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Skull Base Meningioma
Daniel E. Meltzer, MD
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15
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Definitions

              • Benign extraaxial neoplasm arising from arachnoid cap cells

            IMAGING

            • General Features

              • CT Findings

                • MR Findings

                  • Angiographic Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Staging, Grading, & Classification

                            • Gross Pathologic & Surgical Features

                              • Microscopic Features

                                CLINICAL ISSUES

                                • Presentation

                                  • Demographics

                                    • Natural History & Prognosis

                                      • Treatment

                                        DIAGNOSTIC CHECKLIST

                                        • Consider

                                          • Reporting Tips

                                            Selected References

                                            1. Louis DN et al: The 2016 World Health Organization Classification of Tumors of the Central Nervous System: a summary. Acta Neuropathol. 131(6):803-20, 2016
                                            2. Lin BJ et al: Correlation between magnetic resonance imaging grading and pathological grading in meningioma. J Neurosurg. 121(5):1201-8, 2014
                                            3. Saraf et al: Update on meningomas. Oncologist. 16(11):1604-1613, 2011
                                            4. Hsu CC et al: Do aggressive imaging features correlate with advanced histopathological grade in meningiomas? J Clin Neurosci. 17(5):584-7, 2010
                                            5. Li Y et al: Sphenoid wing meningioma en plaque: report of 37 cases. Chin Med J (Engl). 122(20):2423-7, 2009
                                            6. Minniti G et al: Radiotherapy and radiosurgery for benign skull base meningiomas. Radiat Oncol. 4:42, 2009
                                            7. Mirone G et al: En plaque sphenoid wing meningiomas: recurrence factors and surgical strategy in a series of 71 patients. Neurosurgery. 65(6 Suppl):100-8; discussion 108-9, 2009
                                            8. Razek AA et al: Imaging lesions of the cavernous sinus. AJNR Am J Neuroradiol. 2009 Mar;30(3):444-52. Epub 2008 Dec 18. Review. Erratum in: AJNR Am J Neuroradiol. 30(7):E115, 2009
                                            9. Rushing EJ et al: Primary extracranial meningiomas: an analysis of 146 cases. Head Neck Pathol. 3(2):116-130, 2009
                                            10. Sade B et al: High incidence of optic canal involvement in tuberculum sellae meningiomas: rationale for aggressive skull base approach. Surg Neurol. 72(2):118-23; discussion 123, 2009
                                            11. Wu Z et al: Foramen magnum meningiomas: experiences in 114 patients at a single institute over 15 years. Surg Neurol. 72(4):376-82; discussion 382, 2009
                                            12. Pamir MN et al: Anterior clinoidal meningiomas: analysis of 43 consecutive surgically treated cases. Acta Neurochir (Wien). 150(7):625-35; discussion 635-6, 2008
                                            13. Russell SM et al: Medial sphenoid ridge meningiomas: classification, microsurgical anatomy, operative nuances, and long-term surgical outcome in 35 consecutive patients. Neurosurgery. 62(6 Suppl 3):1169-81, 2008
                                            14. Umansky F et al: Radiation-induced meningioma. Neurosurg Focus. 24(5):E7, 2008
                                            15. Rutten I et al: PET/CT of skull base meningiomas using 2-18F-fluoro-L-tyrosine: initial report. J Nucl Med. 48(5):720-5, 2007
                                            16. Sade B et al: World Health Organization Grades II and III meningiomas are rare in the cranial base and spine. Neurosurgery. 61(6):1194-8; discussion 1198, 2007
                                            17. Sanna M et al: Surgical management of jugular foramen meningiomas: a series of 13 cases and review of the literature. Laryngoscope. 117(10):1710-9, 2007
                                            18. Dowd CF et al: Meningiomas: the role of preoperative angiography and embolization. Neurosurg Focus. 15(1):E10, 2003
                                            19. Hentschel SJ et al: Olfactory groove meningiomas. Neurosurg Focus. 14(6):e4, 2003
                                            20. Mendenhall WM et al: Radiotherapy alone or after subtotal resection for benign skull base meningiomas. Cancer. 98(7):1473-82, 2003
                                            21. Thompson LD et al: Extracranial sinonasal tract meningiomas: a clinicopathologic study of 30 cases with a review of the literature. Am J Surg Pathol. 24(5):640-50, 2000
                                            22. Soyama N et al: Correlation between magnetic resonance images and histology in meningiomas: T2-weighted images indicate collagen contents in tissues. Neurol Med Chir (Tokyo). 35(7):438-41, 1995
                                            23. Rubin G et al: Meningiomas of the anterior cranial fossa floor. Review of 67 cases. Acta Neurochir (Wien). 129(1-2):26-30, 1994
                                            24. Buetow MP et al: Typical, atypical, and misleading features in meningioma. Radiographics. 11(6):1087-106, 1991
                                            25. Goldsher D et al: Dural "tail" associated with meningiomas on Gd-DTPA-enhanced MR images: characteristics, differential diagnostic value, and possible implications for treatment. Radiology. 176(2):447-50, 1990
                                            Related Anatomy
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                                            Related Differential Diagnoses
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                                            References
                                            Tables

