Meningioma with dural venous sinus invasion and jugular vein extension

2008 ◽  
Vol 2 (6) ◽  
pp. 391-396 ◽  
Author(s):  
Shobhan Vachhrajani ◽  
Andrew Jea ◽  
John A. Rutka ◽  
Susan Blaser ◽  
Michael Cusimano ◽  
...  
Keyword(s):  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Jugular Bulb ◽  
Venous Sinus ◽  
Gross Total Resection ◽  
Dural Sinus ◽  
Intracranial Meningioma ◽  
Total Resection ◽  
Conventional Angiography ◽  
Computed Tomography Scanning

Meningiomas represent the most common benign intracranial neoplasm in adults, with a considerably lower incidence in children. The authors present the case of an intracranial meningioma with invasion of, and intraluminal extension into, the transverse and sigmoid sinuses, jugular bulb, and internal jugular vein, resulting in venous occlusion in a 14-year-old girl. Computed tomography scanning, MR imaging, and conventional angiography were performed preoperatively. The patient underwent a 2-stage resection: the supratentorial component was resected first, and the infratentorial and venous sinus and jugular vein components were subsequently removed using a combined skull base approach. Gross-total resection was achieved by opening the lateral dural sinus and removing the meningioma from within the transverse and sigmoid sinuses, the jugular bulb, and the internal jugular vein. The patient remained neurologically intact after the staged tumor resections. Postoperative imaging confirmed the gross-total resection. This case illustrates the unusual property of an intracranial meningioma to invade the intrasinusoidal space and extend into the jugular vein without adherence to the underlying venous endothelium of the jugular vein.

Jugular Foramen Meningioma with Transverse and Sigmoid Sinuses Invasion and Jugular Vein Extension

2017 ◽  
Vol 78 (06) ◽  
pp. 617-622
Author(s):  
Ivan Radovanovic ◽  
Ivan Cabrilo ◽  
Carlo Schaller ◽  
Jeremy Brodard
Keyword(s):  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Adult Population ◽  
Cranial Nerves ◽  
Venous Occlusion ◽  
Jugular Foramen ◽  
Jugular Bulb ◽  
En Bloc ◽  
Conventional Angiography ◽  
First Case

AbstractWe present the case of a jugular foramen meningioma with predominantly intraluminal invasion of the transverse, sigmoid sinuses, jugular bulb, and internal jugular vein with venous occlusion in a 45-year-old woman. Magnetic resonance imaging (MRI) of the brain and conventional angiography were performed preoperatively and revealed a right-sided extra-axial dural-based mass in the jugular foramen. The surgical approach was a high cervical approach with exposure of the internal carotid artery, jugular vein, and cranial nerves IX to XII as well as a combined posterior temporo-basal and retrosigmoid craniotomy with mastoidectomy and posterior retrolabyrinthine petrosectomy. The transverse, sigmoid sinuses, jugular bulb, and superior internal jugular vein were removed en bloc, and the exophytic intradural tumor extension around cranial nerves IX, X, XI, and XII was resected subtotally. Postoperatively, the patient presented a transient right facial weakness (House-Brackmann II). MRI showed partial resection. This is the first case report of a jugular foramen meningioma with transverse and sigmoid sinuses invasion and jugular vein extension in the adult population.

The comparative analysis of non-thrombotic internal jugular vein stenosis and cerebral venous sinus stenosis

2019 ◽  
Vol 48 (1) ◽  
pp. 61-67 ◽  
Author(s):  
Chaobo Bai ◽  
Yaoming Xu ◽  
Da Zhou ◽  
Jiayue Ding ◽  
Qi Yang ◽  
...  
Keyword(s):  
Comparative Analysis ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Venous Sinus ◽  
Sinus Stenosis ◽  
Vein Stenosis

Reflux venous flow in dural sinus and internal jugular vein on 3D time-of-flight MR angiography

2013 ◽  
Vol 55 (10) ◽  
pp. 1205-1211 ◽  
Author(s):  
Jinhee Jang ◽  
Bum-soo Kim ◽  
Bom-yi Kim ◽  
Hyun Seok Choi ◽  
So-Lyung Jung ◽  
...  
Keyword(s):  
Internal Jugular Vein ◽  
Mr Angiography ◽  
Jugular Vein ◽  
Time Of Flight ◽  
Dural Sinus ◽  
Venous Flow

Variations in the Structure of the Jugular Foramen of Human Skull

2013 ◽  
Vol 10 (2) ◽  
pp. 45-49 ◽  
Author(s):  
SM Akram Hossain ◽  
SM Moshadeq Hossain ◽  
Fakhrul Amin Mohammad Hasanul Banna
Keyword(s):  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Jugular Foramen ◽  
Jugular Bulb ◽  
Cross Sectional ◽  
Medical College ◽  
Geographical Variations ◽  
Pass Through ◽  
The Right ◽  
Study Type

