Meningioma of the Cavernous Sinus

Meningioma of the Cavernous Sinus

Article
Brain & Nerve
Women's Health
+4
Contributed byKrish Tangella MD, MBADec 24, 2020

The topic Meningioma of the Cavernous Sinus you are seeking is a synonym, or alternative name, or is closely related to the medical condition Cavernous Sinus Meningioma.

Quick Summary:

  • Meningioma is a mostly benign and slow-growing tumor that arises from the meninges which is the membranous tissue encasing the brain and spinal cord (central nervous system or CNS). The meninges consist of three layers, namely the outer layer (dura mater), the middle layer (arachnoid mater), and the inner layer (pia mater); together, they form the protective lining around the CNS
  • The World Health Organization (WHO) classifies meningiomas based on their behavior as benign (grade I), atypical (grade II), and malignant (grade III) tumors. The grade and histologic subtype of the tumor is determined by a pathologist after examining a tissue biopsy of the tumor, under a microscope. Meningiomas are also classified based on their sites of origin within the CNS
  • While there may be a set of non-specific symptoms observed, certain symptoms are specific to the tumor location. The exact location of a meningioma is generally identified on the basis of radiological imaging studies. These factors, along-with the histopathological subtyping, help the healthcare provider in better understanding the tumor and planning treatment (surgical) approaches accordingly
  • Cavernous Sinus Meningioma (CSM) originates from the cavernous sinus, which is located in the highly complex parasellar region of the brain. The cavernous sinus is a structure that carries deoxygenated blood from the brain to the heart. It is present in the vicinity of the dural lining around the brain (dural venous sinuses) and is made up of interconnected veins that surround the internal carotid arteries present next to the pituitary fossa of the skull. These are paired dural venous sinuses, meaning that there is a right cavernous sinus and a left cavernous sinus
  • Meningiomas of any histologic subtype i.e., belonging to WHO grade I (benign), WHO grade II (atypical), or WHO grade III (malignant) tumors may affect the cavernous sinus region. However, a vast majority of the Cavernous Sinus Meningiomas are grade I tumors. Some of the grade I histologic subtypes noted at this location include the meningothelial (most commonly), transitional, fibrous, and psammomatous subtypes
  • WHO grade I tumors are low-grade slow-growing tumors that are not known to infiltrate into the surrounding tissues; they also offer a very high chance for surgery to be curative. WHO grade II tumors grow faster than grade I tumors but are not usually infiltrative. However, there is a possibility of tumor recurrence as a higher grade tumor after treatment. WHO grade III tumors are malignant and infiltrative; they also have a tendency to recur as a higher grade tumor (grade IV) following treatment
  • Thus, the lower the tumor grades, the better are the outcomes. However, large-sized meningiomas, even if they are low-grade, can compress the surrounding structures causing significant signs and symptoms. Therefore, the size of the tumor is also an important determinant for treatment purposes and measuring overall outcomes
  • The cause of Cavernous Sinus Meningioma is not well understood, but some genetic factors may be involved. In general, the risk factors for meningioma may include ionized radiation exposure, hormonal factors in women, breast cancer history, and a family history of meningiomas. Most of the tumors are noted in older individuals
  • The signs and symptoms depend on the size and grade of the tumor, but may include headaches, weakness in arms or legs, vision defects, and seizures. Complications associated with malignant tumors include metastasis to other organs of the body. It is reported that pediatric Cavernous Sinus Meningiomas offer diagnostic challenges to the healthcare providers, due to its extreme rarity
  • Once diagnosed, the treatments for Cavernous Sinus Meningioma may include a combination of surgery and radiation therapy (such as stereotactic fractionated radiotherapy), based on the grade of the tumor. However, due to the very complex anatomical nature of the cavernous sinus location, tumor resection and treatment offers many challenges for healthcare providers

Please find comprehensive information on Cavernous Sinus Meningioma regarding definition, distribution, risk factors, causes, signs & symptoms, diagnosis, complications, treatment, prevention, prognosis, and additional useful information HERE.

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Krish Tangella MD, MBA picture
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Krish Tangella MD, MBA

Pathology, Medical Editorial Board, DoveMed Team

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