Skip to main content
SpringerLink
Log in

Posterior fossa meningiomas

A report of 30 cases

  • Published:
Acta Neurochirurgica Aims and scope Submit manuscript

Summary

The clinical symptoms of thirty patients with surgically treated posterior fossa meningiomas were reviewed. These included 16 cerebellopontine (CPA), 7 cerebellar, 4 carrefour-falco-tentorial (CFT), 2 foramen magnum, and 1 clivus meningiomas. Careful attention to clinical findings is necessary in diagnosing these tumors. With rare exception they have an insidious onset and even after having reached considerable size, the ensuing neurological abnormalities might not be revealing. On occasion there are false localizing neurological findings. Neuroradiological localization is essential to obtain accurate diagnosis and to plan the best operative approach. Radioactive brain scanning offers the best screening method. Although air studies remain useful, angiography of vessels of the posterior fossa is assuming a dominant role in diagnosis and surgical planning.

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

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Ameli, N. O., K. Armin, and H. Saleh, Incisural meningiomas of the falco-tentorial junction. J. Neurosurg.24 (1966), 1027–1030.

    PubMed  Google Scholar 

  2. Bager, C. C., The differential diagnosis between acoustic neurinoma and meningioma of the posterior face of the petrous bone. Acta Psychiat. Neurol.19 (1944), 23–31.

    Google Scholar 

  3. Berkmen, Y. M., Angiographic demonstration of the blood supply to the tentorium. J. Neurosurg.25 (1966), 90–93.

    PubMed  Google Scholar 

  4. Bonnal, J., R. Louis, and A. Combalbert, L'abord temporal transtentoriel de l'angle ponto-cerebelleux et du clivus. Neurochirurgie10 (1964), 3–12.

    PubMed  Google Scholar 

  5. Campbell, E., and R. D. Whitfield, Posterior fossa meningiomas. J. Neurosurg.5 (1948), 131–138.

    Google Scholar 

  6. Castellano, F., and G. Ruggiero, Meningiomas of the posterior fossa. Stockholm, Acta Radiologica (Suppl. 104) (1953), 177.

    Google Scholar 

  7. Cherington, M., and S. A. Schneck, Clivus meningiomas. Neurology16 (1966), 86–92.

    PubMed  Google Scholar 

  8. Chiarelli, J., G. Darcourt, C. Capdeville et al., Meningiome du clivus et évolution psychotique de longue durée. Neurochirurgie14 (1968), 819–821.

    PubMed  Google Scholar 

  9. Cushing, H., and L. Eisenhardt, Meningiomas. Springfield, Ill.: Ch. C Thomas. 1938.

    Google Scholar 

  10. Dany, M., J. Delcour, and E. Laine, Les méningiomes du clivus. Neurochirurgie9 (1963), 249–277.

    Google Scholar 

  11. Deland, F. H., and H. N. Wagner, Brain scanning as a diagnostic aid in the detection of eighth nerve tumors. Radiology92 (1969), 571–575.

    PubMed  Google Scholar 

  12. D'Errico, A. J., Meningiomas of the cerebellar fossa. J. Neurosurg.7 (1950), 227–232.

    PubMed  Google Scholar 

  13. Ecker, A., Upward transtentorial herniation of the brain stem and cerebellum due to tumor of the posterior fossa with special note on tumors of the acoustic nerve. J. Neurosurg.5 (1948), 51–61.

    Google Scholar 

  14. Epstein, B. S., A pneumoencephalographic study of the normal third and fourth ventricles and aqueduct of Sylvius. Amer. J. Roentgenol.63 (1950), 204–209.

    PubMed  Google Scholar 

  15. Goran, A., V. J. Cimenello, and R. G. Fisher, Hemorrhage into meningioma. Arch. Neurol.13 (1965), 65–69.

    PubMed  Google Scholar 

  16. Hamby, W. B., Trigeminal neuralgia due to contralateral tumors of the posterior cranial fossa. Report of two cases. J. Neurosurg.4 (1947), 179–182.

    Google Scholar 

  17. Handa, H., J. Handa, and M. Tazumi, Tentorial branch of the internal carotid artery. Amer. J. Roentgenol.98 (1966), 595–598.

    PubMed  Google Scholar 

  18. Hitzelberger, W. E., and G. Gardner, Other tumors of the cerebellopontine angle. Arch. Otolaryng.88 (1968), 712–714.

    PubMed  Google Scholar 

  19. Huang, Y. P., and B. S. Wolf, Precentral cerebellar vein in angiography. Acta Radiol. Diag.5 (1966), 250–262.

    Google Scholar 

  20. Huckman, M. S., D. O. Davis, and W. S. Coxe, Arachnoid cyst of the quadrigeminal plate. J. Neurosurg.32 (1970), 367–370.

