title: Superior sagittal sinus reconstruction using a femoral venous graft after total removal of a meningioma. Case report.
abstract: OBJECTIVE
  Resection of a parasagittal meningioma invading the superior sagittal sinus (SSS) needs the reconstruction of the sinus by a patch or a venous graft depending of sinus invasion degree.
  
  
  METHODS
  We present here a case of a 21-year-old man who underwent radical removal of a radio-induced parasagittal meningioma totally invading the posterior third of the sinus. For its reconstruction, we used the patient's left superficial femoral vein without valves as an autograft, by realizing two end-to-end anastomoses between the sinus and the graft after an en-bloc removal of the meningioma and the invaded sinus.
  
  
  RESULTS
  Two years after surgery, clinical examination of the patient was strictly normal and the femoral venous graft was still patent on CT angiograms.
  
  
  CONCLUSIONS
  The superficial femoral vein without valves seems to be convenient for SSS reconstruction.
authors: Service de neurochirurgie, centre hospitalier universitaire Timone, 264, rue Saint-Pierre, 13385 Marseille, France. ndesse.neurochir@gmail.com
authors: N
authors: N
authors: Desse
authors: S
authors: S
authors: Malikov
authors: S
authors: S
authors: Fuentes
authors: G
authors: G
authors: Pech-Gourg
authors: T
authors: T
authors: Graillon
authors: H
authors: H
authors: Dufour
mesh_terms: D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D019917:Blood Vessel Prosthesis Implantation; D003131:Combined Modality Therapy; D016371:Cranial Irradiation / Q000009:adverse effects; D005268:Femoral Vein / Q000637:transplantation*; D006407:Hematoma, Epidural, Cranial / Q000209:etiology / Q000601:surgery; D006801:Humans; D033162:Incidental Findings; D008297:Male; D008577:Meningeal Neoplasms / Q000209:etiology / Q000601:surgery*; D008579:Meningioma / Q000209:etiology / Q000601:surgery*; D009381:Neoplasms, Radiation-Induced / Q000601:surgery*; D016609:Neoplasms, Second Primary / Q000209:etiology / Q000601:surgery*; D010211:Papilledema / Q000209:etiology; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery; D054198:Precursor Cell Lymphoblastic Leukemia-Lymphoma / Q000188:drug therapy / Q000532:radiotherapy; D018714:Radiotherapy, Adjuvant / Q000009:adverse effects; D054063:Superior Sagittal Sinus / Q000601:surgery*; D014182:Transplantation, Autologous; D016042:Transplantation, Heterotopic; D055815:Young Adult