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.

Method: 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.

Conclusion: The superficial femoral vein without valves seems to be convenient for SSS reconstruction.