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Clinoidal Meningiomas

  • Conference paper
Processes of the Cranial Midline

Part of the book series: Acta Neurochirurgica Supplementum ((NEUROCHIRURGICA,volume 53))

Summary

Clinoidal meningiomas have distinguishing clinical, radiological, and surgical considerations. They present a surgical challenge and have a notorious rate of recurrence. The best chance of their cure comes through total removal, but the fear of injury to cerebral vessels has led most surgeons to accept subtotal removal. We classify these tumours into three groups according to the presence or absence of an interfacing arachnoid membrane between the tumour and cerebral vessels. The presence or absence of this membrane depends on the origin of the tumour and its relation to the naked carotid segment lying outside the carotid cistern. In Group I, total removal is impossible and results are disappointing. In Groups II and III, total removal is possible and results are good despite arterial encasement by the tumour.

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References

  1. Adegbite AB, Khan MI, Paine KWE, Tan LK (1983) The recurrence of intracranial meningiomas after surgical treatment. J Neurosurg 58: 51–56

    Article  PubMed  CAS  Google Scholar 

  2. Al-Mefty O (1989) Surgery of the cranial base. Kluwer Academic Publishers, Boston

    Google Scholar 

  3. Al-Mefty O (1990) Clinoidal meningiomas. J Neurosurg 73: 840–849

    Article  PubMed  CAS  Google Scholar 

  4. Al-Mefty O, Holoubi A, Rifai A, Fox JL (1985) Microsurgical removal of suprasellar meningiomas. Neurosurgery 16: 364–372

    Article  PubMed  CAS  Google Scholar 

  5. Al-Mefty O, Smith RR (1988) Surgery of tumours invading the cavernous sinus. Surg Neurol 30: 370–381

    Article  PubMed  CAS  Google Scholar 

  6. Andrews BT, Wilson CB (1988) Suprasellar meningiomas: The effect of tumour location on postoperative visual outcome. J Neurosurg 69: 523–528

    Article  PubMed  CAS  Google Scholar 

  7. Bonnal JP, Thibaut A, Brotchi J, Born J (1980) Invading meningiomas of the sphenoid ridge. J Neurosurg 53: 587–599

    Article  PubMed  CAS  Google Scholar 

  8. Brihaye J, Brihaye-van Geertruyden M (1988) Management and surgical outcome of suprasellar meningiomas. Acta Neurochir (Wien) [Suppl] 42: 124–129

    CAS  Google Scholar 

  9. Cushing H, Eisenhardt L (1938) Meningiomas: Their classification, regional behaviour, life history and surgical end results. Charles C Thomas, Springfield, Illinois, pp 224–249, 298–319

    Google Scholar 

  10. David M, Mahoudeau D (1935) Les méningiomes de la petite alle du sphénoide ( Considérations anatomo-cliniques et thérapeutiqués ). Gazette Medical de France, pp 111–130

    Google Scholar 

  11. Dolenc VV (1979) Microsurgical removal of large sphenoidal bone meningiomas. Acta Neurochir (Wien) [Suppl] 28: 391–396

    CAS  Google Scholar 

  12. Fischer G, Fischer C, Mansuy L (1973) Pronostic chirurgical des méningiomas de l’arête sphénoïdale. Neurochirurgie 19: 323–346

    PubMed  CAS  Google Scholar 

  13. Fohanno D, Bitar A (1986) Sphenoidal ridge meningioma. In: Symon L et al (eds) Advances and technical standards in neurosurgery, Vol 14. Springer, Wien New York, pp 137–174

    Chapter  Google Scholar 

  14. Grant FC (1947) Intracranial meningiomas, surgical results. Surg Gynecol Obstet 85: 419–431

    PubMed  CAS  Google Scholar 

  15. Guyot JF, Vouyouklakis D, Pertuiset B (1967) Méningiomes de l’arête sphénoïdale: A propos de 50 cas. Neurochirurgie (Paris) 13: 571–584

    CAS  Google Scholar 

  16. Jan M, Bazeze V, Saudeau D, Autret A, Bertrand P, Gouaze A (1986) Devenir des méningiomas intracrâniens chez l’adulte: Etude rétrospective d’une série medico-chirurgicale de 161 méningiomes. Neurochirurgie 32: 129–134

