Abstract
Meningiomas of the anterior skull base account for 40% of all intracranial meningiomas. Of these, almost half are sphenoid wing meningiomas; the other half are tuberculum sella tumors or olfactory groove tumors. Anterior clinoidal (medial sphenoid wing) meningiomas are a subcategory of the sphenoid wing meningiomas; they fall into one of three categories according to the presence of an interfacing arachnoidal membrane between the tumor and the cerebral vessels. Meningiomas of the tuberculum sella arise from the tuberculum sella, chiasmatic sulcus, limbus sphenoidale, and the diaphragma sella; they may extend into both optic canals. Olfactory groove meningiomas arise more anteriorly than do the tuberculum sella meningiomas and may be symmetrical around the midline or extend to one side or the other; at least 15% grow into the ethmoid sinuses. This paper addresses the clinical presentation, preoperative evaluation, and surgical procedures used for treating tumors of the tuberculum sella, the olfactory groove, and the anterior clinoid.
Similar content being viewed by others
References
DeMonte F, Al-Mefty O: Meningiomas. In: Kaye AH, Laws ER (eds) Brain Tumors. Churchill Livingstone, London, 1995,p 675
Solero CL, Giombini S, Morello G: Suprasellar and olfactory meningiomas: report on a series of 153 personal cases. Acta Neurochir (Vienna) 67:181–194,1983
Finn JE, Mount LA: Meningiomas of the tuberculum sellae and planum sphenoidale: a review of 83 cases. Arch Ophthalmol 92: 23–27,1974
Al-Mefty O: Tuberculum sellae meningiomas. In: Rengachary SS, Wilkins RH (eds) Neurosurgical Operative Atlas Vol. 3. Williams and Wilkins, Baltimore, 1993, pp 1–11
Al-Mefty O, Smith RR: Tuberculum sellae meningiomas. In: Al-Mefty O (ed) Meningiomas. Raven Press, New York, 1991, p 409
Andrews BT, Wilson CB: Suprasellar meningiomas: the effect of tumor location on postoperative visual outcome. J Neurosurg 69:523–528,1988
Grisoli F, Diaz-Vasquez P, Riss M, Vincentelli F, Leclercq TA, Hassoun J, Salamon G: Microsurgical management of tuberculum sellae meningiomas. Results in 28 consecutive cases. Surg Neurol 26: 37–44,1986
Jane JA, McKissock W: Importance of failing vision in early diagnosis of suprasellar meningiomas. British J Med [Clin Res] 2: 5–7,1962
Jefferson A, Azzam N: The suprasellar meningiomas, a review of 19 years experience. Acta Neurochir [suppl] (Vienna) 28: 381–384,1979
Kadis GN, Mount LA, Ganti SR: The importance of early diagnosis and treatment of the meningiomas of the planum sphenoidale and tuberculum sellae: a retrospective study of 105 cases. Surg Neurol 12: 367–371, 1979
Ojemann RG: Meningiomas of the basal parapituitary region: Technical considerations. Clin Neurosurg 27: 233–262, 1980
Symon L, Rosenstein J: The 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 61: 633–641,1984
Konovalov AN, Federov SN, Faller TO, Sokolov AF, Tcherepanov AN: Experience in the treatment of the parasellar meningiomas. Acta Neurochir [suppl] (Vienna) 28: 371–372, 1979
Krenkel W, Frowein RA: The suprasellar meningiomas. Adv Neurosurg 2: 55–58, 1975
Rosenstein J, Symon L: Surgical management of suprasellar meningioma. Part 2: prognosis for visual function following craniotomy. J Neurosurg 61: 642–648, 1984
Gregorius FK, Hepler RS, Stern WE: Loss and recovery of vision with suprasellar meningiomas. J Neurosurg 42: 69–75, 1975
Ojemann RG: Meningiomas: clinical features and surgical management. In: Wilkins RH, Rengachary SS (eds) Neurosurgery. McGraw-Hill, New York, 1985, pp 635–654
Derome PJ, Guiot G: Bone problems in meningiomas invading the base of the skull. Clin Neurosurg 25: 435–451, 1978
McDermott MW Rootman J, Durity FA: Subperiosteal, subperiorbital dissection and division of the anterior and posterior ethmoidal arteries for meningiomas of the cribriform plate and planum sphenoidale: Technical note. Neurosurgery 36:1215–1219,1995
Ojemann RG: Olfactory groove meningiomas. In: Al-Mefty O (ed) Meningiomas. Raven Press, New York, 1991, pp 391–392
Hassler W Zentner J: Pterional approach for surgical treatment of olfactory groove meningiomas. Neurosurgery 25: 942–947, 1989
Bakay L: Olfactory meningiomas. The missed diagnosis. JAMA 251:53–54, 1984
MacCarty CS, Taylor WF: Intracranial meningiomas: experiences at the Mayo clinic. Neurol Med Chir (Tokyo) 19: 569–574, 1979
Symon L: Olfactory groove and suprasellar meningiomas. Advances and Technical Standards in Neurosurgery 4: 67–91, 1977
Al-Mefty O: Clinoidal meningiomas. J Neurosurg 73: 840–849, 1990
Al-Mefty O: Clinoidal meningiomas. In: A1-Mefty O (ed) Meningiomas. Raven Press, New York, 1991, p 433
DeMonte F, Al-Mefty O: Anterior clinoidal meningiomas. In: Rengachary SS, Wilkins RH (eds) Neurosurgical Operative Atlas Vol. 3. Williams and Wilkins, Baltimore, 1993, pp 49–61
DeMonte F, Smith HK, Al-Mefty O: Outcome of aggressive removal of cavernous sinus meningiomas. J Neurosurg 81: 245–251,1994
Bonnal JP, Thibaut A, Brotchi J, Born J: Invading meningiomas of the sphenoid ridge. J Neurosurg 53: 587–599, 1980
Koos WTH, Kletter G, Schuster H, Perneczky A: Microsurgery of suprasellar meningiomas. Adv Neurosurg 2: 62–67, 1975
Probst C: Possibilities and limitations of microsurgery in patients with meningiomas of the sellar region. Acta Neurochir (Vienna) 84: 99–102,1987
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
DeMonte, F. Surgical treatment of anterior basal meningiomas. J Neuro-Oncol 29, 239–247 (1996). https://doi.org/10.1007/BF00165654
Issue Date:
DOI: https://doi.org/10.1007/BF00165654