Tentorial meningiomas extending along transverse and sigmoid sinuses to jugular vein bulb

Melchenko SA, Brehuncov MA, Senko IV, Grigoriev IV, Gumin IS, Dolgushin MB, Golodnev GE. Tentorial meningiomas extending along transverse and sigmoid sinuses to jugular vein bulb. Burdenko's Journal of Neurosurgery. 2026;89(1):73‑82. (In Russ., In Engl.)
https://doi.org/10.17116/neiro20269001173

Подписка 2025 Журнал «Вопросы нейрохирургии» имени Н.Н. Бурденко (Burdenko's Journal of Neurosurgery)

Использование инфографики авторами научных работ

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Abstract:

The authors describe 3 patients with tentorial meningiomas (type T6-T7 according to classification by M.G. Yasargil) extending into transverse and sigmoid sinuses towards jugular vein. The authors also analyze foreign experience in the treatment of similar meningiomas and difficulties accompanying choice of treatment strategy for such patients. To preserve functionally significant brain structures and functional status, the authors performed subtotal resection and decompression of caudal nerves within jugular foramen in each case. Neurological symptoms partially regressed in postoperative period in all patients. In long-term follow-up, continued tumor growth in 2 out of 3 patients required redo surgery. Further research of multimodal treatment approach to such patients, including combination of surgery with stereotactic radiotherapy, seems perspective considering close relationship of such meningiomas with functionally significant brain structures, impossibility of safe simultaneous total resection and high probability of continued tumor growth after subtotal resection.

Keywords:

meningioma

dural venous sinus invasion

tentorium

jugular vein

transverse sinus

sigmoid sinus

stereotactic radiosurgery

skull base

Authors:

Melchenko S.A.

Federal Center of Brain and Neurotechnologies

ORCID: 0000-0001-7060-0667

Brehuncov M.A.

Federal Center of Brain and Neurotechnologies;
Pirogov Russian National Research Medical University

ORCID: 0009-0006-6502-5913

Senko I.V.

Federal Center of Brain and Neurotechnologies

ORCID: 0000-0002-5743-8279

Grigoriev I.V.

Federal Center of Brain and Neurotechnologies

ORCID: 0000-0002-1320-5772

Gumin I.S.

Federal Center of Brain and Neurotechnologies;
Medical Scientific Educational Center of Moscow State University

ORCID: 0000-0003-2360-3261

Dolgushin M.B.

Federal Center of Brain and Neurotechnologies

ORCID: 0000-0003-3930-5998

Golodnev G.E.

Pirogov Russian National Research Medical University

ORCID: 0000-0002-3706-7749

Received:

07.11.2024

Accepted:

26.11.2025

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