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Intraventricular meningiomas: a report of 16 cases

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Abstract

Meningiomas of the ventricle system are extremely rare. We report on a series of 16 intraventricular meningiomas (IVMs) treated at our institution between 1980 and 2004, with a special interest on the surgical outcome of using the intra/interparietal and parieto-occipital approach and the benefits of neuronavigation. A retrospective analysis of the medical files for clinicoradiological findings, surgical interventions and surgical outcome was carried out. In 16 IVM patients with a female/male ratio of 11:5, age ranged from 24 years to 84 years (median 44 years). Duration of symptoms ranged from a few days to several years, and the cardinal symptoms were signs of increased intracranial pressure (86%), followed by corticospinal tract signs (43%), visual field defects (36%), cognitive changes (29%) and seizures (7%). The majority of tumours was located in the trigone (88%), and one was found in each the temporal horn and in the fourth ventricle. Tumour size ranged from 2.5 cm to 8 cm (median 5 cm), and the radiological appearance was uniform. The neuropathological workup revealed most IVMs as meningothelial, transitional (mixed) or lymphoplasmacyte-rich meningiomas (81%). Three tumours were classified as atypical (19%) and the MIB-1 proliferation index ranged from 1% to 40%. Complete resection was possible in all but one case. The trigonal IVMs were resected via an intraparietal/interparietal or parieto-occipital approach, and neuronavigation was used in eight tumours. We encountered one perioperative death and one severely disabled patient. All other patients had a Glasgow outcome scale score of 5, and most of the pre-existing symptoms disappeared or improved after surgery. IVMs are a surgically curable tumour entity in most cases. The intraparietal/interparietal and parieto-occipital approach is very safe, and neuronavigation allows early devascularisation of the tumour.

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References

  1. Al-Mefty O (1991) Meningiomas. Raven Press, New York

    Google Scholar 

  2. Conforti P, Moraci A, Albanese V, Rotondo M, Parlato C (1991) Microsurgical management of suprasellar and intraventricular meningiomas. Neurochirurgia 34:85–89

    PubMed  Google Scholar 

  3. Couillard P, Karmi MZ, Abdelkader AM (1996) Microsurgical removal of an intraventricular meningioma with ultrasound guidance, and balloon dilatation of operative corridors: case report and technical note. Surg Neurol 45:155–160

    Article  PubMed  Google Scholar 

  4. Criscuolo GR, Symon L (1986) Intraventricular meningioma: a review of 10 cases of the national hospital, Queen Square (1974–1985) with reference to the literature. Acta Neurochir (Wien) 83:83–91

    Article  Google Scholar 

  5. Crouse SK, Berg BO (1972) Intracranial meningiomas in childhood and adolescence. Neurology 22:135

    PubMed  Google Scholar 

  6. Cushing H, Eisenhardt L (1938) Meningiomas: their classification, regional behaviour, life history and surgical end results. Thomas, Springfield

    Google Scholar 

  7. De La Torre E, Alexander E, Davis CH, Crandell DL (1963) Tumors of the lateral ventricles of the brain. J Neurosurg 20:461–470

    PubMed  Google Scholar 

  8. Fornari M, Savoiardo M, Morello G, Solero CL (1981) Meningiomas of the lateral ventricles: neuroradiological and surgical considerations in 18 cases. J Neurosurg 54:64–74

    PubMed  Google Scholar 

  9. Guidetti B, Delfini R (1991) Lateral and fourth ventricle meningiomas. In: Al-Mefty O (ed) Meningiomas. Raven Press, New York, pp 569–582

    Google Scholar 

  10. Guthrie BL, Ebersol MJ, Scheithauer BW (1999) Neoplasms of the intracranial meninges. In: Youmans JR (ed) Neurological surgery: a comprehensive reference guide to the diagnosis and management of neurosurgical problems. Saunders, Philadelphia, pp 3250–3315

    Google Scholar 

  11. Haddad G, Al-Mefty O (1996) Meningiomas: an overview. In: Wilkins RH, Rengachary SS (eds) Neurosurgery. McGraw-Hill, New York, pp 833–841

    Google Scholar 

  12. Imielinski BL, Kloc W (1997) Meningiomas of the lateral ventricles of the brain. Zentralbl Neurochir 58:177–182

    PubMed  Google Scholar 

  13. Jelinek J, Smirniotopoulos JG, Parisi JE, Kanzer M (1990) Lateral ventricular neoplasms of the brain: differential diagnosis based on clinical, CT, and MRI findings. AJR Am J Roentgenol 155:365–372

    PubMed  Google Scholar 

  14. Jennet B, Bond M (1975) Assessment of outcome after severe brain damage: a practical scale. Lancet i:480–484

    Article  Google Scholar 

  15. Jun CL, Nutik SL (1985) Surgical approaches to intraventricular meningiomas of the trigone. Neurosurgery 16:416–420

    PubMed  Google Scholar 

  16. Kempe LG, Blaylock R (1976) Lateral-trigonal intraventricular tumors: a new operative approach. Acta Neurochir (Wien) 35:233–242

    Article  Google Scholar 

  17. Konovalov AN, Filatov YM, Belousova OB (1991) Intraventricular meningiomas. In: Schmidek HH (ed) Meningiomas and their surgical management. Saunders, Philadelphia, pp 364–374