Context: The jugular foramen is one of the most fascinating foramen present at the base of the skull attracting the imagination of many Anatomists worldwide as many important structures pass through it, and amongst them the intriguing structure is the internal jugular vein. The shape and size of the jugular foramen is related to the size of the internal jugular vein and the presence or absence of a prominent superior bulb. As most of the textbooks of Anatomy describe that the right jugular foramen is usually larger than the left jugular foramen. Henceforth the present study was undertaken in 55 skulls from the dept. of Anatomy. Measurements were taken with the help of sliding vernier caliper. Study type: Cross-sectional descriptive type. Place and period of study: Department of Anatomy, Rajshahi Medical College, Rajshahi and Pabna Medical College, Pabna from April 2010 to June 2011. Materials and Methods: Total fifty five (55) human adult skulls were collected from the Anatomy department of Rajshahi Medical College, Rajshahi and Pabna Medical College, Pabna at different times of the study period. The study was conducted to observe variations in the structure of the jugular foramen of the human’s skull. Result: Out of 55 skulls (110 foramina) studied, the presence of dome indicating the presence of jugular bulb was found bilaterally in 100% of cases. 58.18% of cases showed that the size of right foramina were larger than the left foramina whereas 20% of cases showed that right foramina were equal to the left and in 21.82% of cases the left foramina were larger than the right side foramina. An important observation in the present study was the presence of either complete or partial septation in the jugular foramen. Conclusion: The findings of the study reveals that there are some differences among some parameters. The variations are might be due to the geographical variations of the skeletons. It needs further study with larger sample size from different geographical areas of Bangladesh. DOI: http://dx.doi.org/10.3329/bja.v10i2.17281 Bangladesh Journal of Anatomy, July 2012, Vol. 10 No. 2 pp 45-49

Sigmoid Sinus Thrombosis Associated with Internal Jugular Venous Occlusion: Direct Thrombolytic Treatment

1996 ◽  
Vol 3 (3) ◽  
pp. 306-314 ◽  
Author(s):  
Melissa B. Gurley ◽  
Teresa S. King ◽  
Fong Y. Tsai
Keyword(s):  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Sinus Thrombosis ◽  
Balloon Dilation ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Sigmoid Sinus ◽  
Dural Sinus ◽  
Jugular Vein Thrombosis ◽  
Transfemoral Approach

Purpose: To report our experience with transfemoral direct venous thrombolysis and angioplasty to treat central venous and dural sinus occlusion. The cases presented are rare examples of internal jugular occlusion associated with sigmoid sinus thrombosis. Methods and Results: Two middle-aged, symptomatic female patients were diagnosed with sigmoid sinus and internal jugular vein thrombosis. Venography was performed from a contralateral transfemoral approach, followed immediately by urokinase infusion directly to the occlusion using an intermittent “burst-bolus” technique. Successful thrombolysis of the sigmoid sinus and internal jugular vein was documented in both patients. In one case, a venous stenosis was treated with balloon angioplasty. Clinical signs and symptoms resolved in both patients. Conclusions: Occluded dural sinuses and central veins can be treated with direct administration of thrombolytic agents. When an underlying stenosis is identified, balloon dilation should be used to reduce the likelihood of recurrence.

Dural Sinus Thrombosis Complicating Subclavian Vein Catheterization: Treatment With Local Thrombolysis

PEDIATRICS ◽  
1995 ◽  
Vol 95 (1) ◽  
pp. 138-140
Author(s):  
Bassam M. Gebara ◽  
Mark G. Goetting ◽  
Ay-Ming Wang
Keyword(s):  
Internal Jugular Vein ◽  
Subclavian Vein ◽  
Jugular Vein ◽  
Sinus Thrombosis ◽  
Transverse Sinus ◽  
Dural Sinus ◽  
Dural Sinus Thrombosis ◽  
Jugular Vein Thrombosis ◽  
Vein Thrombosis ◽  
Vein Catheterization

Local venous thrombosis is a known complication of subclavian vein catheterization.1,2 The clot can extend to the noncatheterized ipsilateral internal jugular vein.3,4 It is usually asymptomatic, however, signs of venous congestion can occur. Dural sinus thrombosis has been reported in association with retrograd catheterization of the internal jugular vein,5 but not the subclavian vein. We report a case of symptomatic right sigmoid sinus, transverse sinus, and bilateral internal jugular vein thrombosis without subclavian vein thrombosis in an infant few hours after placement of right subclavian vein catheter. CASE REPORT A 9-week-old girl was seen in the emergency room for lethargy, cyanosis, and apnea.

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