Meningiomas Involving the Cavernous Sinus

  • Madjid Samii
  • Mario Ammirati

Abstract

Surgery of the cavernous sinus has received great impetus in the past few years [3, 9], and its indica tions are still being defined [9]. Dolenc et al. [3] have reported 63 patients who underwent neoplastic intracavernous surgery, 40 of whom for meningiomas, with an overall mortality rate of 6%, permanent cranial nerve (II-VI) morbidity of 22%, and a total tumor removal of 71% and 73% of the patients returning to their premorbid activity. Sekhar et al. [9] were able totally to remove 13 of 17 (76%) intracavernous meningiomas, and in 42 patients undergoing intracavernous operations for neoplasms there was no mortality; extraocular muscle function was worse in 12%, better in 42%, and unchanged in 69%, and most of the patients had a good performance score postoperatively. Kawase et al. [5] reported on total removal of 5/7 intracavernous meningiomas, with two patients experiencing permanent cranial nerve worsening. The majority of meningiomas reported by Dolenc et al. [3], Sekhar et al. [9] and Kawase et al. [5] were invading the cavernous sinus from surrounding areas. Lesoin et al. [7], reporting on 16 patients with purely intracavernous meningiomas stated that total removal of intracavernous meningiomas is not possible without permanently jeopardizing cranial nerve function. It is evident that removal of intracavernous meningiomas is more dangerous than removal of intracavernous neurinomas or chondromas [7, 9].

Keywords

Pyramid Meningioma Dura Tempo Chondroma 

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References

  1. 1.
    Barbaro NM, Gutin PH, Wilson CB, Sheline GE, Boldrey EB, Wara WM (1987) Radiation therapy in the treat ment of partially resected meningiomas. Neurosurgery 20:525–528PubMedCrossRefGoogle Scholar
  2. 2.
    Carella RJ, Ransohoff J, Newall J (1982) Role of radiation therapy in the management of meningiomas. Neurosurgery 10:332–339PubMedCrossRefGoogle Scholar
  3. 3.
    Dolenc VV, Kregar T, Ferluga M, Fettich M, Morina A (1987) Treatment of tumors invading the cavernous sinus. In: Dolenc VV (ed) The cavernous sinus. A multidisciplinary approach to tumorous and vascular lesions. Springer, Berlin Heidelberg New York, pp 377–391Google Scholar
  4. 4.
    Inoue T, Rhoton AL, Theele D, Barry ME (1990) Surgi cal approaches to the cavernous sinus: a microsurgical study. Neurosurgery 26:903–932PubMedCrossRefGoogle Scholar
  5. 5.
    Kawase T, Toya S, Shiobara R, Kimura C, Nakajima H (1987) Skull base approaches for meningiomas invading the cavernous sinus. In: Dolenc VV (ed) The cavernous sinus. A multidisciplinary approach to tumorous and vascular lesions. Springer, Berlin Heidelberg New York, pp 346–354Google Scholar
  6. 6.
    Krivosic I, Jomin M, Christiaens JC, Lesoin F, Cornbelles G, Pruvoj P, Reyford M, Dupont A (1987) Patho logical aspects in a series of 53 cavernous sinus tumors. In: Dolenc VV (ed) The cavernous sinus. A multidiscipli nary approach to tumorous and vascular lesions. Sprin ger, Berlin Heidelberg New York, pp 392–396Google Scholar
  7. 7.
    Lesoin F, Pellerin P, Autricque A, Clarisse J, Jomin M (1987) The direct microsurgical approach to intracavernous tumors. In: Dolenc VV (ed) The cavernous sinus. A multidisciplinary approach to tumorous and vascular lesions. Springer, Berlin Heidelberg New York, pp 323–331Google Scholar
  8. 8.
    Petty AM, Kun LE, Meyer GA (1985) Radiation therapy for incompletely resected meningiomas. J Neurosurg 62:502–507PubMedCrossRefGoogle Scholar
  9. 9.
    Sekhar LN, Sen CN, Jho HD, Janecka IP (1989) Surgical treatment of intracavernous neoplasms: a four year experience. Neurosurgery 24:18–30PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1992

Authors and Affiliations

  • Madjid Samii
    • 1
  • Mario Ammirati
    • 2
  1. 1.Medizinische Hochschule HannoverHannover 1Germany
  2. 2.Division of NeurosurgeryOlive View/UCLA Medical CenterLos AngelesUSA

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