Skip to main content
SpringerLink
Log in

Sphenoid Wing Meningiomas

  • Chapter
Samii's Essentials in Neurosurgery

  • 1922 Accesses

Abstract

Meningiomas are presumed to account for 15% of brain tumours and are the most common tumours of the sphenoid wing [21, 22]. They are considered to be benign tumours arising from cap cells located in clusters around the arachnoid granulations that exist in relation to neural structures and their foramen. With diverse origins, clinical presentations and surgical management, they all occupy the parasellar region with its complex anatomical boundary zone between orbital and intracranial compartments including the cavernous sinus [32].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Abdel-Aziz KM, Froelich SC, Dagnew E, et al (2004) Large sphenoid wing meningiomas involving the cavernous sinus: conservative surgical strategies for better functional outcomes. Neurosurgery 54:1375–1383

    Article  PubMed  Google Scholar 

  2. Al Mefty O, Ayoubi S (1991) Clinoidal meningiomas. Acta Neurochir Suppl (Wien) 53:92–97

    CAS  Google Scholar 

  3. Bonnal J, Thibaut A, Brotchi J, et al (1980) Invading meningiomas of the sphenoid ridge. J Neurosurg 53:587–599

    PubMed  CAS  Google Scholar 

  4. Brell M, Villa S, Teixidor P, et al (2006) Fractionated stereotactic radiotherapy in the treatment of exclusive cavernous sinus meningioma: functional outcome, local control, and tolerance. Surg Neurol 65:28–33; discussion 33–24

    Article  PubMed  Google Scholar 

  5. Brotchi J, Bonnal J (1991) Lateral and middle sphenoid wing meningiomas. In: Al Mefty O (ed) Meningiomas. Raven, New York, pp 413–425

    Google Scholar 

  6. Brotchi J, Levivier M, Raftopoulos C, et al (1991) Invading meningiomas of sphenoid wing. What must we know before surgery? Acta Neurochir Suppl (Wien) 53:98–100

    CAS  Google Scholar 

  7. Cook AW (1971) Total removal of large global meningiomas at the medial aspect of the sphenoid ridge. Technical note. J Neurosurg 34:107–113

    PubMed  CAS  Google Scholar 

  8. Day JD (2000) Cranial base surgical techniques for large sphenocavernous meningiomas: technical note. Neurosurgery 46:754–759

    Article  PubMed  CAS  Google Scholar 

  9. DeMonte F (1996) Surgical treatment of anterior basal meningiomas. J Neurooncol 29:239–248

    Article  PubMed  CAS  Google Scholar 

  10. Derome P, Visot A (1993) Osseous lesions of the anterior and middle base. In: Sekhar LN, Janecka IP (eds) Surgery of Cranial Base Tumors. Raven, New York, pp 809–817

    Google Scholar 

  11. Dolenc V (1979) Microsurgical removal of large sphenoidal bone meningiomas. Acta Neurochir Suppl (Wien) 28:391–396

    CAS  Google Scholar 

  12. Dufour H, Muracciole X, Metellus P, et al (2001) Long-term tumor control and functional outcome in patients with cavernous sinus meningiomas treated by radiotherapy with or without previous surgery: is there an alternative to aggressive tumor removal? Neurosurgery 48:285–294

    Article  PubMed  CAS  Google Scholar 

  13. Heick A, Mosdal C, Jorgensen K (1993) Localized cranial hyperostosis of meningiomas: a result of neoplastic enzymatic activity? Acta Neurol Scand 87:243–247

    Article  PubMed  CAS  Google Scholar 

  14. Honeybul S, Neil-Dwyer G, Lang DA, et al (2001) Sphenoid wing meningioma en plaque: a clinical review. Acta Neurochir (Wien) 143:749–757

    Article  CAS  Google Scholar 

  15. Iwai Y, Yamanaka K, Ishiguro T (2003) Gamma knife radiosurgery for the treatment of cavernous sinus meningiomas. Neurosurgery 52:517–524

    Article  PubMed  Google Scholar 

  16. Kim KS, Rogers LF, Lee C (1983) The dural lucent line: characteristic sign of hyperostosing meningioma en plaque. AJR Am J Roentgenol 141:1217–1221

    PubMed  CAS  Google Scholar 

  17. Konovalov AN, Fedorov SN, Faller TO, et al (1979) Experience in the treatment of the parasellar meningiomas. Acta Neurochir Suppl (Wien) 28:371–372

    CAS  Google Scholar 

  18. Kurita H, Sasaki T, Kawamoto S, et al (1997) Role of radiosurgery in the management of cavernous sinus meningiomas. Acta Neurol Scand 96:297–304

    Article  PubMed  CAS  Google Scholar 

  19. Lee JH, Jeun SS, Evans J, Kosmorsky G (2001) Surgical management of clinoidal meningiomas. Neurosurgery 48:1012–1019; discussion 1019–1021

