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Acta Neurochirurgica

, Volume 129, Issue 1–2, pp 31–38 | Cite as

Meningiomas associated with peritumoural venous stasis: Three types on cerebral angiogram

  • H. Hiyama
  • O. Kubo
  • Y. Tajika
  • T. Tohyama
  • K. Takakura
Clinical Articles

Summary

Many factors have been suggested as possible mechanisms for the development of peritumoural oedema in meningioma. Venous compression by the tumour is thought to be one factor, but reports presenting a direct relationship between venous compression and the formation of oedema are rare. We have recently observed 6 meningioma patients in whom venous stasis contributed to peritumoural oedema. The stasis was due to
  1. 1)

    compression of an adjacent cortical vein by the tumour with stasis at the site of compression and/or its distal portion.

     
  2. 2)

    compression of adjacent brain by the tumour with prolonged perfusion and delayed venous return (visualized as pial staining in the capillary and venous phases), and

     
  3. 3)

    presence of an early draining vein linked to a nearby cortical vein with stasis at its periphery.

     

Venous compression and stasis seem to be related not only to the formation of peritumoural oedema but also to the occurrence of haemorrhagic infarction after the resection of meningiomas.

Keywords

Meningioma venous stasis brain oedema 

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References

  1. 1.
    Alguacil-Garcia A, Pettigrew NM, Sima AA (1986) Secretory meningioma: a distinct subtype of meningioma. Am J Surg Pathol 10: 102–111PubMedGoogle Scholar
  2. 2.
    Benzel EC, Gelder FB (1988) Correlation between sex hormone binding and peritumoural edema in intracranial meningiomas. Neurosurgery 23: 169–174PubMedGoogle Scholar
  3. 3.
    Bradac GB, Ferszt R, Bender A, Schorner W (1986) Peritumoural edema in meningiomas. Neuroradiology 28: 304–312PubMedGoogle Scholar
  4. 4.
    Budka H (1982) Hyaline inclusions (pseudopsammoma bodies) in meningiomas: immunocytochemical demonstration of epithel-like secretion of secretory component and immunoglobulins A and M. Acta Neuropathol (Berl) 56: 294–298Google Scholar
  5. 5.
    Challa VR, Moody DM, Marshall RB, Kelly DL (1980) The vascular component in meningiomas associated with severe cerebral edema. Neurosurgery 7: 363–368PubMedGoogle Scholar
  6. 6.
    Fine M, Brazis P, Papacios E, Neri G (1980) Computed tomography of sphenoid wing meningiomas: tumour location related to distal edema. Surg Neurol 13: 385–390PubMedGoogle Scholar
  7. 7.
    Gilbert JJ, Paulseth JE, Coates RK, Malott D (1983) Cerebral edema associated with meningiomas. Neurosurgery 12: 599–605PubMedGoogle Scholar
  8. 8.
    Go K, Wilmink J, Molenaar W (1988) Peritumoural edema associated with menigniomas Neurosurgery 23: 175–179PubMedGoogle Scholar
  9. 9.
    Ide M, Jimbo M, Kubo O, Yamamoto M, Imanaga H (1992) Peritumoural brain edema associated with meningioma: histological study of the tumour margin and surrounding brain. Neurol Med Chir (Tokyo) 32: 65–71Google Scholar
  10. 10.
    Inamura T, Nishio S, Takeshita I, Fujiwara S, Fukui M (1992) Peritumoural brain edema in meningiomas: influence of vascular supply on its development. Neurosurgery 31: 179–185PubMedGoogle Scholar
  11. 11.
    Jacobs JM, Harnsberger HR (1991) Diagnostic angiography and meningiomas. In: Al-Mefty O (ed) Meningiomas. Raven, New York, pp 225–242Google Scholar
  12. 12.
    Lindley JG, Challa VR, Kelly DL Jr (1991) Meningiomas and brain edema. In: Al-Mefty O (ed) Meningiomas. Raven, New York, pp 59–74.Google Scholar
  13. 13.
    Maiuri FM, Gangemi M, Cirillo S, Delehaye L, Gallicchio B, Carandente M, Giamundo A (1987) Cerebral edema associated with meningiomas. Surg Neurol 27: 64–68PubMedGoogle Scholar
  14. 14.
    Napolitano L, Kyle R, Fisher ER (1964) Ultrastructure of meningiomas and the deviation and nature of their cellular component. Cancer 17: 233–241PubMedGoogle Scholar
  15. 15.
    Okada M, Ogawa T, Tanaka K, Abe J, Hayashi T, Sekino H (1992) Analysis of peritumoural cerebral edema of meningiomas: mechanism of edema production. Progress in CI 14: 421–426 (Japanese)Google Scholar
  16. 16.
    Phillippon J, Foncin J, Brob R, Srour A, Poisson M, Pretuiset B (1984) Cerebral edema associated with meningiomas: possible role of a secretory-excretory phenomenon. Neurosurgery 14: 295–301PubMedGoogle Scholar
  17. 17.
    Shinonage M, Chang C, Suzuki N, Sato M, Kuwabara T (1988) Immunohistological evaluation of macrophage infiltrates in brain tumours. J Neurosurg 68: 259–265PubMedGoogle Scholar
  18. 18.
    Smith HP, Challa VR, Moody DM, Kelly DL Jr (1981) Biological features of meningiomas that determine the production of cerebral edema. Neurosurgery 8: 428–433PubMedGoogle Scholar
  19. 19.
    Stevens J, Ruiz J, Kendall B (1983) Observation on peritumoural oedema in meningioma: Part II. Mechanisms of production. Neuroradiology 25: 125–131PubMedGoogle Scholar
  20. 20.
    Tatagiba M, Mirzai S, Samii M (1991) Peritumoural blood flow in intracranial meningiomas. Neurosurgery 28: 400–404PubMedGoogle Scholar

Copyright information

© Springer-Verlag 1994

Authors and Affiliations

  • H. Hiyama
    • 1
  • O. Kubo
    • 1
  • Y. Tajika
    • 1
  • T. Tohyama
    • 1
  • K. Takakura
    • 1
  1. 1.Department of Neurosurgery, Neurological InstituteTokyo Women's Medical CollegeTokyoJapan

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