Main Article Content


Brain tumor such as a meningioma can invade the adjacent internal carotid artery (ICA). Surgical approach to resect the tumor has to consider the level of ICA and how the depth of tumor cells invade into the artery layer. Knowledge of the basic mechanism about how the tumor cells invade the lumen and layer of the vessels is essential in perioperative preparation. Here we reported our unpredictable case findings of transient intraluminal obstruction of the arterial wall by tumor tissue in angiography examination as well as preoperative planning to resect the tumor and predictors of the patient’s outcome.


Angiography Intraluminal Meningioma

Article Details

How to Cite
Bolly, H., Zulkifli, B. F., & Adam, A. (2020). Preoperative surgical planning for an internal carotid artery invading brain tumor. Neurologico Spinale Medico Chirurgico, 3(2), 46-49.


  1. Sughrue M, Kane A, Rutkowski MJ, et al. Meningiomas of the anterior clinoid process: Is it Wise to drill out the optic Canal? Cureus. 2015;7(9): e321. DOI: 10.7759/cureus.321
  2. Krisht AF. Clinoidal Meningiomas. In: Franco D, Michael WM, Ossama A (Eds). Al-Mefty’s Meningiomas. Second Edition. New York: Thieme, 2011:228-236.
  3. Guclu B, Sindou M. Surgical Access to the Paraclinoid Segment of the Internal Carotid Artery: A Technical Review. Sinir Sistemi Cerrahisi Derg. 2014;4(1):1-8. DOI: 10.5222/sscd.2014.001
  4. Shapiro M, Becske T, Riina HA, et al. Toward an Endovascular Internal Carotid Artery Classification System. AJNR Am J Neuroradiol. 2014;35(2):230-6. DOI: 10.3174/ajnr.A3666
  5. Shaffrey ME, Dolenc VV, Lanzino G, et al. Invasion of the internal carotid artery by Cavernous sinus meningiomas. Surg Neurol. 1999;52(2):167-71. DOI: 10.1016/s0090-3019(99)00092-0
  6. Krakhmal NV, Zavyalova MV, Denisov EV, et al. Cancer Invasion: Patterns and Mechanisms. Acta Naturae. 2015;7(2):17-28.
  7. Friedl P, Locker J, Sahai E, et al. Classifying collective cancer cell invasion. Nat Cell Biol. 2012;14(8): 777-83. DOI: 10.1038/ncb2548
  8. Kanthan R, Senger JL. Distant Metastases from Meningiomas-A Myth or Reality? Ann Clin Pathol. 2013;1(1):1001.
  9. Riemenschneider MJ, Perry A, Reifenberger G. Histological classification and molecular genetics of meningiomas. Lancet Neurol. 2006;5(12):1045-54. DOI:10.1016/S1474-4422(06)70625-1
  10. Jagannathan J, Oskouian RJ, Yeoh HK, et al. Molecular Biology of Unreresectable Meningiomas: Implications for New Treatments and Review of the Literature. Skull Base. 2008;18(3):173-87. DOI: 10.1055/s-2007-1003925
  11. Zijl F, Krupitza G, Mikulits W. Initial steps of metastasis: Cell invasion and endothelial transmigration. Mutat Res. 2011;728(1-2):23-24. DOI:10.1016/j.mrrev.2011.05.002
  12. Salunke P, Singh A, Kamble R, et al. Vascular involvement in anterior clinoidal meningiomas: Biting the ‘artery’ that feeds. J Clineuro. 2019;184:105413. DOI: 10.1016/j.clineuro.2019.105413
  13. Attia M, Umansky F, Paldor I, et al. Giant anterior clinoidal meningiomas: surgical technique and outcomes. J Neurosurg. 2012;117:654-65. DOI: 10.3171/2012.7.JNS111675
  14. Goel A, Gupta S, Desai K. New grading system to predict resectability of anterior clinoid meningiomas. Neurol Med Chir (Tokyo). 2000;40:610-16. DOI:10.2176/nmc.40.610
  15. Ishikawa M, Nishi S, Aoki T, et al. Predictability of internal carotid artery (ICA) dissectability in cases showing ICA involvement in parasellar meningioma. J Clin Neurosci. 2001;8 (Suppl 1):22-25. DOI:10.1054/jocn.2001.0872
  16. Kim J, Jang W, Jung T, et al. Predictive factors for surgical outcome in the anterior clinoidal meningiomas. Medicine. 2017;96:15(e6594). DOI: 10.1097/MD.00000000000006594
  17. Behari S, Giri PJ, Shukla D, et al. Surgical strategies for giant medial sphenoid wing meningiomas: a new scoring system for predicting the extent of resection. Acta Neurochir (Wien). 2008;150:865-77. DOI:10.1007/s00701-008-0006-6
  18. Nakamura M, Roser F, Jacobs S, et al. Medial sphenoid wing meningiomas; clinical outcome and recurrence rate. Neurosurgery. 2006;58:626-39. DOI:10.227/01.NEU.0000197104.78684.5D