    Google Scholar 

  18. Kurland LT, Schoenberg BS, Annegers JF (1982) The incidence of primary intracranial neoplasms in Rochester, Minnesota, 1935–1977. Ann N Y Acad Sci 381:6–16

    PubMed  Google Scholar 

  19. Louis DN, Budka H, Von Deimling A (1997) Meningiomas. In: Kleihues & Cavanee (eds) Tumours of the nervous system. International Agency for Research on Cancer, Lyon, pp 134–141

    Google Scholar 

  20. Majos C, Cucurella G, Aguilera C, Coll S, Pons LC (1999) Intraventricular meningiomas: MR imaging and MR spectroscopic findings in two cases. AJNR Am J Neuroradiol 20:882–885

    PubMed  Google Scholar 

  21. Malulcci CL, Parkes SE, Barber P, Powell J, Stevens MCG, Walsh AR, Hockley AD (1996) Paediatric meningeal tumours. Childs Nerv Syst 12:582–589

    PubMed  Google Scholar 

  22. Mani RL, Hedgcock MW, Mass SI, Gilmor RL, Enzmann DR, Eisenberg RL (1978) Radiographic diagnosis of meningiomas of the lateral ventricle. J Neurosurg 49:249–255

    PubMed  Google Scholar 

  23. McDermot M (2003) Intraventricular meningiomas. Neurosurg Clin N Am 14:559–569

    Article  PubMed  Google Scholar 

  24. Morita A, Kelly PJ (1993) Resection of intraventricular tumors via a computer-assisted volumetric stereotactic approach. neurosurgery 32:920–927

    PubMed  Google Scholar 

  25. Morrison G, Sobel DF, Kelley DL, Normann D (1984) Intraventricular mass lesions. Radiology 153:435–442

    PubMed  Google Scholar 

  26. Nakamura M, Roser F, Bundschuh O, Vorkapic P, Samii M (2003) Intraventricular meningiomas: a review of 16 cases with reference to the literature. Surg Neurol 59:419–504

    Google Scholar 

  27. Ojemann RG (1996) Supratentorial meningiomas: clinical features and surgical management. In: Wilkins RH, Rengachary SS (eds) Neurosurgery. McGraw-Hill, New York, pp 873–890

    Google Scholar 

  28. Piepmeier JM, Spencer DD, Sass KJ (1993) Lateral ventricle masses. In: Apuzzo MLJ (ed) Brain surgery. Churchill Livingstone, New York, pp 581–599

    Google Scholar 

  29. Roessler K, Ungersboeck K, Aichholzer M, Dietrich W, Goerzer H, Matula C, Czech T, Koos WT (1997) Frameless stereotactic lesion contour-guided surgery using a computer-navigated microscope. Surg Neurol 49:282–288

    Article  Google Scholar 

  30. Roessler K, Ungersboeck K, Aichholzer M, Dietrich W, Czech T, Heimberger K, Matula C, Koos WT (1998) Image-guided neurosurgery comparing a pointer device system with a navigating microscope: a retrospective analysis of 208 cases. Minim Invasive Neurosurg 41:53–57

    PubMed  Google Scholar 

  31. Shaw A (1853–1854) Fibrous tumour in the lateral ventricle of the brain, boney deposits in the arachnoid membrane of the right hemisphere. Trans Pathol Soc Lond 5:18–21

    Google Scholar 

  32. Staneczek W, Jaenisch W (1992) Epidemiologic data on meningiomas in East Germany 1961–1986; incidence, localisation, age and sex distribution. Clin Neuropathol 11:135–141

    PubMed  Google Scholar 

  33. Stanton CA, Challa VR (1996) Meningiomas: pathology. In: Wilkins RH, Rengachary SS (eds) Neurosurgery. McGraw-Hill, New York, pp 843–854

    Google Scholar 

  34. Surawicz TS, McCarthy BJ, Kupelian V (1999) Descriptive epidemiology of primary brain and CNS tumors: results from the Central Brain Tumor Registry of the United States, 1990–1994. Neuro-oncol 1:14–25

    Article  PubMed  Google Scholar 

  35. Turgut M, Oezcan OE, Bertan V (1997) Meningiomas in childhood and adolescence: a report of 13 cases and review of the literature. Br J Neurosurg 11:501–507

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Neurosurgical Department, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria

    Alexander Bertalanffy, Karl Roessler, Markus Neuner & Engelbert Knosp

  2. Institute of Neurology, Medical University of Vienna, Vienna, Austria

    Oskar Koperek & Ellen Gelpi

  3. Division of Neuroradiology, Department of Radiology, Medical University of Vienna, Vienna, Austria

    Daniela Prayer

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  1. Alexander Bertalanffy
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  2. Karl Roessler
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  3. Oskar Koperek
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  4. Ellen Gelpi
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  5. Daniela Prayer
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  6. Markus Neuner
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  7. Engelbert Knosp
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Correspondence to Alexander Bertalanffy.

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Bertalanffy, A., Roessler, K., Koperek, O. et al. Intraventricular meningiomas: a report of 16 cases. Neurosurg Rev 29, 30–35 (2006). https://doi.org/10.1007/s10143-005-0414-5

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  • DOI: https://doi.org/10.1007/s10143-005-0414-5

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