Giant Intracranial and Extracranial Meningioma of the Falx Cerebri: Surgical Management and Case Report
Author(s)
Alejandro Rojas-Marroquín1,2*,
Hugo Navarro Palencia3,4,
Alejandro Curán5,
Luis A. Ramírez6
Affiliation(s)
1 Department of Neurosurgery, Medilaser Clinic, Florencia, Colombia. 2 Endovascular Neurosurgeon, Universidad Nacional Autónoma de México, México DF, México. 3 Department of Maxillofacial Surgery, Medilaser Clinic, Florencia, Colombia. 4 Oral and Maxillofacial Surgeon, Universidad Militar Nueva Granada, Bogotá, Colombia. 5 Fellowship of Oral and Maxillofacial Surgery, Universidad Javeriana, Bogotá, Colombia. 6 Universidad Cooperativa de Santa Marta, Santa Marta, Colombia.
1 Department of Neurosurgery, Medilaser Clinic, Florencia, Colombia. 2 Endovascular Neurosurgeon, Universidad Nacional Autónoma de México, México DF, México. 3 Department of Maxillofacial Surgery, Medilaser Clinic, Florencia, Colombia. 4 Oral and Maxillofacial Surgeon, Universidad Militar Nueva Granada, Bogotá, Colombia. 5 Fellowship of Oral and Maxillofacial Surgery, Universidad Javeriana, Bogotá, Colombia. 6 Universidad Cooperativa de Santa Marta, Santa Marta, Colombia.
ABSTRACT
Meningiomas are usually benign growths that rarely invade the substance of the brain, thus presenting the potential for curative surgery. Their sometimes difficult locations and propensity to recur if not completely excised represent formidable problems for the patient and the neurologic surgeon. This report describes a case of giant intracranial and extracranial meningioma of the falx cerebri. The tumor had displaced the anterior third of the superior sagittal sinusand a massive extracranial protrusion was eroding the calvarium, left supraorbital rim, frontal sinus and the left maxillary sinus. We present the surgical approach.
Meningiomas are usually benign growths that rarely invade the substance of the brain, thus presenting the potential for curative surgery. Their sometimes difficult locations and propensity to recur if not completely excised represent formidable problems for the patient and the neurologic surgeon. This report describes a case of giant intracranial and extracranial meningioma of the falx cerebri. The tumor had displaced the anterior third of the superior sagittal sinusand a massive extracranial protrusion was eroding the calvarium, left supraorbital rim, frontal sinus and the left maxillary sinus. We present the surgical approach.
Cite this paper
Rojas-Marroquín, A. , Palencia, H. , Curán, A. , Ramírez, L. , (2015) Giant Intracranial and Extracranial Meningioma of the Falx Cerebri: Surgical Management and Case Report. Open Journal of Modern Neurosurgery, 5, 88-92. doi: 10.4236/ojmn.2015.53015.
Rojas-Marroquín, A. , Palencia, H. , Curán, A. , Ramírez, L. , (2015) Giant Intracranial and Extracranial Meningioma of the Falx Cerebri: Surgical Management and Case Report. Open Journal of Modern Neurosurgery, 5, 88-92. doi: 10.4236/ojmn.2015.53015.
References
[1] Longstreth, W.T., Dennis, L.K., McGuire, V.M., et al. (1993) Epidemiology of Intracranial Meningioma. Cancer, 72, 639-648.
http://dx.doi.org/10.1002/1097-0142(19930801)72:3<639::AID-CNCR2820720304>3.0.CO;2-P [2] Walker, A.E., Robins, H. and Weinfeld, F.D. (1985) Epidemiology of the Brain Tumors: The National Survey of Intracranial Neoplasms. Neurology, 32, 219-226.