    Article  PubMed  CAS  Google Scholar 

  20. Lee JY, Niranjan A, McInerney J, et al (2002) Stereotactic radiosurgery providing long-term tumor control of cavernous sinus meningiomas. J Neurosurg 97:65–72

    PubMed  Google Scholar 

  21. MacCarty CS (1972) Meningiomas of the sphenoidal ridge. J Neurosurg 36:114–120

    Article  PubMed  CAS  Google Scholar 

  22. Maroon JC, Kennerdell JS, Vidovich DV, et al (1994) Recurrent spheno-orbital meningioma. J Neurosurg 80:202–208

    PubMed  CAS  Google Scholar 

  23. Mirimanoff RO, Dosoretz DE, Linggood RM, et al. (1985) Meningioma: analysis of recurrence and progression following neurosurgical resection. J Neurosurg 62:18–24

    PubMed  CAS  Google Scholar 

  24. Nakamura M, Roser F, Michel J, et al (2003) The natural history of incidental meningiomas. Neurosurgery 53:62–70

    Article  PubMed  Google Scholar 

  25. Nicolato A, Foroni R, Alessandrini F, et al (2002) Radiosurgical treatment of cavernous sinus meningiomas: experience with 122 treated patients. Neurosurgery 51:1153–1159; discussion 1159–1161

    Article  PubMed  Google Scholar 

  26. Pendl G, Schrottner O, Eustacchio S, et al (1998) Cavernous sinus meningiomas – what is the strategy: upfront or adjuvant gamma knife surgery? Stereotact Funct Neurosurg 70:33–40

    Article  PubMed  Google Scholar 

  27. Pompili A, Cacciani L, Cattani F, et al (1997) Intracranial meningiomas in the elderly. Minerva Med 88:229–236

    PubMed  CAS  Google Scholar 

  28. Pompili A, Derome PJ, Visot A, et al (1982) Hyperostosing meningiomas of the sphenoid ridge – clinical features, surgical therapy, and long-term observations: review of 49 cases. Surg Neurol 17:411–416

    Article  PubMed  CAS  Google Scholar 

  29. Roche PH, Regis J, Dufour H, et al (2000) Gamma knife radiosurgery in the management of cavernous sinus meningiomas. J Neurosurg 93:68–73

    PubMed  Google Scholar 

  30. Roser F, Nakamura M, Jacobs C, et al (2005) Sphenoid wing meningiomas with osseous involvement. Surg Neurol 64:37–43; discussion 43

    Article  PubMed  Google Scholar 

  31. Samii M, Draf W (1989) Surgery of the Skull Base. Springer, Berlin

    Google Scholar 

  32. Samii M, Tatagiba M, Monteiro ML (1996) Meningiomas involving the parasellar region. Acta Neurochir Suppl (Wien) 65:63–65

    CAS  Google Scholar 

  33. Schick U, Bleyen J, Bani A, et al (2006) Management of meningiomas en plaque of the sphenoid wing. J Neurosurg 104:208–214

    PubMed  Google Scholar 

  34. Selch MT, Ahn E, Laskari A, et al (2004) Stereotactic radiotherapy for treatment of cavernous sinus meningiomas. Int J Radiat Oncol Biol Phys 59:101–111

    Article  PubMed  Google Scholar 

  35. Shin M, Kurita H, Sasaki T, et al (2001) Analysis of treatment outcome after stereotactic radiosurgery for cavernous sinus meningiomas. J Neurosurg 95:435–439

    PubMed  CAS  Google Scholar 

  36. Simpson D (1957) The recurrence of intracranial meningiomas after surgical treatment. J Neurol Neurosurg Psychiatry 20:22–39

    PubMed  CAS  Google Scholar 

  37. Terstegge K, Schorner W, Henkes H, et al (1994) Hyperostosis in meningiomas: MR findings in patients with recurrent meningioma of the sphenoid wings. AJNR Am J Neuroradiol 15:555–560

    PubMed  CAS  Google Scholar 

  38. Tomasello F, de Divitiis O, Angileri FF, et al (2003) Large sphenocavernous meningiomas: is there still a role for the intradural approach via the pterional-transsylvian route? Acta Neurochir (Wien) 145:273–282

    Article  CAS  Google Scholar 

  39. Verheggen R, Markakis E, Muhlendyck H, et al (1996) Symptomatology, surgical therapy and postoperative results of sphenoorbital, intraorbital-intracanalicular and optic sheath meningiomas. Acta Neurochir Suppl (Wien) 65:95–98

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Neurosurgery, University of Tübingen, Hoppe-Seyler-Str. 3, 72076, Tübingen, Germany

    Florian Roser

Authors
  1. Florian Roser
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 2008 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Roser, F. (2008). Sphenoid Wing Meningiomas . In: Samii's Essentials in Neurosurgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-49250-4_12

Download citation

  • DOI: https://doi.org/10.1007/978-3-540-49250-4_12

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-49249-8

  • Online ISBN: 978-3-540-49250-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation