Skip to main content

Advertisement

Log in

Visual field restoration after Simpson grade I resection of symptomatic occipital lobe meningioma: illustrative case and review of the literature

  • Review Article - Brain Tumors
  • Published:
Acta Neurochirurgica Aims and scope Submit manuscript

Abstract

Intracranial meningiomas mostly affect patients in their fifth decade and beyond, raising pertinent questions regarding the risk of surgery, particularly in the elderly. Here, we describe the case of a septuagenarian patient with occipital meningioma causing severe visual field cuts that experienced full recovery of the visual function after a Simpson I resection of the lesion. This case illustrates the potential of recovery of the brain, even in the case of severely impaired function in elderly patients. To complete the picture, we review the literature on occipital meningiomas, advocating for systematic reports and increase data collection on post-operative neurological recovery in the elderly.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Abe Y, Maruyama K, Yokoya S, Noguchi A, Sato E, Nagane M, Shiokawa Y (2017) Outcomes of chronic subdural hematoma with preexisting comorbidities causing disturbed consciousness. J Neurosurg 126:1042–1046. https://doi.org/10.3171/2016.3.JNS152957

    Article  PubMed  Google Scholar 

  2. Abuleil D, McCulloch DL, Thompson B (2019) Older adults exhibit greater visual cortex inhibition and reduced visual cortex plasticity compared to younger adults. Front Neurosci 13:607. https://doi.org/10.3389/fnins.2019.00607

    Article  PubMed  PubMed Central  Google Scholar 

  3. Bommakanti K, Somayajula S, Suvarna A, Purohit AK, Mekala S, Chadalawadi SK, Gaddamanugu P (2016) Pre-operative and post-operative cognitive deficits in patients with supratentorial meningiomas. Clin Neurol Neurosurg 143:150–158. https://doi.org/10.1016/j.clineuro.2016.02.033

    Article  PubMed  Google Scholar 

  4. Brodbelt AR, Barclay ME, Greenberg D, Williams M, Jenkinson MD, Karabatsou K (2019) The outcome of patients with surgically treated meningioma in England: 1999-2013. A cancer registry data analysis. Br J Neurosurg 33:641–647. https://doi.org/10.1080/02688697.2019.1661965

    Article  PubMed  Google Scholar 

  5. Corell A, Thurin E, Skoglund T, Farahmand D, Henriksson R, Rydenhag B, Gulati S, Bartek J Jr, Jakola AS (2019) Neurosurgical treatment and outcome patterns of meningioma in Sweden: a nationwide registry-based study. Acta Neurochir 161:333–341. https://doi.org/10.1007/s00701-019-03799-3

    Article  PubMed  Google Scholar 

  6. Dobran M, Marini A, Nasi D, Liverotti V, Benigni R, Costanza MD, Mancini F, Scerrati M (2019) Clinical outcome of patients over 90 years of age treated for chronic subdural hematoma. J Korean Neurosurg Soc. https://doi.org/10.3340/jkns.2018.0011

  7. Ghanimi Zamli AK, Chew-Ean T, Wan Hitam WH (2019) Bilateral inferior altitudinal visual field defect in recurrent intracranial meningioma: a case report. Cureus 11:e4436. https://doi.org/10.7759/cureus.4436

    Article  PubMed  PubMed Central  Google Scholar 

  8. Goldbrunner R, Minniti G, Preusser M, Jenkinson MD, Sallabanda K, Houdart E, von Deimling A, Stavrinou P, Lefranc F, Lund-Johansen M, Moyal EC, Brandsma D, Henriksson R, Soffietti R, Weller M (2016) EANO guidelines for the diagnosis and treatment of meningiomas. Lancet Oncol 17:e383–e391. https://doi.org/10.1016/S1470-2045(16)30321-7

    Article  PubMed  Google Scholar 

  9. Golub D, Mehan ND, Kwan K, Salas SJ, Schulder M (2019) Supracerebellar transtentorial approach for occipital meningioma to maximize visual preservation: technical note. Oper Neurosurg (Hagerstown) 17:E177–E183. https://doi.org/10.1093/ons/opy380

    Article  Google Scholar 

  10. Hasseleid BF, Meling TR, Ronning P, Scheie D, Helseth E (2012) Surgery for convexity meningioma: Simpson grade I resection as the goal: clinical article. J Neurosurg 117:999–1006. https://doi.org/10.3171/2012.9.JNS12294

    Article  PubMed  Google Scholar 

  11. Islim AI, Mohan M, Moon RDC, Rathi N, Kolamunnage-Dona R, Crofton A, Haylock BJ, Mills SJ, Brodbelt AR, Jenkinson MD (2020) Treatment outcomes of incidental intracranial meningiomas: results from the IMPACT cohort. World Neurosurg. https://doi.org/10.1016/j.wneu.2020.03.060

  12. Konglund A, Rogne SG, Helseth E, Meling TR (2013) Meningioma surgery in the very old-validating prognostic scoring systems. Acta Neurochir 155:2263–2271; discussion 2271. https://doi.org/10.1007/s00701-013-1872-0

