Download PDF
J Neurol Surg A Cent Eur Neurosurg 2013; 74(S 01): e266-e270
DOI: 10.1055/s-0033-1348352
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Surgical Treatment of Recurrent Torcular Meningiomas: Case Report and Review of the Literature

Rui Feng
1   Department of Neurosurgery, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China
*   These authors contributed equally to this work
,
Xiaoming Che
1   Department of Neurosurgery, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China
*   These authors contributed equally to this work
,
Jie Hu
1   Department of Neurosurgery, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China
2   Department of Neurosurgery, Jing'an Branch of Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China
,
Li Pan
1   Department of Neurosurgery, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China
,
Daming Cui
3   Department of Neurosurgery, Shanghai Tenth People's Hospital, Tongji University, Shanghai, China
,
Liusong Yang
1   Department of Neurosurgery, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China
› Author Affiliations
Further Information

Publication History

24 November 2012

02 April 2013

Publication Date:
29 July 2013 (online)

Also available at
    Permissions and Reprints

Abstract

Torcular meningiomas intimately involving major dural sinuses such as superior sagittal sinuses, transverse sinuses, and straight sinuses and the confluence are a great challenge for neurosurgeons. Simpson grade I total resection, which can bring complete cure, is the ultimate goal, but under many circumstances, it is difficult to achieve. The patency of the sinuses around these tumors is the key factor for successful tumor resection, and decides the surgical strategy. We report the experience of complete resection of a huge recurrent torcular meningioma. Related literature is reviewed.

Keywords

torcular meningioma - radical removal or resection - superior sagittal sinuses (SSS) - transverse sinuses (TS) - straight sinuses (SS)
 

  • References

  • 1 Borges-Fortes A. [Torcular meningioma; transtentorial tumor]. Hospital (Rio J). 1952; 42 (3) 329-338
    PubMedGoogle Scholar
  • 2 Barua KK, Tamaki N, Ehara K , et al. Spontaneous peritumoral haemorrhage associated with sinus confluence meningioma: case report. Surg Neurol 2000; 54 (3) 254-259
    CrossrefPubMedGoogle Scholar
  • 3 Tamaki M, Tsuruoka S. Unusual recurrence pattern in peritorcular meningioma—case report. Neurol Med Chir (Tokyo) 1995; 35 (2) 92-95
    CrossrefPubMedGoogle Scholar
  • 4 Nakagawa H, Nakajima S, Murasawa A , et al. Papillary meningioma arising from the confluens sinuum with multidirectional extension through venous sinuses. Surg Neurol 1989; 32 (3) 219-224
    CrossrefPubMedGoogle Scholar
  • 5 Strasberg Z, Kirschberg G, Tuttle RJ , et al. Meningioma of torcular simulating dural arteriovenous malformation. Can Med Assoc J 1977; 117 (6) 582-583
    PubMedGoogle Scholar
  • 6 Quiñones-Hinojosa A, Chang EF, Chaichana KL , et al. Surgical considerations in the management of falcotentorial meningiomas: advantages of the bilateral occipital transtentorial/transfalcine craniotomy for large tumors. Neurosurgery 2009; 64 (5) (Suppl. 02) 260-268
    PubMedGoogle Scholar
  • 7 Sindou M. Meningiomas invading the sagittal or transverse sinuses, resection with venous reconstruction. J Clin Neurosci 2001; 8 (Suppl. 01) 8-11
    PubMedGoogle Scholar
  • 8 Nagashima H, Kobayashi S, Takemae T , et al. Total resection of torcular herophili hemangiopericytoma with radial artery graft: case report. Neurosurgery 1995; 36 (5) 1024-1027
    CrossrefPubMedGoogle Scholar
  • 9 DiMeco F, Li KW, Casali C , et al. Meningiomas invading the superior sagittal sinus: surgical experience in 108 cases. Neurosurgery 2008; 62 (6) (Suppl. 03) 1124-1135
    PubMedGoogle Scholar
  • 10 Alvernia JE, Sindou MP. Torcular, transverse, and sigmoid sinus meningiomas. In: Lee, Joung H, , ed. Meningiomas. London: Springer; 2009: 473-483
    CrossrefGoogle Scholar
  • 11 Bassiouni H, Asgari S, König HJ , et al. Meningiomas of the falcotentorial junction: selection of the surgical approach according to the tumor type. Surg Neurol 2008; 69 (4) 339-349
    CrossrefPubMedGoogle Scholar