[Superior sagittal sinus occlusion due to calvarial metastasis of renal cell carcinoma: 2 cases report].
We report two cases of superior sagittal sinus (SSS) occlusion due to calvarial metastasis of renal cell carcinoma. Both cases were presented with bulging of the skull. No stigmata of increased intracranial pressure was detected. Cerebral angiogram showed the occlusion of the SSS. Tumor cells did not penetrate into the dura mater nor the galea and the tumors were able to be removed easily in both cases. One case without collateral circulation showed recanalization of the SSS on the postoperative angiography. Another case with development of collateral circulation did not show recanalization of SSS on the postoperative magnetic resonance angiography. In the latter case, cortical veins flowed into the occluded portion. We consider that SSS should be preserved to prevent venous congestion in the cases where collateral circulation has not developed.
Fujimoto
K
K
Department of Neurosurgery, Osaka Prefectural Hospital.
Kawai
S
S
Watabe
Y
Y
Chitoku
S
S
Nikaido
Y
Y
D000368:Aged; D002292:Carcinoma, Renal Cell / Q000556:secondary* / Q000601:surgery; D003251:Constriction, Pathologic / Q000209:etiology; D003392:Cranial Sinuses / Q000473:pathology*; D017809:Fatal Outcome; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D012888:Skull Neoplasms / Q000556:secondary* / Q000601:surgery