http://dx.doi.org/10.1212/WNL.35.2.219 [3] Cushing, H. and Eisenhardt, L. (1938) Meningiomas: Their Classification, Regional Behaviour, Life History, and Surgical Ends Results. Charles C. Thomas, Springfield. [4] Cech, D.A., Leavens, M.E. and Larson, D.L. (1982) Giant Intracranial and Extracranial Meningioma: Case Report and Review of the Literature. Neurosurgery, 11, 694-697.
http://dx.doi.org/10.1227/00006123-198211000-00015 [5] Manelfe, C., Lasjaunias, P. and Ruscalleda, J. (1986) Preoperative Embolization of Intracranial Meningiomas. American Journal of Neuroradiology, 7, 963-972. [6] Sindou, M.P. and Alaywan, M. (1998) Most Intracranial Meningiomas Are Not Cleavable Tumors: Anatomic-Surgical Evidence and Angiographic Predictability. Neurosurgery, 42, 476-480.
http://dx.doi.org/10.1097/00006123-199803000-00007 [7] Bonnal, J. and Brotchi, J. (1978) Surgery of the Superior Sagittal Sinus in Parasagittal Meningiomas. Journal of Neurosurgery, 48, 938-945.
http://dx.doi.org/10.3171/jns.1978.48.6.0935 [8] Rao, S.B., Dinakar, I. and Rao, K.S. (1971) Giant Intracranial Epidural Meningioma: Case Report. Journal of Neurosurgery, 35, 748-750.
http://dx.doi.org/10.3171/jns.1971.35.6.0748 [9] Younis, G. and Sawaya, R. (1992) Intracranial Osteolytic Malignant Meningiomas Appearing as Extracranial Soft Tissue Masses. Neurosurgery, 30, 932-934.
http://dx.doi.org/10.1227/00006123-199206000-00022
[1] Longstreth, W.T., Dennis, L.K., McGuire, V.M., et al. (1993) Epidemiology of Intracranial Meningioma. Cancer, 72, 639-648.
http://dx.doi.org/10.1002/1097-0142(19930801)72:3<639::AID-CNCR2820720304>3.0.CO;2-P [2] Walker, A.E., Robins, H. and Weinfeld, F.D. (1985) Epidemiology of the Brain Tumors: The National Survey of Intracranial Neoplasms. Neurology, 32, 219-226.
http://dx.doi.org/10.1212/WNL.35.2.219 [3] Cushing, H. and Eisenhardt, L. (1938) Meningiomas: Their Classification, Regional Behaviour, Life History, and Surgical Ends Results. Charles C. Thomas, Springfield. [4] Cech, D.A., Leavens, M.E. and Larson, D.L. (1982) Giant Intracranial and Extracranial Meningioma: Case Report and Review of the Literature. Neurosurgery, 11, 694-697.
http://dx.doi.org/10.1227/00006123-198211000-00015 [5] Manelfe, C., Lasjaunias, P. and Ruscalleda, J. (1986) Preoperative Embolization of Intracranial Meningiomas. American Journal of Neuroradiology, 7, 963-972. [6] Sindou, M.P. and Alaywan, M. (1998) Most Intracranial Meningiomas Are Not Cleavable Tumors: Anatomic-Surgical Evidence and Angiographic Predictability. Neurosurgery, 42, 476-480.
http://dx.doi.org/10.1097/00006123-199803000-00007 [7] Bonnal, J. and Brotchi, J. (1978) Surgery of the Superior Sagittal Sinus in Parasagittal Meningiomas. Journal of Neurosurgery, 48, 938-945.
http://dx.doi.org/10.3171/jns.1978.48.6.0935 [8] Rao, S.B., Dinakar, I. and Rao, K.S. (1971) Giant Intracranial Epidural Meningioma: Case Report. Journal of Neurosurgery, 35, 748-750.
http://dx.doi.org/10.3171/jns.1971.35.6.0748 [9] Younis, G. and Sawaya, R. (1992) Intracranial Osteolytic Malignant Meningiomas Appearing as Extracranial Soft Tissue Masses. Neurosurgery, 30, 932-934.
http://dx.doi.org/10.1227/00006123-199206000-00022