Spontaneous peritumoral haemorrhage associated with sinus confluence meningioma: case report

Barua, Kanak Kanti; Tamaki, Norihiko; Ehara, Kazumasa; Nagashima, Tatsuya; Suzuki, Hisahiko

doi:10.1016/s0090-3019(00)00299-8

Cited by 16 publications

(7 citation statements)

References 8 publications

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“…These type of bleeding increases the intratumoral and intracranial pressure and this causes acute neurological deterioration of the patients. 29 On the other hand, the patients with microscopic bleeding disclose almost normal neurological examination. Most of the meningiomas reported in the literature with subdural haematomas are meningothelial type.…”

Section: Discussionmentioning

confidence: 99%

Intratumoral haemorrhage: a clinical study

Kuzeylı¹,

Çakır²,

Usul³

et al. 2004

Journal of Clinical Neuroscience

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Section: Discussionmentioning

confidence: 99%

Intratumoral haemorrhage: a clinical study

Kuzeylı¹,

Çakır²,

Usul³

et al. 2004

Journal of Clinical Neuroscience

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“…9) Tumor-induced intracranial hypertension may cause dural arteriovenous fistula in the transverse-sigmoid sinus region 10) and hemorrhage around the tumor. 11,12) The pattern of the venous sinuses is markedly diverse. The bilateral transverse sinuses are drained symmetrically in less than 65% of normal individuals, and patterns, including those in which one transverse sinus is dominant and the contralateral sinus is hypoplastic or absent, are widely known.…”

Section: Discussionmentioning

confidence: 99%

Endovascular Treatment of Intracranial Hypertension Associated with Venous Sinus Stenosis due to Tumor Compression

Mizuhashi

Kohyama

2020

JNET

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We report a patient with intracranial hypertension associated with venous sinus stenosis due to tumor compression. Embolization of tumor feeding blood vessels reduced the tumor volume, improved venous sinus stenosis, and alleviated the symptoms of intracranial hypertension. Case Presentation: The patient was a 46-year-old woman with chronic headache and blurred vision. Magnetic resonance venography (MRV) revealed stenosis of the right transverse-sigmoid sinus. Intracranial hypertension was diagnosed by lumbar puncture. A high-intensity 2-cm tumor was detected on T2-weighted magnetic resonance imaging (MRI), and the homogenously enhanced tumor was adjacent to the right transverse-sigmoid sinus. Cerebral angiography demonstrated tumor staining mainly from the right occipital artery (OA). Collateral venous flow was minimal. In such cases, resection and reconstruction of the involved sinus segment have a high risk of venous infarction. Accordingly, percutaneous transluminal angioplasty (PTA) was performed, but dilation of the stenosis was poor. Thus, feeder occlusion of the tumor was added and lumboperitoneal (LP) shunt was placed, alleviating the headache and blurred vision. Ten months later, reduction of the tumor volume and improvement of sinus stenosis were observed, and the LP-shunt system was removed. A decrease in tumor volume via feeder occlusion may lead to partial sinus decompression and increased venous flow, resulting in long-term clinical remission. Conclusion: Transverse-sigmoid sinus stenosis can be a cause of intracranial hypertension, albeit rare. Embolization of the tumor is considered to be a treatment option for patients who cannot undergo resection.

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“…However, intracranial hypertension was caused by meningioma involving the dural sinuses in only a few cases. 1,10,11) In patients with meningioma, the occlusive procedure of the dural sinuses may be gradual so allow adequate development of collateral pathways. In contrast, rapid occlusion of the dural sinuses, such as by cerebral venous thrombosis, may not allow sufficient time to complete alternative pathways and thus result in increased intracranial pressure.…”

Section: Discussionmentioning

confidence: 99%

Reversible Non-thrombotic Occlusion of the Superior Sagittal Sinus Caused by Metastatic Malignant Lymphoma-Case Report-

Matsumoto

Ohta

Takeshita

2003

Neurol. Med. Chir.(Tokyo)

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A 57-year-old female presented with intracranial hypertension secondary to non-thrombotic superior sagittal sinus occlusion manifesting as acute onset of headache, vomiting, and disorientation. She had a history of intrapelvic malignant lymphoma. Neuroimaging and tumor biopsy revealed that both the superior sagittal sinus and the straight sinus were occluded by metastatic deposits of malignant lymphoma. Her clinical symptoms were remarkably improved by irradiation and chemotherapy, and the affected sinuses were angiographically recanalized.

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Spontaneous peritumoral haemorrhage associated with sinus confluence meningioma: case report

Cited by 16 publications

References 8 publications

Intratumoral haemorrhage: a clinical study

Intratumoral haemorrhage: a clinical study

Endovascular Treatment of Intracranial Hypertension Associated with Venous Sinus Stenosis due to Tumor Compression

Reversible Non-thrombotic Occlusion of the Superior Sagittal Sinus Caused by Metastatic Malignant Lymphoma-Case Report-

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