    PubMed  Google Scholar 

  21. Khilnani, M., and A. Silverstein, Displacement of the superior cerebellar artery: A means of distinguishing intra- and extra-axial posterior fossa masses by vertebral arteriography. Arch. Neurol.8 (1963), 502–505.

    PubMed  Google Scholar 

  22. Lang, E. R., J. W. Watts, R. K. Jakoby et al., Recent observations on the diagnosis and pathologic anatomy of the posterior fossa meningioma. John Hopkins Med. J.122 (1968), 336–342.

    Google Scholar 

  23. Lecuire, J., J. P. Dechaume, P. Buffard et al., Les meningiomes de la fosse cérébrale postérieure. Neurochirurgie17 (Suppl. 2) (1971), 146.

    Google Scholar 

  24. Levin, P., and S. W. Gross, Contralateral trigeminal neuralgia in meningiomas of the cerebellopontine angle. J. Mount Sinai Hosp. N. Y.35 (1968), 343–349.

    Google Scholar 

  25. Lindgren, E., Encephalographic examination of tumors in the posterior fossa. Acta Radiol.34 (1950), 331–338.

    PubMed  Google Scholar 

  26. Markham, J. W., C. A. Fager, G. Horrax et al., Meningiomas of the posterior fossa. Arch. Neurol.74 (1955), 163–170.

    Google Scholar 

  27. Petit-Dutaillis, D., and S. Daum, Les méningiomes de la fosse postérieure: Première memoire. Rev. Neurol.81 (1949), 557–572.

    Google Scholar 

  28. — —, and P. Houdart et al., L'atteinte controlatérale du trijumeau dans les tumeurs de l'angle pontocerebelleux. Rev. Neurol.83 (1949), 139–142.

    Google Scholar 

  29. Pribram, H. F., Encephalography in the diagnosis of posterior fossa tumors. J. Neurosurg.19 (1962), 269–276.

    PubMed  Google Scholar 

  30. Revilla, G. A., Tic doulourex and its relationship to tumors of the posterior fossa. J. Neurosurg.4 (1947), 233–239.

    Google Scholar 

  31. —, Differential diagnosis of tumors at the cerebellopontine recess. Bull. John Hopkins Hosp.83 (1948), 187–212.

    Google Scholar 

  32. Rhoton, A. L., A. M. Carlsson, and M. M. Ter-Pogossian, Posterior fossa tumors: Localization with radioactive mercury labelled chlormerodrin. Arch. Neurol.10 (1964), 521–526.

    PubMed  Google Scholar 

  33. Ruggiero, G., and F. Castellano, Upward displacement of the posterior part of the third ventricle. A method of its evaluation. Its value in the diagnosis of tumors of the posterior fossa. Acta Radiol.39 (1953), 377–384.

    PubMed  Google Scholar 

  34. Russel, J. R., and P. C. Bucy, Meningiomas of the posterior fossa. Surg. Gynec. Obstet.96 (1953), 183–192.

    PubMed  Google Scholar 

  35. Schechter, M. M., L. H. Zingesser, and A. Rosenbaum, Tentorial meningiomas. Amer. J. Roentgenol.104 (1968), 123–131.

    PubMed  Google Scholar 

  36. Taveras, J. M., The roentgen diagnosis of intracranial incisural spaceoccupying lesions. Amer. J. Roentgenol.84 (1960), 52–69.

    Google Scholar 

  37. Zingesser, L. H., and M. M. Schechter, The radiology of masses lying within and adjacent to the tentorial hiatus. Brit. J. Radiol.37 (1964), 486–510.

    PubMed  Google Scholar 

Download references

Author information

Author notes

  1. L. Bakay M.D.

    Present address: E. J. Meyer Memorial Hospital, 462 Grider Street, 14215, Buffalo, NY, USA

Authors and Affiliations

  1. Department of Neurosurgery, State University of New York at Buffalo, Buffalo, New York

    W. Grand & L. Bakay M.D.

Authors
  1. W. Grand
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. L. Bakay M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Grand, W., Bakay, L. Posterior fossa meningiomas. Acta neurochir 32, 219–233 (1975). https://doi.org/10.1007/BF01405455

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01405455

Keywords

Search

Navigation