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Posterior fossa meningioma associated with hydrocephalus and syringomyelia: a choice of treatment tactics

https://doi.org/10.56618/2071-2693_2023_15_3_152

Abstract

The article presents a case of giant clival meningioma treatment. Giving the presence of hydrocephalus, manifested by the Hakim-Adams triad and inoperable size of the tumor, the patient underwent VPS implantation. Followup has shown slow progression of the tumor and syringomyelia formation.

About the Authors

V. V. Karnaukhov
Burdenko Neurosurgical Center; Pirogov Russian National Research Medical University (Pirogov Medical University)
Russian Federation

Karnaukhov Vasiliy Vitalievich 

4th Tverskaya-Yamskaya street, 16, 125047

Ostrovityanova street, Moscow, 1, 117997



D. N. Okishev
Burdenko Neurosurgical Center
Russian Federation

Okishev Dmitry Nikolayevich 

4th Tverskaya-Yamskaya street, 16, 125047



R. A. Sultanov
Burdenko Neurosurgical Center
Russian Federation

Sultanov Ruslan Airatovich 

4th Tverskaya-Yamskaya street, 16, 125047



M. V. Galkin
Burdenko Neurosurgical Center
Russian Federation

Galkin Mikhail Victorovich 

4th Tverskaya-Yamskaya street, 16, 125047



K. V. Shevchenko
Burdenko Neurosurgical Center
Russian Federation

Shevchenko Kirill Viktorovich 

4th Tverskaya-Yamskaya street, 16, 125047



A. A. Kochetova
Pirogov Russian National Research Medical University (Pirogov Medical University)
Russian Federation

Kochetova Anastasia Alekseevna 

Ostrovityanova street, Moscow, 1, 117997



V. K. Poshataev
Burdenko Neurosurgical Center
Russian Federation

Poshataev Vladimir Kirillovich 

4th Tverskaya-Yamskaya street, 16, 125047



S. V. Tanyashin
Burdenko Neurosurgical Center
Russian Federation

Tanyashin Sergey Vladimirovich 

4th Tverskaya-Yamskaya street, 16, 125047



V. N. Shimanskiy
Burdenko Neurosurgical Center
Russian Federation

Shimanskiy Vadim Nikolayevich 

4th Tverskaya-Yamskaya street, 16, 125047



References

1. Goldbrunner R, Stavrinou P, Jenkinson MD, Sahm F, Mawrin C, Weber DC, Preusser M, Minniti G, Lund-Johansen M, Lefranc F, Houdart E, Sallabanda K, Le Rhun E, Nieuwenhuizen D, Tabatabai G, Soffietti R, Weller M. EANO guideline on the diagnosis and management of meningiomas. Neuro Oncology. 2021;23(11):1821–1834. https://doi: 10.1093/neuonc/noab150

2. Giammattei L, di Russo P, Starnoni D, Passeri T, Bruneau M, Meling TR, Berhouma M, Cossu G, Cornelius JF, Paraskevopoulos D, Zazpe I, Jouanneau E, Cavallo LM, Benes V, Seifert V, Tatagiba M, Schroeder HWS, Goto T, Ohata K, Al-Mefty O, Fukushima T, Messerer M, Daniel RT, Froelich S. Petroclival meningiomas: update of current treatment and consensus by the EANS skull base section. Acta Neurochirurgica (Wien). 2021;163(6):1639–1663. doi: 10.1007/s00701-021-04798-z. Epub 2021 Mar 19.

3. Kukanov K. K., Tastanbekov M. M., Olyushin V. E., Pustovoy S. V. Surgical treatment of patients with meningiomas of the foramen magnum: immediate and long-term results. Rossiiskii neirokhirurgicheskii zhurnal im. Professora A. L. Polenova. 2017;9(1):36–42. eLIBRARY ID: 41260938 EDN: REBCQI (In Russ.).

