RESECTION AND REPLACEMENT OF THE SUPERIOR SAGITTAL SINUS FOR TREATMENT OF A PARASAGITTAL MENINGIOMA - TECHNICAL CASE-REPORT

WE REPORT A case of the complete resection of a parasagittal meningiom a, including an 8-cm length of the superior sagittal sinus and adjacen t dura. Flow through the sagittal sinus was reestablished through an i nterposed saphenous vein graft. Intraoperative angiography confirmed i mmediate patency of the graft, as did delayed angiography performed at 8 days. Follow-up magnetic resonance angiography 9 months after surge ry demonstrated continued patency of the graft. Sagittal sinus replace ment with a vein graft can be safely performed during Simpson Grade I resection of parasagittal meningiomas.