                                            Tables

                                            KEY FACTS

                                            • Terminology

                                              • Imaging

                                                • Top Differential Diagnoses

                                                  • Clinical Issues

                                                    • Diagnostic Checklist

                                                      TERMINOLOGY

                                                      • Definitions

                                                        • Benign extraaxial neoplasm arising from arachnoid cap cells

                                                      IMAGING

                                                      • General Features

                                                        • CT Findings

                                                          • MR Findings

                                                            • Angiographic Findings

                                                              • Imaging Recommendations

                                                                DIFFERENTIAL DIAGNOSIS

                                                                  PATHOLOGY

                                                                  • General Features

                                                                    • Staging, Grading, & Classification

                                                                      • Gross Pathologic & Surgical Features

                                                                        • Microscopic Features

                                                                          CLINICAL ISSUES

                                                                          • Presentation

                                                                            • Demographics

                                                                              • Natural History & Prognosis

                                                                                • Treatment

                                                                                  DIAGNOSTIC CHECKLIST

                                                                                  • Consider

                                                                                    • Reporting Tips

                                                                                      Selected References

                                                                                      1. Louis DN et al: The 2016 World Health Organization Classification of Tumors of the Central Nervous System: a summary. Acta Neuropathol. 131(6):803-20, 2016
                                                                                      2. Lin BJ et al: Correlation between magnetic resonance imaging grading and pathological grading in meningioma. J Neurosurg. 121(5):1201-8, 2014
                                                                                      3. Saraf et al: Update on meningomas. Oncologist. 16(11):1604-1613, 2011
                                                                                      4. Hsu CC et al: Do aggressive imaging features correlate with advanced histopathological grade in meningiomas? J Clin Neurosci. 17(5):584-7, 2010
                                                                                      5. Li Y et al: Sphenoid wing meningioma en plaque: report of 37 cases. Chin Med J (Engl). 122(20):2423-7, 2009
                                                                                      6. Minniti G et al: Radiotherapy and radiosurgery for benign skull base meningiomas. Radiat Oncol. 4:42, 2009
                                                                                      7. Mirone G et al: En plaque sphenoid wing meningiomas: recurrence factors and surgical strategy in a series of 71 patients. Neurosurgery. 65(6 Suppl):100-8; discussion 108-9, 2009
                                                                                      8. Razek AA et al: Imaging lesions of the cavernous sinus. AJNR Am J Neuroradiol. 2009 Mar;30(3):444-52. Epub 2008 Dec 18. Review. Erratum in: AJNR Am J Neuroradiol. 30(7):E115, 2009
                                                                                      9. Rushing EJ et al: Primary extracranial meningiomas: an analysis of 146 cases. Head Neck Pathol. 3(2):116-130, 2009
                                                                                      10. Sade B et al: High incidence of optic canal involvement in tuberculum sellae meningiomas: rationale for aggressive skull base approach. Surg Neurol. 72(2):118-23; discussion 123, 2009
                                                                                      11. Wu Z et al: Foramen magnum meningiomas: experiences in 114 patients at a single institute over 15 years. Surg Neurol. 72(4):376-82; discussion 382, 2009
                                                                                      12. Pamir MN et al: Anterior clinoidal meningiomas: analysis of 43 consecutive surgically treated cases. Acta Neurochir (Wien). 150(7):625-35; discussion 635-6, 2008
                                                                                      13. Russell SM et al: Medial sphenoid ridge meningiomas: classification, microsurgical anatomy, operative nuances, and long-term surgical outcome in 35 consecutive patients. Neurosurgery. 62(6 Suppl 3):1169-81, 2008
                                                                                      14. Umansky F et al: Radiation-induced meningioma. Neurosurg Focus. 24(5):E7, 2008
                                                                                      15. Rutten I et al: PET/CT of skull base meningiomas using 2-18F-fluoro-L-tyrosine: initial report. J Nucl Med. 48(5):720-5, 2007
                                                                                      16. Sade B et al: World Health Organization Grades II and III meningiomas are rare in the cranial base and spine. Neurosurgery. 61(6):1194-8; discussion 1198, 2007
                                                                                      17. Sanna M et al: Surgical management of jugular foramen meningiomas: a series of 13 cases and review of the literature. Laryngoscope. 117(10):1710-9, 2007
                                                                                      18. Dowd CF et al: Meningiomas: the role of preoperative angiography and embolization. Neurosurg Focus. 15(1):E10, 2003
                                                                                      19. Hentschel SJ et al: Olfactory groove meningiomas. Neurosurg Focus. 14(6):e4, 2003
                                                                                      20. Mendenhall WM et al: Radiotherapy alone or after subtotal resection for benign skull base meningiomas. Cancer. 98(7):1473-82, 2003
                                                                                      21. Thompson LD et al: Extracranial sinonasal tract meningiomas: a clinicopathologic study of 30 cases with a review of the literature. Am J Surg Pathol. 24(5):640-50, 2000
                                                                                      22. Soyama N et al: Correlation between magnetic resonance images and histology in meningiomas: T2-weighted images indicate collagen contents in tissues. Neurol Med Chir (Tokyo). 35(7):438-41, 1995
                                                                                      23. Rubin G et al: Meningiomas of the anterior cranial fossa floor. Review of 67 cases. Acta Neurochir (Wien). 129(1-2):26-30, 1994
                                                                                      24. Buetow MP et al: Typical, atypical, and misleading features in meningioma. Radiographics. 11(6):1087-106, 1991
                                                                                      25. Goldsher D et al: Dural "tail" associated with meningiomas on Gd-DTPA-enhanced MR images: characteristics, differential diagnostic value, and possible implications for treatment. Radiology. 176(2):447-50, 1990