4. Kukanov KK, Tastanbekov MM , Olyushin VE Meningiomas of the foramen magnum: results of surgical and radiosurgical treatment. Rossiiskii neirokhirurgicheskii zhurnal im. professora A. L . P olenova. 2016;8 (4):26–35 EDN LJHXLU. eLIBRARY ID: 41235564 (In Russ.).

5. Kiiashko S. S., Olushin V. E., Zrelov A. A., Kukanov K. K., Sklyar S. S., Maslova L. N., Ivanova N. E. Static-dynamic disorders in patients after microsurgical resection of the cerebellopontine angle tumors: long-term results. Medical News of North Caucasus. 2022;17(1):10–14. DOI — https://doi.org/10.14300/mnnc.2022.17003 (In Russ.).

6. Shimanski V N, Karnaukhov V V, Galkin M V, Taniashin S V, Golanov A V, Poshataev V K, Shevchenko K V. Treatment of petroclival meningiomas: current state of the problem. Zhurnal Voprosy Neirokhirurgii Imeni N. N. Burdenko. 2019;83(6):78–89. https://doi.org/10.17116/neiro20198306178 eLIBRARY ID: 42374299 EDN: GEMCQW

7. Bir SC, Sapkota S, Maiti TK, Konar S, Bollam P, Nanda A. Evaluation of Ventriculoperitoneal Shunt-Related Complications in Intracranial Meningioma with Hydrocephalus. Journal Neurology Surgery. 2017;78(1):30–36. https://doi: 10.1055/s‑0036–1584309

8. Kim J, Woo B, Ji S, Hwang K, Kim YH, Han JH, Kim CY. Communicating Hydrocephalus Following Treatment of Cerebellopontine Angle Tumors. World Neurosurg. 2022;165:505–511. https://doi: 10.1016/j.wneu.2022.06.088

9. How Hong EA, Shalid A, Deepak S, Kounin G. P osterior Cranial Fossa Meningioma Causing Tonsillar Herniation and Giant Cervicothoracic Syringomyelia: Case Report and Review of Literature. Asian Journal Neurosurgery. 2022;17(3):515–520. https://doi: 10.1055/s‑0042–1756634

10. Fox B, Muzumdar D, DeMonte F. Resolution of tonsillar herniation and cervical syringomyelia following resection of a large petrous meningioma: case report and review of literature. Skull Base. 2005;15(1):89–97. https://doi: 10.1055/s‑2005–868168

11. Del Maestro M, De Paulis D, Ricci A, Di Cola F, Galzio R. Syringobulbia associated with posterior fossa meningioma: a review of the literature. Childs Nervous System. 2014;30(10):1749–52. https://doi: 10.1007/s00381‑014‑2457‑9

12. Levine DN. The pathogenesis of syringomyelia associated with lesions at the foramen magnum: a critical review of existing theories and proposal of a new hypothesis. Journal of the Neurological Science. 2004;220(1–2):3–21. https://doi: 10.1016/j.jns.2004.01.014

13. Suyama K, Ujifuku K, Hirao T, Takahata H, Ito M, Yonekura M, Nagata I. Symptomatic syringomyelia associated with a dermoid tumor in the posterior fossa. Neurologia medico-chirurgica. 2009;49(9):434–437. https://doi: 10.2176/nmc.49.434

14. Apok V, Constantini S, Roth J. M icrosurgical fenestration of retrocerebellar cysts as a treatment for syringomyelia. Childs Nervous System. 2012;28(4):653–6. https://doi: 10.1007/s00381‑011‑1652‑1


Review

For citations:


Karnaukhov V.V., Okishev D.N., Sultanov R.A., Galkin M.V., Shevchenko K.V., Kochetova A.A., Poshataev V.K., Tanyashin S.V., Shimanskiy V.N. Posterior fossa meningioma associated with hydrocephalus and syringomyelia: a choice of treatment tactics. Russian Neurosurgical Journal named after Professor A. L. Polenov. 2023;15(3):152-157. (In Russ.) https://doi.org/10.56618/2071-2693_2023_15_3_152

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ISSN 2071-2693 (Print)