Study of Changing Intracranial Venous Drainage Patterns in Petroclival Meningioma

Kazuhide Adachi, Motoharu Hayakawa, Kohei Ishihara, Tukasa Ganaha, Shinya Nagahisa, Mituhiro Hasegawa, Yuichi Hirose

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Objective To elucidate venous drainage patterns to avoid damage to the venous drainage route in the middle cranial fossa and superior petrosal sinus when employing the transpetrosal approach. Methods Venous drainage patterns were assessed using three-dimensional computed tomography venography in 22 hemispheres of petroclival meningioma (PCM) cases from patients who underwent primary surgery and 40 hemispheres of control cases. Intracranial venous drainage patterns were compared between control cases and PCM cases. Results The proportion of hemispheres with complete and medial superior petrosal sinus drainage patterns was lower in PCM cases. With regard to the superficial middle cerebral vein drainage pattern, the proportion of hemispheres with the cavernous sinus capture type was lower and the proportion with the emissary type was higher in PCM cases. The proportion of hemispheres with multiple greater anastomoses of the superficial middle cerebral vein was higher in PCM cases without the emissary-type and cavernous sinus capture-type patterns. When the venous drainage route of the cavernous sinus capture type and/or emissary type was disturbed, in particular, greater anastomosis via the vein of Labbè and the vein of Trolard was needed to control venous drainage flow. Conclusions In cases of venous drainage impairment secondary to PCM progression, the drainage route changed to the pterygoid plexus route through the emissary foramen and/or superior sagittal sinus and to the transverse sinus route through the greater anastomosis of the superficial middle cerebral vein. In the anterior transpetrosal approach, peeling off the dura propria of the trigeminal nerve of the foramen rotundum for petrous apex exposure may be associated with the potential risk of pterygoid plexus drainage route impairment.

Original languageEnglish
Pages (from-to)339-348
Number of pages10
JournalWorld Neurosurgery
Volume92
DOIs
Publication statusPublished - 01-08-2016

Fingerprint

Meningioma
Drainage
Cerebral Veins
Cavernous Sinus
Veins
Middle Cranial Fossa
Superior Sagittal Sinus
Transverse Sinuses
Trigeminal Nerve
Phlebography
Tomography

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology

Cite this

Adachi, K., Hayakawa, M., Ishihara, K., Ganaha, T., Nagahisa, S., Hasegawa, M., & Hirose, Y. (2016). Study of Changing Intracranial Venous Drainage Patterns in Petroclival Meningioma. World Neurosurgery, 92, 339-348. https://doi.org/10.1016/j.wneu.2016.05.019
Adachi, Kazuhide ; Hayakawa, Motoharu ; Ishihara, Kohei ; Ganaha, Tukasa ; Nagahisa, Shinya ; Hasegawa, Mituhiro ; Hirose, Yuichi. / Study of Changing Intracranial Venous Drainage Patterns in Petroclival Meningioma. In: World Neurosurgery. 2016 ; Vol. 92. pp. 339-348.
@article{6d3961964b4647048c7ad95bd6d651be,
title = "Study of Changing Intracranial Venous Drainage Patterns in Petroclival Meningioma",
abstract = "Objective To elucidate venous drainage patterns to avoid damage to the venous drainage route in the middle cranial fossa and superior petrosal sinus when employing the transpetrosal approach. Methods Venous drainage patterns were assessed using three-dimensional computed tomography venography in 22 hemispheres of petroclival meningioma (PCM) cases from patients who underwent primary surgery and 40 hemispheres of control cases. Intracranial venous drainage patterns were compared between control cases and PCM cases. Results The proportion of hemispheres with complete and medial superior petrosal sinus drainage patterns was lower in PCM cases. With regard to the superficial middle cerebral vein drainage pattern, the proportion of hemispheres with the cavernous sinus capture type was lower and the proportion with the emissary type was higher in PCM cases. The proportion of hemispheres with multiple greater anastomoses of the superficial middle cerebral vein was higher in PCM cases without the emissary-type and cavernous sinus capture-type patterns. When the venous drainage route of the cavernous sinus capture type and/or emissary type was disturbed, in particular, greater anastomosis via the vein of Labb{\`e} and the vein of Trolard was needed to control venous drainage flow. Conclusions In cases of venous drainage impairment secondary to PCM progression, the drainage route changed to the pterygoid plexus route through the emissary foramen and/or superior sagittal sinus and to the transverse sinus route through the greater anastomosis of the superficial middle cerebral vein. In the anterior transpetrosal approach, peeling off the dura propria of the trigeminal nerve of the foramen rotundum for petrous apex exposure may be associated with the potential risk of pterygoid plexus drainage route impairment.",
author = "Kazuhide Adachi and Motoharu Hayakawa and Kohei Ishihara and Tukasa Ganaha and Shinya Nagahisa and Mituhiro Hasegawa and Yuichi Hirose",
year = "2016",
month = "8",
day = "1",
doi = "10.1016/j.wneu.2016.05.019",
language = "English",
volume = "92",
pages = "339--348",
journal = "World Neurosurgery",
issn = "1878-8750",
publisher = "Elsevier Inc.",

}

Adachi, K, Hayakawa, M, Ishihara, K, Ganaha, T, Nagahisa, S, Hasegawa, M & Hirose, Y 2016, 'Study of Changing Intracranial Venous Drainage Patterns in Petroclival Meningioma', World Neurosurgery, vol. 92, pp. 339-348. https://doi.org/10.1016/j.wneu.2016.05.019

Study of Changing Intracranial Venous Drainage Patterns in Petroclival Meningioma. / Adachi, Kazuhide; Hayakawa, Motoharu; Ishihara, Kohei; Ganaha, Tukasa; Nagahisa, Shinya; Hasegawa, Mituhiro; Hirose, Yuichi.

