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. KarnaukhovRussian Federation
Karnaukhov Vasiliy Vitalievich
4th Tverskaya-Yamskaya street, 16, 125047
Ostrovityanova street, Moscow, 1, 117997
D. N. Okishev
Russian Federation
Okishev Dmitry Nikolayevich
4th Tverskaya-Yamskaya street, 16, 125047
R. A. Sultanov
Russian Federation
Sultanov Ruslan Airatovich
4th Tverskaya-Yamskaya street, 16, 125047
M. V. Galkin
Russian Federation
Galkin Mikhail Victorovich
4th Tverskaya-Yamskaya street, 16, 125047
K. V. Shevchenko
Russian Federation
Shevchenko Kirill Viktorovich
4th Tverskaya-Yamskaya street, 16, 125047
A. A. Kochetova
Russian Federation
Kochetova Anastasia Alekseevna
Ostrovityanova street, Moscow, 1, 117997
V. K. Poshataev
Russian Federation
Poshataev Vladimir Kirillovich
4th Tverskaya-Yamskaya street, 16, 125047
S. V. Tanyashin
Russian Federation
Tanyashin Sergey Vladimirovich
4th Tverskaya-Yamskaya street, 16, 125047
V. N. Shimanskiy
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