Meningioma with dural venous sinus invasion and jugular vein extension

Abstract

<jats:p>Meningiomas represent the most common benign intracranial neoplasm in adults, with a considerably lower incidence in children. The authors present the case of an intracranial meningioma with invasion of, and intraluminal extension into, the transverse and sigmoid sinuses, jugular bulb, and internal jugular vein, resulting in venous occlusion in a 14-year-old girl. Computed tomography scanning, MR imaging, and conventional angiography were performed preoperatively. The patient underwent a 2-stage resection: the supratentorial component was resected first, and the infratentorial and venous sinus and jugular vein components were subsequently removed using a combined skull base approach. Gross-total resection was achieved by opening the lateral dural sinus and removing the meningioma from within the transverse and sigmoid sinuses, the jugular bulb, and the internal jugular vein. The patient remained neurologically intact after the staged tumor resections. Postoperative imaging confirmed the gross-total resection. This case illustrates the unusual property of an intracranial meningioma to invade the intrasinusoidal space and extend into the jugular vein without adherence to the underlying venous endothelium of the jugular vein.</jats:p>

Jugular Foramen Meningioma with Transverse and Sigmoid Sinuses Invasion and Jugular Vein Extension

“…7 Vachhrajani et al described a meningioma with dural venous sinus invasion and jugular extension in a 14-year-old girl. 3 In our case, MRI and positron emission tomography-CT of the skull base were performed preoperatively and revealed a right-sided extra-axial dural-based mass in the jugular foramen measuring 2.6 Â 2.5 Â 2.7 cm. The lesion filled the distal transverse sinus, the sigmoid sinus, and the jugular bulb, extending into the internal jugular vein (►Fig.…”

“…Moreover, the surgery for jugular foramen meningioma tends to have more postoperative complications than the surgery for paragangliomas and schwannomas. 3 We describe the diagnosis and clinical management of a 45-year-old woman who presented with a jugular foramen meningioma with predominantly intraluminal invasion of the transverse, sigmoid sinuses, jugular bulb, and internal jugular vein with venous occlusion.…”

Extracranial Intraluminal Extension of Atypical Meningioma within the Internal Jugular Vein

“…The initial procedure addressed the supratentorial or intracranial component. The subsequent surgery addressed the management of the extracranial disease [5–7]. Behbahani et al described a case of atypical meningioma extension to the mediastinum via the internal jugular vein [8].…”

Salivary Neoplasms Presenting with Radiologic Venous Invasion: An Imaging Pearl to Diagnosing Metastatic Renal Cell Carcinoma

“…Invasion of the IJV by neck neoplasms has been described with thyroid cancers [6,7], paragangliomas [8] and skull base neoplasms such as meningiomas [9]. RCC is known for its predilection to invade the renal vein and other veins in the retroperitoneum by contiguous extension [10].…”