In: World Neurosurgery, Vol. 92, 01.08.2016, p. 339-348.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Study of Changing Intracranial Venous Drainage Patterns in Petroclival Meningioma

AU - Adachi, Kazuhide

AU - Hayakawa, Motoharu

AU - Ishihara, Kohei

AU - Ganaha, Tukasa

AU - Nagahisa, Shinya

AU - Hasegawa, Mituhiro

AU - Hirose, Yuichi

PY - 2016/8/1

Y1 - 2016/8/1

N2 - Objective To elucidate venous drainage patterns to avoid damage to the venous drainage route in the middle cranial fossa and superior petrosal sinus when employing the transpetrosal approach. Methods Venous drainage patterns were assessed using three-dimensional computed tomography venography in 22 hemispheres of petroclival meningioma (PCM) cases from patients who underwent primary surgery and 40 hemispheres of control cases. Intracranial venous drainage patterns were compared between control cases and PCM cases. Results The proportion of hemispheres with complete and medial superior petrosal sinus drainage patterns was lower in PCM cases. With regard to the superficial middle cerebral vein drainage pattern, the proportion of hemispheres with the cavernous sinus capture type was lower and the proportion with the emissary type was higher in PCM cases. The proportion of hemispheres with multiple greater anastomoses of the superficial middle cerebral vein was higher in PCM cases without the emissary-type and cavernous sinus capture-type patterns. When the venous drainage route of the cavernous sinus capture type and/or emissary type was disturbed, in particular, greater anastomosis via the vein of Labbè and the vein of Trolard was needed to control venous drainage flow. Conclusions In cases of venous drainage impairment secondary to PCM progression, the drainage route changed to the pterygoid plexus route through the emissary foramen and/or superior sagittal sinus and to the transverse sinus route through the greater anastomosis of the superficial middle cerebral vein. In the anterior transpetrosal approach, peeling off the dura propria of the trigeminal nerve of the foramen rotundum for petrous apex exposure may be associated with the potential risk of pterygoid plexus drainage route impairment.

AB - Objective To elucidate venous drainage patterns to avoid damage to the venous drainage route in the middle cranial fossa and superior petrosal sinus when employing the transpetrosal approach. Methods Venous drainage patterns were assessed using three-dimensional computed tomography venography in 22 hemispheres of petroclival meningioma (PCM) cases from patients who underwent primary surgery and 40 hemispheres of control cases. Intracranial venous drainage patterns were compared between control cases and PCM cases. Results The proportion of hemispheres with complete and medial superior petrosal sinus drainage patterns was lower in PCM cases. With regard to the superficial middle cerebral vein drainage pattern, the proportion of hemispheres with the cavernous sinus capture type was lower and the proportion with the emissary type was higher in PCM cases. The proportion of hemispheres with multiple greater anastomoses of the superficial middle cerebral vein was higher in PCM cases without the emissary-type and cavernous sinus capture-type patterns. When the venous drainage route of the cavernous sinus capture type and/or emissary type was disturbed, in particular, greater anastomosis via the vein of Labbè and the vein of Trolard was needed to control venous drainage flow. Conclusions In cases of venous drainage impairment secondary to PCM progression, the drainage route changed to the pterygoid plexus route through the emissary foramen and/or superior sagittal sinus and to the transverse sinus route through the greater anastomosis of the superficial middle cerebral vein. In the anterior transpetrosal approach, peeling off the dura propria of the trigeminal nerve of the foramen rotundum for petrous apex exposure may be associated with the potential risk of pterygoid plexus drainage route impairment.

UR - http://www.scopus.com/inward/record.url?scp=84990238108&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84990238108&partnerID=8YFLogxK

U2 - 10.1016/j.wneu.2016.05.019

DO - 10.1016/j.wneu.2016.05.019

M3 - Article

C2 - 27188642

AN - SCOPUS:84990238108

VL - 92

SP - 339

EP - 348

JO - World Neurosurgery

JF - World Neurosurgery

SN - 1878-8750

ER -

Adachi K, Hayakawa M, Ishihara K, Ganaha T, Nagahisa S, Hasegawa M et al. Study of Changing Intracranial Venous Drainage Patterns in Petroclival Meningioma. World Neurosurgery. 2016 Aug 1;92:339-348. https://doi.org/10.1016/j.wneu.2016.05.019