“The Silk Road” via subarachnoid cisterns

Meningiomas are generally slow-growing extra-axial benign tumours and in rare cases they can metastasize both neural and extra-neural. Intracranial meningiomas with leptomeningeal dissemination are extremely rare and the exact pathogenesis still remains unknown. The aim of this review is to analyse...

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Main Authors: A. I. Cucu, Mihaela Dana Turliuc, Claudia Florida Costea, B. Costăchescu, Cristina Mihaela Ghiciuc, B. Dobrovăț, Camelia Margareta Bogdănici, Daniela Maria Tănase, Gabriela Florența Dumitrescu, Anca Sava, I. Poeată
Format: Article
Language:English
Published: London Academic Publishing 2019-09-01
Series:Romanian Neurosurgery
Subjects:
Online Access:https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/1176
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author A. I. Cucu
Mihaela Dana Turliuc
Claudia Florida Costea
B. Costăchescu
Cristina Mihaela Ghiciuc
B. Dobrovăț
Camelia Margareta Bogdănici
Daniela Maria Tănase
Gabriela Florența Dumitrescu
Anca Sava
I. Poeată
author_facet A. I. Cucu
Mihaela Dana Turliuc
Claudia Florida Costea
B. Costăchescu
Cristina Mihaela Ghiciuc
B. Dobrovăț
Camelia Margareta Bogdănici
Daniela Maria Tănase
Gabriela Florența Dumitrescu
Anca Sava
I. Poeată
author_sort A. I. Cucu
collection DOAJ
description Meningiomas are generally slow-growing extra-axial benign tumours and in rare cases they can metastasize both neural and extra-neural. Intracranial meningiomas with leptomeningeal dissemination are extremely rare and the exact pathogenesis still remains unknown. The aim of this review is to analyse the pathways of intracranial and spinal metastatic spread of intracranial meningiomas and to discuss their particular clinical and pathological features. We highlight the fact that there is a possibility of leptomeningeal dissemination, even if cerebrospinal fluid cytology is negative, in patients with a medical history of a resected meningioma. We identified three possible ways of dissemination: haematogenous, through the CSF, or during surgery. From a histopathological point of view, the more malignant the meningioma, the more likely its leptomeningeal dissemination.
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spelling doaj.art-08a7d15c99e94c698c17da5af646a3aa2022-12-22T00:36:43ZengLondon Academic PublishingRomanian Neurosurgery1220-88412344-49592019-09-0133310.33962/roneuro-2019-043“The Silk Road” via subarachnoid cisternsA. I. CucuMihaela Dana TurliucClaudia Florida CosteaB. CostăchescuCristina Mihaela GhiciucB. DobrovățCamelia Margareta BogdăniciDaniela Maria TănaseGabriela Florența DumitrescuAnca SavaI. PoeatăMeningiomas are generally slow-growing extra-axial benign tumours and in rare cases they can metastasize both neural and extra-neural. Intracranial meningiomas with leptomeningeal dissemination are extremely rare and the exact pathogenesis still remains unknown. The aim of this review is to analyse the pathways of intracranial and spinal metastatic spread of intracranial meningiomas and to discuss their particular clinical and pathological features. We highlight the fact that there is a possibility of leptomeningeal dissemination, even if cerebrospinal fluid cytology is negative, in patients with a medical history of a resected meningioma. We identified three possible ways of dissemination: haematogenous, through the CSF, or during surgery. From a histopathological point of view, the more malignant the meningioma, the more likely its leptomeningeal dissemination.https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/1176meningiomametastatic spreadCSF disseminated meningioma
spellingShingle A. I. Cucu
Mihaela Dana Turliuc
Claudia Florida Costea
B. Costăchescu
Cristina Mihaela Ghiciuc
B. Dobrovăț
Camelia Margareta Bogdănici
Daniela Maria Tănase
Gabriela Florența Dumitrescu
Anca Sava
I. Poeată
“The Silk Road” via subarachnoid cisterns
Romanian Neurosurgery
meningioma
metastatic spread
CSF disseminated meningioma
title “The Silk Road” via subarachnoid cisterns
title_full “The Silk Road” via subarachnoid cisterns
title_fullStr “The Silk Road” via subarachnoid cisterns
title_full_unstemmed “The Silk Road” via subarachnoid cisterns
title_short “The Silk Road” via subarachnoid cisterns
title_sort the silk road via subarachnoid cisterns
topic meningioma
metastatic spread
CSF disseminated meningioma
url https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/1176
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