    Article  PubMed  Google Scholar 

  13. Konglund A, Rogne SG, Lund-Johansen M, Scheie D, Helseth E, Meling TR (2013) Outcome following surgery for intracranial meningiomas in the aging. Acta Neurol Scand 127:161–169. https://doi.org/10.1111/j.1600-0404.2012.01692.x

    Article  CAS  PubMed  Google Scholar 

  14. Lassen B, Helseth E, Ronning P, Scheie D, Johannesen TB, Maehlen J, Langmoen IA, Meling TR (2011) Surgical mortality at 30 days and complications leading to recraniotomy in 2630 consecutive craniotomies for intracranial tumors. Neurosurgery 68:1259–1268; discussion 1268-1259. https://doi.org/10.1227/NEU.0b013e31820c0441

    Article  PubMed  Google Scholar 

  15. Le Beau J, Wolinetz E, Rosier M (1952) Phenomenon of the preservation of visual images in a case of right occipital meningioma. Rev Neurol (Paris) 86:692–695

    Google Scholar 

  16. Lehmann G, Bremond J, Rabaud C, Paillas JE (1975) Space-occupying lesions of the occupital lobe of the cerebral cortex. Neurochirurgie 21:55–79

    CAS  PubMed  Google Scholar 

  17. Liouta E, Koutsarnakis C, Liakos F, Stranjalis G (2016) Effects of intracranial meningioma location, size, and surgery on neurocognitive functions: a 3-year prospective study. J Neurosurg 124:1578–1584. https://doi.org/10.3171/2015.6.JNS1549

    Article  PubMed  Google Scholar 

  18. Macarez R, Bazin S, Civit T, Grubain S, de la Marnierre E, Huu DT, Guigon B (2003) Postoperative visual improvement in spheno-orbital meningioma: a case report. J Fr Ophtalmol 26:375–380

    CAS  PubMed  Google Scholar 

  19. Matavulj N, Thiebaut F (1956) Study of the visual field following removal of an occipital meningioma. Rev Otoneuroophtalmol 28:88–91

    CAS  PubMed  Google Scholar 

  20. Munoz-Bendix C, Pannewitz R, Remmel D, Steiger HJ, Turowski B, Slotty PJ, Kamp MA (2017) Outcome following surgical treatment of chronic subdural hematoma in the oldest-old population. Neurosurg Rev 40:461–468. https://doi.org/10.1007/s10143-016-0803-y

    Article  PubMed  Google Scholar 

  21. Patra DP, Savardekar AR, Dossani RH, Narayan V, Mohammed N, Nanda A (2018) Meningioma: the tumor that taught us neurosurgery. World Neurosurg 118:342–347. https://doi.org/10.1016/j.wneu.2018.06.017

    Article  PubMed  Google Scholar 

  22. Pauwels L, Chalavi S, Swinnen SP (2018) Aging and brain plasticity. Aging (Albany NY) 10:1789–1790. https://doi.org/10.18632/aging.101514

    Article  Google Scholar 

  23. Rogne SG, Konglund A, Meling TR, Scheie D, Johannesen TB, Ronning P, Helseth E (2009) Intracranial tumor surgery in patients >70 years of age: is clinical practice worthwhile or futile? Acta Neurol Scand 120:288–294. https://doi.org/10.1111/j.1600-0404.2009.01157.x

    Article  CAS  PubMed  Google Scholar 

  24. Umemura T, Hachisuka K, Miyachi H, Nishizawa S, Yamamoto J (2020) Clinical outcomes of cerebral infarction in nonagenarians compared among four age groups. Neurol Sci. https://doi.org/10.1007/s10072-020-04348-y

  25. Uno M, Toi H, Hirai S (2017) Chronic subdural hematoma in elderly patients: is this disease benign? Neurol Med Chir (Tokyo) 57:402–409. https://doi.org/10.2176/nmc.ra.2016-0337

    Article  Google Scholar 

  26. Wright AD (1939) Tumours of the parietal and occipital lobes. Postgrad Med J 15:179–182. https://doi.org/10.1136/pgmj.15.163.179

    Article  CAS  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Contributions

Data collection: M.V.C., T.R.M.

Review of the literature: M.V.C.

Manuscript drafting: M.V.C.

Critical revision: all authors

Corresponding author

Correspondence to Marco V. Corniola.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee (CCER/2020-00235) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

For this type of study, formal consent is not required.

Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Submission statement

The present work is original and has not been submitted elsewhere in part or whole.

This article is part of the Topical Collection on Brain Tumors

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Corniola, M.V., Bouthour, W., Vargas, MI. et al. Visual field restoration after Simpson grade I resection of symptomatic occipital lobe meningioma: illustrative case and review of the literature. Acta Neurochir 163, 67–71 (2021). https://doi.org/10.1007/s00701-020-04569-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00701-020-04569-2

Keywords

Navigation