JP, Laine FJ. Tumoral thrombosis of cerebral venous si-nuses: preoperative diagnosis using magnetic resonance phase imaging. Surg Neurol. 1991 Mar; 35(3):189-95.
[4]
Domingues PH, Sousa P, Otero A, Gonçalves JM, Ruiz L, de Oliveira C, Lopes MC, Orfao A, Tabernero MD. Proposal for a new risk stratification classification for meningioma based on patient age, WHO tumor grade, size, localization, and karyotype. Neuro Oncol. 2014 Feb 16. [Epub ahead of print].
[5]
Vrionis FD, Robertson JH, Gardner G, Heilman CB. Temporal bone meningiomas. Skull Base Surg. 1999; 9(2):127-39.
[6]
Kim H, Jung TY, Kim IY, Lee JK. Two cases of primary osteolytic intraosseous meningioma of the skull metastasizing to whole skull and the spine. J Korean Neurosurg Soc. 2012 Mar; 51(3):151-4.
[7]
Yilmaz A, Musluman M, Aydin Y. Primary osteolytic intraosseous meningioma of the frontal bone. Neurol Neurochir Pol. 2010 Jul-Aug; 44(4):415-8.
[8]
Alvis-Miranda HR, Milena Castellar-Leones S, Alcala-Cerra G, Rafael Moscote-Salazar L. Cerebral sinus venous thrombosis. J Neurosci Rural Pract. 2013 Oct; 4(4):427-438.
[9]
Davis R, Robertson D. The Textbook of Neuropathology. Williams and Wilkins, Baltimore, Maryland 21202, USA. 1991; pp. 171-176.
[10]
Doita M, Harada T, Nishida K, Marui T, Kurosaka M, Yoshiya S. Recurrent calcified spinal meningioma detected by plain radiograph. Spine (Phila Pa 1976). 2001 Jun 1; 26(11):E249-52.
[11]
Chamoun R, Krisht KM, Couldwell WT. Incidental meningiomas. Neurosurg Focus. 2011 Dec; 31(6):E19.
[12]
Abeloos L, Lefranc F. What should be done in the event of incidental meningioma? Neurochirurgie. 2011 Apr; 57(2):78-81.
[13]
Nakasu S, Hirano A, Shimura T, Llena JF. Incidental meningiomas in autopsy study. Surg Neurol. 1987 Apr; 27(4):319-22.
[14]
DiMaio SM, DiMaio VJ, Kirkpatrick JB. Sudden, unexpected deaths due to primary intracranial neoplasms. Am J Forensic Med Pathol. 1980 Mar; 1(1):29-45.
[15]
Djindjian M, Raulo Y, Gaston A, Decq P, Gabriel-Cordonnier E, Poirier J, Keravel Y. Intra-extracranial meningioma in the cranial vault. Neurochirurgie. 1995; 41(5):329-36.
[16]
Czernicki Z, Grochowski W, Uchman G, Tychmanowicz K, Razumowski AE. Occlusion of the superior sagittal sinus caused by meningioma, intracranial volume-pressure rela-tions and brain edema. Neurol Neurochir Pol. 1991 Sep-Oct; 25(5):580-6.
[17]
Sindou M, Auque J, Jouanneau E. Neurosurgery and the intracranial venous system. Acta Neurochir Suppl. 2005; 94:167-75.
[18]
Schmidek HH, Auer LM, Kapp JP. The cerebral venous system. Neurosurgery. 1985 Oct; 17(4):663-78.
[19]
Kashimura H, Mase T, Ogasawara K, Kurose A. Unusual growth pattern of a meningioma. Surg Neurol Int. 2012; 3:63.
[20]
Oya S, Kim SH, Sade B, Lee JH. The natural history of intracranial meningiomas. J Neurosurg. 2011 May; 114(5):1250-6.
[21]
Goyal N, Kakkar A, Sarkar C, Agrawal D. Does bony hyperostosis in intracranial meningioma signify tumor invasion? A radio-pathologic study. Neurol India. 2012 Jan-Feb; 60(1):50-4.
