Accuracy and Interrater Reliability of CISS Versus Contrast-Enhanced T1-Weighted VIBE for the Presence of Optic Canal Invasion in Tuberculum Sellae Meningiomas

Borghei-Razavi, Hamid; Lee, Jonathan K.; Ibrahim, Bilal; Muhsen, Baha’eddin A.; Raghavan, Alankrita; Wu, Ingrid; Poturalski, Matthew; Stock, Sarah; Karakasis, Christopher; Adada, Badih; Kshettry, Varun R.; Recinos, Pablo F.

doi:10.1016/j.wneu.2021.01.015

Cited by 6 publications

(6 citation statements)

References 28 publications

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“…Even though the MRI plays an important role in evaluating tumors with extension for the optical canal size, it is still essential in diagnosis ( 13 ). Constructive interference in steady state (CISS) and contrast-enhanced T1-weighted volume-interpolated breath-hold examination (VIBE) sequences are associated with reasonable accuracy in predicting tumor extension to the optic canal ( 14 ). However, these sequences are only sometimes requested or routine in our service.…”

Section: Discussionmentioning

confidence: 99%

Case report: Mirror paraclinoid aneurysm associated with mirror clinoidal meningioma

Paitán,

Gibbon,

Korotkov

et al. 2024

Front. Neurol.

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IntroductionClinoidal meningiomas and paraclinoid aneurysms are individually uncommon, with the coexistence of mirror paraclinoid aneurysms and clinoidal meningiomas presenting an even rarer scenario. While the association between meningiomas and aneurysms is documented, the simultaneous presence of mirror lesions for both pathologies is not reported in the literature.Clinical presentationWe report a 62-year-old female with a three-month history of moderate bifrontal headaches. Magnetic Resonance Angiography (MRA) revealed mirror paraclinoid aneurysms, prompting surgical intervention. During the procedure, mirror clinoidal meningiomas were incidentally discovered. The left aneurysm was addressed first due to higher rupture risk, followed by the right aneurysm 3 months later. Both meningiomas were confirmed as Transitional Meningiomas (Grade 1; OMS, 2021). The aneurysms were successfully clipped, and the patient had an excellent postoperative outcome.ConclusionThis case represents a unique occurrence of mirror ophthalmic segment internal carotid artery aneurysms associated with mirror clinoidal meningiomas, a combination not previously reported. Despite the limitations of MRA in detecting small meningiomas, it remains a valuable non-invasive screening tool for neurovascular diseases. The case underscores the need for further research to elucidate the association between cerebral aneurysms and meningiomas.

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Section: Discussionmentioning

confidence: 99%

Case report: Mirror paraclinoid aneurysm associated with mirror clinoidal meningioma

Paitán,

Gibbon,

Korotkov

et al. 2024

Front. Neurol.

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“…Since Cushing’s first description, countless reports, series, and classifications arose regarding the so-called suprasellar meningioma, namely lesions arising from sellar and juxtasellar regions, planum sphenoidale, and tuberculum sellae [ 58 , 59 , 60 , 61 , 62 , 63 ]. Recently, Al-Mefty defined specific subsets based on a tumor’s origin, encompassing in the term suprasellar meningiomas those arising from the planum sphenoidale (PS), tuberculum sellae (TS), diaphragma sellae (DS), and anterior clinoid (AC) processes [ 49 , 64 ].…”

Section: Discussionmentioning

confidence: 99%

Midline Skull Base Meningiomas: Transcranial and Endonasal Perspectives

Mastantuoni

Cavallo

Esposito

et al. 2022

Cancers

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Skull base meningiomas have always represented a challenge for neurosurgeons. Despite their histological nature, they may be associated with unfavorable outcomes due to their deep-seated location and the surrounding neurovascular structures. The state of the art of skull base meningiomas accounts for both transcranial, or high, and endonasal, or low, routes. A comprehensive review of the pertinent literature was performed to address the surgical strategies and outcomes of skull base meningioma patients treated through a transcranial approach, an endoscopic endonasal approach (EEA), or both. Three databases (PubMed, Ovid Medline, and Ovid Embase) have been searched. The review of the literature provided 328 papers reporting the surgical, oncological, and clinical results of different approaches for the treatment of skull base meningiomas. The most suitable surgical corridors for olfactory groove, tuberculum sellae, clival and petroclival and cavernous sinus meningiomas have been analyzed. The EEA was proven to be associated with a lower extent of resection rates and better clinical outcomes compared with transcranial corridors, offering the possibility of achieving the so-called maximal safe resection.

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“…This means the defect in the right field correlates with the compression on chiasm which was obvious in the preoperative MRI. Optic canal invasion in the skull base meningioma is usually assessed preoperatively with contrast-enhanced T1 Weighted VIBE or CISS sequence [ 13 ]. The primary goal of reoperation was to remove the tumour close to the optic chiasm and the right optic nerve, as well as maximally resecting the tumour over the anterior and middle skull base.…”

Section: Management Of the Second Recurrencementioning

confidence: 99%

En-plaque sphenoid wing grade II meningioma: Case report and review of literature

Muhsen

Aljariri

Hashem

et al. 2022

Annals of Medicine &Amp; Surgery

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Introduction and importance En-plaque-meningioma (EPM) is characterized by its flat growth along the bony contour. It accounts for 2–9% of all meningiomas. Very few grade II or III EPM cases were reported. Surgical resection of sphenoid wing EPM is especially challenging as the tumour tends to invade the cavernous sinus, and/or the orbit, and their neurovascular structures. Consequently, tumours in such locations have a higher rate of recurrence. We report the clinical course and management of a patient suffering a second recurrence of grade II EPM. The clinical course of grade II EPM, and the management of multiple recurrences of EPM are scarcely reported in the literature. Case presentation A 53-year-old male with a history of three previous surgeries for EPM presented with decreased vision in the right eye. Brain magnetic resonance imaging (MRI) showed progression of a sphenoid wing meningioma invading the left optic nerve, indicating a second recurrence of the tumour. Clinical discussion We reviewed the literature discussing the clinical course of grade II EPM, and cases suffering multiple recurrences. Only a few cases were found with varying clinical course and management. In our case, surgical intervention was necessary to save the patient's vision. A modified orbitozygomatic craniotomy was performed. A small residual tumour invading the cavernous sinus was left for treatment with stereotactic radiosurgery. Conclusion Sphenoid wing EPM is challenging pathology to manage, especially grade II tumours which are rarely encountered. Multimodality treatment with surgery and radiotherapy offers EPM patients the best chance of treatment.

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Accuracy and Interrater Reliability of CISS Versus Contrast-Enhanced T1-Weighted VIBE for the Presence of Optic Canal Invasion in Tuberculum Sellae Meningiomas

Cited by 6 publications

References 28 publications

Case report: Mirror paraclinoid aneurysm associated with mirror clinoidal meningioma

Case report: Mirror paraclinoid aneurysm associated with mirror clinoidal meningioma

Midline Skull Base Meningiomas: Transcranial and Endonasal Perspectives

En-plaque sphenoid wing grade II meningioma: Case report and review of literature

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