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Skull Base. 2001; 11(2): 99–104.
PMCID: PMC1656787

Management of Vascular Invasion During Radical Resection of Medial Sphenoid Wing Meningiomas


Invasive meningiomas involving the medial sphenoid wing are difficult tumors to resect completely. They often have invaded the surrounding arteries at the time of diagnosis making total resection challenging. Attempts at removing these tumors from adherent carotid or middle cerebral arteries have resulted in high complication rates. Nine cases of medial sphenoid wing meningiomas with arterial invasion were operated between March 1994 and August 1998. Total resection was possible in only four cases. Two arterial-related complications occurred during resection with one resulting in permanent hemiplegia.

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Selected References

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  • Al-Mefty O. Clinoidal meningiomas. J Neurosurg. 1990 Dec;73(6):840–849. [PubMed]
  • Bonnal J, Thibaut A, Brotchi J, Born J. Invading meningiomas of the sphenoid ridge. J Neurosurg. 1980 Nov;53(5):587–599. [PubMed]
  • Maroon JC, Kennerdell JS, Vidovich DV, Abla A, Sternau L. Recurrent spheno-orbital meningioma. J Neurosurg. 1994 Feb;80(2):202–208. [PubMed]
  • Stern WE. Meningiomas in the cranio-orbital junction. J Neurosurg. 1973 Apr;38(4):428–437. [PubMed]
  • Risi P, Uske A, de Tribolet N. Meningiomas involving the anterior clinoid process. Br J Neurosurg. 1994;8(3):295–305. [PubMed]
  • Gonzalez CF, Moret J. Balloon occlusion of the carotid artery prior to surgery for neck tumors. AJNR Am J Neuroradiol. 1990 Jul-Aug;11(4):649–652. [PubMed]
  • Higashida RT, Halbach VV, Dowd C, Barnwell SL, Dormandy B, Bell J, Hieshima GB. Endovascular detachable balloon embolization therapy of cavernous carotid artery aneurysms: results in 87 cases. J Neurosurg. 1990 Jun;72(6):857–863. [PubMed]
  • Dolenc V. Direct microsurgical repair of intracavernous vascular lesions. J Neurosurg. 1983 Jun;58(6):824–831. [PubMed]
  • Dolenc VV. A combined epi- and subdural direct approach to carotid-ophthalmic artery aneurysms. J Neurosurg. 1985 May;62(5):667–672. [PubMed]
  • Chan RC, Thompson GB. Morbidity, mortality, and quality of life following surgery for intracranial meningiomas. A retrospective study in 257 cases. J Neurosurg. 1984 Jan;60(1):52–60. [PubMed]
  • Goldsmith BJ, Wara WM, Wilson CB, Larson DA. Postoperative irradiation for subtotally resected meningiomas. A retrospective analysis of 140 patients treated from 1967 to 1990. J Neurosurg. 1994 Feb;80(2):195–201. [PubMed]
  • Miralbell R, Linggood RM, de la Monte S, Convery K, Munzenrider JE, Mirimanoff RO. The role of radiotherapy in the treatment of subtotally resected benign meningiomas. J Neurooncol. 1992 Jun;13(2):157–164. [PubMed]
  • Kondziolka D, Lunsford LD, Coffey RJ, Flickinger JC. Stereotactic radiosurgery of meningiomas. J Neurosurg. 1991 Apr;74(4):552–559. [PubMed]
  • Duma CM, Lunsford LD, Kondziolka D, Harsh GR, 4th, Flickinger JC. Stereotactic radiosurgery of cavernous sinus meningiomas as an addition or alternative to microsurgery. Neurosurgery. 1993 May;32(5):699–705. [PubMed]
  • Lunsford LD, Kondziolka D, Flickinger JC. Stereotactic radiosurgery for benign intracranial tumors. Clin Neurosurg. 1993;40:475–497. [PubMed]

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