Acta Neurochirurgica

, Volume 152, Issue 1, pp 151–154 | Cite as

Transjugular extension of meningioma into the mediastinum—a case report

  • M. Behbahani
  • F. U. Ahmad
  • M. A. Siddiqui
  • W. Stewart
  • L. M. Alakandy
Case Report


A case of a tentorial meningioma with atypical histological features invading the transverse sinus and extending along the internal jugular vein up to the superior mediastinum is described. This report illustrates one of the many ways meningiomas spread beyond the cranial cavity and the difficulty in managing such a problem.


Meningioma Transjugular extension Mediastinum 


  1. 1.
    Balsys R, Norton GA (1980) Intracranial meningioma presenting as a mass in the neck. Neuroradiology 19:89–91. doi: 10.1007/BF00342600 CrossRefPubMedGoogle Scholar
  2. 2.
    Chamberlain MC, Tsao-Wei DD, Groshen S (2004) Temozolomide for treatment-resistant recurrent meningioma. Neurology 62:1210–1212PubMedGoogle Scholar
  3. 3.
    Chamberlain MC, Tsao-Wei DD, Groshen S (2006) Salvage chemotherapy with CPT-11 for recurrent meningioma. J Neurooncol 78:271–276. doi: 10.1007/s11060-005-9093-x CrossRefPubMedGoogle Scholar
  4. 4.
    Chen ZC, Wang CP, Hsiao JK, Ko JY, Tseng HM, Yao YT (2007) Angiomatous type of jugular foramen meningioma with neck extension: differential diagnosis from paraganglioma and schwannoma. Head Neck 29:793–798. doi: 10.1002/hed.20571 CrossRefPubMedGoogle Scholar
  5. 5.
    Geoffray A, Lee YY, Jing BS, Wallace S (1984) Extracranial meningiomas of the head and neck. AJNR Am J Neuroradiol 5:599–604PubMedGoogle Scholar
  6. 6.
    Goodwin JW, Crowley J, Eyre HJ, Stafford B, Jaeckle KA, Townsend JJ (1993) A phase II evaluation of tamoxifen in unresectable or refractory meningiomas: a Southwest Oncology Group study. J Neurooncol 15:75–77. doi: 10.1007/BF01050266 CrossRefPubMedGoogle Scholar
  7. 7.
    Haratake J, Ishii N, Horie A, Yoshida A, Lin M (1984) Meningioma of the parapharyngeal space: a unique extension of intracranial tumor. Laryngoscope 94:1372–1375. doi: 10.1288/00005537-198410000-00021 CrossRefPubMedGoogle Scholar
  8. 8.
    Imai T, Abe H, Ikota T, Aida T, Nakagawa Y, Tashiro K, Tsuru M (1983) Neurol Med Chir (Tokyo) 23:233–238. doi: 10.2176/nmc.23.233 Case of parasagittal meningioma extending through the sinus into the internal jugular veinCrossRefGoogle Scholar
  9. 9.
    Miyagi N, Morimitsu H, Fujimura N, Fukushima S, Maeda M, Hirohata M, Tokutomi T, Shigemori M (2005)) No Shinkei Geka 33:271–275 Case of meningioma with extracranial extension through the internal jugular veinGoogle Scholar
  10. 10.
    Newton HB, Slivka MA, Stevens C (2000) Hydroxyurea chemotherapy for unresectable or residual meningioma. J Neurooncol 49:165–170. doi: 10.1023/A:1026770624783 CrossRefPubMedGoogle Scholar
  11. 11.
    Schmidt D, Mackay B, Luna MA, Goepfert H (1981) Aggressive meningioma with jugular vein extension. Case report with ultrastructural observations. Arch Otolaryngol 107:635–637PubMedGoogle Scholar
  12. 12.
    Schrell UM, Rittig MG, Anders M, Kiesewetter F, Marschalek R, Koch UH, Fahlbusch R (1997) Hydroxyurea for treatment of unresectable and recurrent meningiomas. I. Inhibition of primary human meningioma cells in culture and in meningioma transplants by induction of the apoptotic pathway. J Neurosurg 86:845–852CrossRefPubMedGoogle Scholar
  13. 13.
    Sindou MP, Alvernia JE (2006) Results of attempted radical tumor removal and venous repair in 100 consecutive meningiomas involving the major dural sinuses. J Neurosurg 105:514–525. doi: 10.3171/jns.2006.105.4.514 CrossRefPubMedGoogle Scholar
  14. 14.
    Soares D, Char G, Crandon I, Shaw H (2000) Malignant meningioma with extension into the neck. West Indian Med J 49:66–69PubMedGoogle Scholar
  15. 15.
    Solares J, Lacruz C (1987) Fine needle aspiration cytology diagnosis of an extracranial meningioma presenting as a cervical mass. Acta Cytol 31:502–504PubMedGoogle Scholar
  16. 16.
    Vachhrajani S, Jea A, Rutka JA, Blaser S, Cusimano M, Rutka JT (2008) Meningioma with dural venous sinus invasion and jugular vein extension. J Neurosurg Pediatr 2:391–396. doi: 10.3171/PED.2008.2.12.391 CrossRefPubMedGoogle Scholar
  17. 17.
    Ware ML, Larson DA, Sneed PK, Wara WW, McDermott MW (2004) Surgical resection and permanent brachytherapy for recurrent atypical and malignant meningioma. Neurosurgery 54:55–63. doi: 10.1227/01.NEU.0000097199.26412.2A CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • M. Behbahani
    • 1
  • F. U. Ahmad
    • 2
  • M. A. Siddiqui
    • 3
  • W. Stewart
    • 4
  • L. M. Alakandy
    • 1
  1. 1.Department of NeurosurgeryInstitute of Neurological Sciences, Southern General HospitalGlasgowUK
  2. 2.Department of NeurosurgeryUniversity of Miami, Miller School of MedicineMiamiUSA
  3. 3.Department of NeuroradiologyInstitute of Neurological Sciences, Southern General HospitalGlasgowUKG51 4TF
  4. 4.Department of NeuropathologyInstitute of Neurological Sciences, Southern General HospitalGlasgowUK

Personalised recommendations