PMCCPMCCPMCC

Search tips
Search criteria 

Advanced

 
Logo of skullbasesurgInstructions for AuthorsSubscribe to Skull BaseAbout Skull BaseEditorial BoardThieme Medical PublishingSkull Base An Interdisciplinary Approach ...
 
Skull base surgery. 2000; 10(3): 131–139.
PMCID: PMC1656819

Presentation and Patterns of Late Recurrence of Olfactory Groove Meningiomas

Abstract

The objective of this article is to present the recurrence pattern of olfactory groove meningiomas after surgical resection. Four patients, one female and three males, with surgically resected olfactory groove meningiomas presented with tumor recurrence. All patients underwent resection of an olfactory groove meningioma and later presented with recurrent tumors. The mean age at initial diagnosis was 47 years. All presented initially with vision changes, anosmia, memory dysfunction, and personality changes. Three patients had a preoperative MRI scan. All patients had a craniotomy, with gross total resection achieved in three, and 90% tumor removal achieved in the fourth. Involved dura was coagulated, but not resected, in all cases. Three patients were followed with routine head CT scans postoperatively, and none was followed with MRI scan. The mean time to recurrence was 6 years. Three patients presented with recurrent visual deterioration, and one presented with symptoms of nasal obstruction. Postoperative CT scans failed to document early tumor recurrence, whereas MRI documented tumor recurrence in all patients. Tumor resection and optic nerve decompression improved vision in two patients and stabilized vision in two. Complete resection was not possible because of extensive bony involvement around the anterior clinoid and inferior to the anterior cranial fossa in all cases. Evaluation of four patients with recurrent growth of olfactory groove meningiomas showed the epicenter of recurrence to be inferior to the anterior cranial fossa, with posterior extension involving the optic canals, leading to visual deterioration. This location led to a delay in diagnosis in patients who were followed only with routine CT scans. Initial surgical procedures should include removal of involved dura and bone, and follow-up evaluation should include formal ophthalmologic evaluations and routine head MRI scans.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (3.3M), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Black PM. Meningiomas. Neurosurgery. 1993 Apr;32(4):643–657. [PubMed]
  • Quest DO. Meningiomas: an update. Neurosurgery. 1978 Sep-Oct;3(2):219–225. [PubMed]
  • SIMPSON D. The recurrence of intracranial meningiomas after surgical treatment. J Neurol Neurosurg Psychiatry. 1957 Feb;20(1):22–39. [PMC free article] [PubMed]
  • Mirimanoff RO, Dosoretz DE, Linggood RM, Ojemann RG, Martuza RL. Meningioma: analysis of recurrence and progression following neurosurgical resection. J Neurosurg. 1985 Jan;62(1):18–24. [PubMed]
  • Gregorius FK, Hepler RS, Stern WE. Loss and recovery of vision with suprasellar meningiomas. J Neurosurg. 1975 Jan;42(1):69–75. [PubMed]
  • Bakay L. Olfactory meningiomas. The missed diagnosis. JAMA. 1984 Jan 6;251(1):53–55. [PubMed]
  • Bakay L, Cares HL. Olfactory meningiomas. Report on a series of twenty-five cases. Acta Neurochir (Wien) 1972;26(1):1–12. [PubMed]
  • Solero CL, Giombini S, Morello G. Suprasellar and olfactory meningiomas. Report on a series of 153 personal cases. Acta Neurochir (Wien) 1983;67(3-4):181–194. [PubMed]
  • Poppen JL. Operative techniques for removal of olfactory groove and suprasellar meningiomas. Clin Neurosurg. 1964;11:1–7. [PubMed]
  • Andrews BT, Wilson CB. Suprasellar meningiomas: the effect of tumor location on postoperative visual outcome. J Neurosurg. 1988 Oct;69(4):523–528. [PubMed]
  • Finn JE, Mount LA. Meningiomas of the tuberculum sellae and planum sphenoidale. A review of 83 cases. Arch Ophthalmol. 1974 Jul;92(1):23–27. [PubMed]
  • Hassler W, Zentner J. Pterional approach for surgical treatment of olfactory groove meningiomas. Neurosurgery. 1989 Dec;25(6):942–947. [PubMed]
  • DeMonte F. Surgical treatment of anterior basal meningiomas. J Neurooncol. 1996 Sep;29(3):239–248. [PubMed]
  • Ojemann RG. Meningiomas of the basal parapituitary region: technical considerations. Clin Neurosurg. 1980;27:233–262. [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]
  • HOLUB K. Intrakranielle Meningeome. Acta Neurochir (Wien) 1956;4(4):355–401. [PubMed]
  • Symon L, Rosenstein J. Surgical management of suprasellar meningioma. Part 1: The influence of tumor size, duration of symptoms, and microsurgery on surgical outcome in 101 consecutive cases. J Neurosurg. 1984 Oct;61(4):633–641. [PubMed]
  • Kajiwara K, Fudaba H, Tsuha M, Ueda H, Mitani T, Nishizaki T, Aoki H. [Analysis of recurrences of meningiomas following neurosurgical resection]. No Shinkei Geka. 1989 Dec;17(12):1125–1131. [PubMed]

Articles from Skull Base Surgery are provided here courtesy of Thieme Medical Publishers