    PubMed  CAS  Google Scholar 

  17. Kempe LG (1968) Sphenoid ridge meningioma. In: Operative neurosurgery, Vol 1. Springer, New York, pp 109–118

    Google Scholar 

  18. Konovalov AN, Fedorov SN, Faller TO, Sokolov AF, Tcherepanov AN (1979) Experience in the treatment of the parasellar meningiomas. Acta Neurochir (Wien) [Suppl] 28: 371–372

    CAS  Google Scholar 

  19. Koos WTh, Kletter G, Schuster H, Perneczky A (1975) Microsurgery of suprasellar meningiomas. Adv Neurosurg 2: 62–67

    Google Scholar 

  20. Mirimanoff RO, Dosoretz DE, Linggood RM, Ojemann RG, Martuza RL (1985) Meningioma: Analysis of recurrence and progression following neurosurgical resection. J Neurosurg 62: 18–24

    Article  PubMed  CAS  Google Scholar 

  21. Ojemann RG (1980) Meningiomas of the basal parapituitary region: Technical considerations. Clin Neurosurg 27: 233–262

    PubMed  CAS  Google Scholar 

  22. Olivecrona H (1967) The surgical treatment of intracranial tumours. In: Olivecrona H, Tonnis W (eds) Handbuch der Neurochirurgie. Springer, Berlin Heidelberg New York, pp 1–301

    Google Scholar 

  23. Parent AD, Al-Mefty O (1988) Poster: Visual recovery after blindness from compressive optic neuropathy. American Association of Neurological Surgeons Annual Meeting, Toronto, Canada, 24–28 April

    Google Scholar 

  24. Pellerin P, Lesoin F, Dhellemmes P, Donazzan M, Jomin M (1984) Usefulness of the orbitofrontomalar approach associated with bone reconstruction for frontotemporosphenoid meningiomas. Neurosurgery 15: 715–718

    Article  PubMed  CAS  Google Scholar 

  25. Pompili A, Derome PJ, Visot A, Guiot G (1982) Hyperostosing meningiomas of the sphenoid ridge — clinical features, surgical therapy, and long-term observations: Review of 49 cases. Surg Neurol 17: 411–416

    Article  PubMed  CAS  Google Scholar 

  26. Probst C (1987) Possibilities and limitations of microsurgery in patients with meningiomas of the sellar region. Acta Neurochir (Wien) 84: 99–102

    Article  CAS  Google Scholar 

  27. Sekhar LN, Sen CN, Jho HD, Janecka IP (1989) Surgical treatment of intracavernous neoplasms: A four-year experience. Neurosurgery 24: 18–30

    Article  PubMed  CAS  Google Scholar 

  28. Simpson D (1957) The recurrence of intracranial meningiomas after surgical treatment. J Neurol Neurosurg Psychiatry 20: 22–39

    Article  PubMed  CAS  Google Scholar 

  29. Symon L, Rosentein J (1984) Surgical management of suprasellar meningioma. Part I: The influence of tumor size, duration of symptoms, and microsurgery on surgical outcome in 101 consecutive cases. J Neurosurg 61: 633–641

    Article  PubMed  CAS  Google Scholar 

  30. Ugrumov VM, Ignatyeva GE, Olushin VE, Tigliev GS, Polenov AL (1979) Parasellar meningiomas: diagnosis and possibility of surgical treatment according to the place of original growth. Acta Neurochir (Wien) [Suppl] 28: 373–374

    CAS  Google Scholar 

  31. Uihlein A, Weyand RD (1953) Meningiomas of anterior clinoid process as a cause of unilateral loss of vision: surgical considerations. Arch Ophthalmol 49: 261–270

    Article  CAS  Google Scholar 

  32. Yasargil MG (1984) Operative anatomy. In: Microneuro-surgery, Vol 1. Georg Thieme, New York, pp 26–32

    Google Scholar 

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© 1991 Springer-Verlag

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Al-Mefty, O., Ayoubi, S. (1991). Clinoidal Meningiomas. In: Koos, W., Richling, B. (eds) Processes of the Cranial Midline. Acta Neurochirurgica Supplementum, vol 53. Springer, Vienna. https://doi.org/10.1007/978-3-7091-9183-5_16

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  • DOI: https://doi.org/10.1007/978-3-7091-9183-5_16

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-9185-9

  • Online ISBN: 978-3-7091-9183-5

  • eBook Packages: Springer Book Archive

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