Summary
We have brought together a few less familiar disorders occuring in the area of the carotid siphon, so that against this background the diagnostic features of meningiomas of the lesser wing might be more clearly defined. — Condensation of the lesser wing is commonly seen with meningiomas. A vascular blush should be considered as a sine qua non in this respect. Complete tomographic examination including anaxial view of the sphenoid bone is recommended. In opposition to a recently published view, we wish to stress that arteriopathic processes may be localized to the infraclinoid and even precavernous portions of the internal carotid artery. A rete mirabile type opacification as obtained in aplasia or hypoplasia of the carotid siphon should be clearly distinguished from a tumoural vascular blush. — Spontaneous epidural haematomas of the temporal fossa, arteriopathic processes and congenital aplasia or hypoplasia of the carotid siphon must now be included in the differential diagnosis of meningiomas of the lesser wing.
Résumé
Nous avons rassemblé quelques cas de pathologie inhabituelle au niveau de la région du siphon carotidien. Même si sa condensation représente un facteur commun dans nos trois cas de meningiome la tâche vasculaire tumorale demeure la base de ce diagnostic. Un examen tomographique incluant en particulier des clichés en projection axiale du sphénoide nous est donc apparu quand même essentiel. — Nous avons ré-insisté sur le fait qu'à l'encontre d' opinions récentes, certaines artériopathies peuvent être localisées au niveau de la portion précaverneuse et infra-clinoidienne de la carotide interne. Par ailleurs nous avons souligné l'importance de bien distinguer une opacification d'un rete mirabile obtenu dans les agénésies du siphon carotidien d'une tache vasculaire tumorale. — Les hématomes épiduraux spontanés de la fosse temporale, les artériopathies pré et postcaverneuses, les agénésies complètes ou incomplètes du siphon nous paraissent dorénavant faire partie, du diagnostic différentiel des méningiomes de la petite aile.
Zusammenfassung
Es wird die neuroradiologische Symptomatik der Meningeome des kleinen Keilbeinflügels anhand von Nativ-Aufnahmen und Arteriogrammen beschrieben. Dabei wird hervorgehoben, daß ähnliche röntgenologische Veränderungen auch bei epiduralen Hämatomen der Fossa temporalis, bei Arteriopathien und bei Stenosen im Bereich des Carotissiphons gefunden werden können.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Banker, B.Q.: Cerebral vascular disease in infancy and childhood. I. Occlusive vascular disease. J. Neuropath. ex. Neurol. 20, 127–140 (1961).
Batley, E.: Bilateral internal carotid artery thrombosis: report of two cases. Brit. J. Radiol. 28, 472–473 (1955).
Fisher, A. G. T.: Case of complete absence of both internal carotid arteries with preliminary note on developmental history of stapedial artery. J. Anat. Physiol. 48, 37–46 (1913).
Fisher, C. M.: Early-life carotid-artery occlusion associated with late intracranial hemorrhage. Lab. Invest. 8, 680–700 (1959).
Gerlach, J.: Padiatrische Neurochirurgie p. 114. Stuttgart: Georg Thieme Verlag 1967.
Grollman, J. H., Hanafee, W.: Roentgen diagnosis of Takayasu's arteritis. Radiol. 83, 387–395 (1964).
Hills, J., Sament S.: Bilateral agenesis of internal carotid artery associated with cardiac and other anomalies; case report. Neurol. 18, 142–146 (1968).
Judge, R. D., Currier, R. D., Gracie, W. A., Figley, M. M.: Takayasu's arteris and aortic arch syndrome. Amer. J. Med. 32, 379–392 (1962).
Kawakita, Y., Abe, K., MiYata, Y., Horiskoshi, S.: Spontaneous thrombosis of internal carotid artery in children. Folia psychiat. Neurol. Jap. 19, 245–255 (1965).
Krayenbuhl, H., Yasargil, M. G.: Die Zerebrale Angiographie, Vaskulare Hirnaffektionen, p. 222. Stuttgart: Georg Thieme Verlag 1965.
Kudo, T.: Special discussion: Occlusive disease of the cervical and cerebral main arteries occurring especially to Japanese, read before the 25th Meeting of the Japan Neurosurgical Society, Oct. 1966.
—: Spontaneous occlusion of circle of Willis; disease apparently confined to Japanese. Neurol. 18, 485–496 (1968).
Lee, F. K., Hodes, P. J.: Intracranial ischemic lesions. Radiol. clin. North America 5, 363–393 (1967).
Leeds, N. E., Abbott, K. H.: Collateral circulation in cerebrovascular disease in childhood via rete mirabile and perforating branches of anterior choroidal and posterior cerebral arteries. Radiol. 85, 628–634 (1965).
Lhermitte, F., Gauthier, J. C., Poirier, J. Tyrer, J. H.: Hypoplasia of internal carotid artery. Neurol. 18, 439–446 (1968).
Lie, T. A.: Congenital Anomalies of the carotid arteries. Excerpta Medica Foundation, August 1968.
Minagi, H., Newton, T. H.: Carotid rete mirabile in man: case report. Radiol. 86, 100–102 (1966).
Nishimoto, A., Takeuchi, S.: Abnormal cerebrovascular network to internal carotid arteries. J. Neurosurg. 29, 255–260 (1968).
Sansregret, A.: La migraine compliquée: Artériopathie cérébrale associée. Sera publié en mars ou avril 1970 par Acta Radiologica.
Shillito, J.: Carotid arteritis: case of hemiplegia in childhood. J. Neurosurg. 21, 540–551 (1964).
Silverstein, A., Hollin, S.: Occlusion of supraclinoid portion of internal carotid artery. Neurol. 13, 679–685 (1963).
Suzuki, J.: Disease showing the “Fibrille” like vessels at the base of brain, brain nerve 17, 767–776 (1965).
—, Takaku, A., Asahi, M.: The disease showing the abnormal vascular net-work at the base of brain, particularly found in Japan: II. A Follow-up study, Brain nerve 18, 897–908 (1966).
—: Cerebrovascular “Moyamoya” disease. Arch. Neurol. 20, 288–300 (1969).
Taveras, J. M., Wood, E. H.: Diagnostic neuroradiology p. 1.616–1.617. Baltimore: The Williams & Wilkins Company 1964.
—: Multiple progressive intracranial arterial occlusions: A syndrome of children and young adults. Amer. J. Roentgenol., Radiol. Therapy and Nuclear Med. 106, 235–268 (1969).
Turnbull, I.: Agenesis of internal carotid artery. Neurol. 12, 588–590 (1962).
Vander Eecken, H. M.: Anastomoses between leptomeningeal arteries of brain. Springfield, Ill.: Charles C. Thomas, Publisher 1959.
Weidner, W., Hanafee, W., Markham, C. H.: Intracranial collateral circulation via leptomeningeal and rete mirabile anastomoses. Neurol. 15, 39–48 (1965).
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Sansregret, A., Ledoux, R. Lesser wing meningiomas: A few unfamiliar differential diagnoses. Neuroradiology 2, 9–14 (1971). https://doi.org/10.1007/BF00345865
Issue Date:
DOI: https://doi.org/10.1007/BF00345865