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Meningioma with dural venous sinus invasion and jugular vein extension

Shobhan Vachhrajani1, Andrew Jea, John A Rutka

  • 1Divisions of Neurosurgery and, The Hospital for Sick Children, University of Toronto, Ontario, Canada.

Journal of Neurosurgery. Pediatrics
|November 28, 2008
PubMed

Insights

This study details a rare pediatric intracranial meningioma invading venous sinuses and the jugular vein. A two-stage resection successfully removed the tumor, preserving neurological function.

Area of Science:

  • Neurosurgery
  • Oncology
  • Vascular Surgery

Background:

  • Meningiomas are typically benign intracranial tumors, rare in children.
  • Intracranial meningiomas invading venous structures present unique surgical challenges.

Observation:

  • A 14-year-old girl presented with an intracranial meningioma invading the transverse and sigmoid sinuses, jugular bulb, and internal jugular vein.
  • The tumor caused venous occlusion, necessitating complex surgical intervention.

Findings:

  • A two-stage surgical resection was performed, addressing supratentorial and infratentorial components, including venous sinus and jugular vein involvement.
  • Gross-total resection was achieved by opening the lateral dural sinus and meticulously removing tumor from within the involved venous structures.
  • The patient maintained neurological integrity postoperatively, with imaging confirming complete tumor removal.

Implications:

  • This case highlights the unusual capacity of meningiomas to infiltrate intrasinusoidal spaces and extend into the jugular vein.
  • Successful surgical management of such complex cases is achievable with a staged, combined skull base approach.
  • Demonstrates the importance of advanced imaging and tailored surgical strategies for rare pediatric intracranial neoplasms.

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