open access

Vol 45, No 5 (2011)
OPIS PRZYPADKU
Submitted: 2010-08-31
Get Citation

Bilateral chronic subdural haematomas in a patient with meningioma of the superior sagittal sinus – case report and pathophysiological study

Marcin Czyż, Włodzimierz Jarmundowicz, Dariusz Szarek, Paweł Tabakow, Alicja Markowska-Wojciechowska
DOI: 10.1016/S0028-3843(14)60319-4
·
Neurol Neurochir Pol 2011;45(5):500-504.

open access

Vol 45, No 5 (2011)
OPIS PRZYPADKU
Submitted: 2010-08-31

Abstract

Bilateral chronic subdural haemorrhage accompanying meningioma is a very rare clinical condition. We present a case of a 69-year-old female patient with large meningioma completely obliterating the posterior third part of the superior sagittal sinus with accompanying bilateral chronic subdural haematomas. Three anatomical zones of venous collateral circulation were revealed by the preoperative digital subtraction angiography. The tumour and haematomas were removed completely with no major complications.

The most likely pathomechanism of the development of bilateral chronic subdural haematomas was venous hypertension caused by an occlusion of major cerebral venous trunks. As a result of a minor thrombotic incident or insignificant head injury, the distended veins of collateral circulation that were volumetrically burdened could have been damaged. Patients with large tumours occluding the superior sagittal sinus, who did not qualify for or refused surgery, should be carefully monitored clinically and neuroradiologically because of possibly increased risk of an intracranial haemorrhage.

Abstract

Bilateral chronic subdural haemorrhage accompanying meningioma is a very rare clinical condition. We present a case of a 69-year-old female patient with large meningioma completely obliterating the posterior third part of the superior sagittal sinus with accompanying bilateral chronic subdural haematomas. Three anatomical zones of venous collateral circulation were revealed by the preoperative digital subtraction angiography. The tumour and haematomas were removed completely with no major complications.

The most likely pathomechanism of the development of bilateral chronic subdural haematomas was venous hypertension caused by an occlusion of major cerebral venous trunks. As a result of a minor thrombotic incident or insignificant head injury, the distended veins of collateral circulation that were volumetrically burdened could have been damaged. Patients with large tumours occluding the superior sagittal sinus, who did not qualify for or refused surgery, should be carefully monitored clinically and neuroradiologically because of possibly increased risk of an intracranial haemorrhage.

Get Citation

Keywords

superior sagittal sinus meningioma, subdural haematoma, cerebral collateral circulation, sagittal sinus occlusion

About this article
Title

Bilateral chronic subdural haematomas in a patient with meningioma of the superior sagittal sinus – case report and pathophysiological study

Journal

Neurologia i Neurochirurgia Polska

Issue

Vol 45, No 5 (2011)

Pages

500-504

DOI

10.1016/S0028-3843(14)60319-4

Bibliographic record

Neurol Neurochir Pol 2011;45(5):500-504.

Keywords

superior sagittal sinus meningioma
subdural haematoma
cerebral collateral circulation
sagittal sinus occlusion

Authors

Marcin Czyż
Włodzimierz Jarmundowicz
Dariusz Szarek
Paweł Tabakow
Alicja Markowska-Wojciechowska

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By "Via Medica sp. z o.o." sp.k., ul. Świętokrzyska 73, 80–180 Gdańsk, Poland
tel.:+48 58 320 94 94, fax:+48 58 320 94 60, e-mail: viamedica@viamedica.pl