{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T19:20:09Z","timestamp":1773343209653,"version":"3.50.1"},"reference-count":44,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"13","license":[{"start":{"date-parts":[[2025,3,31]],"date-time":"2025-03-31T00:00:00Z","timestamp":1743379200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Cosmet Laser Ther"],"published-print":{"date-parts":[[2025,3,31]]},"abstract":"\n BACKGROUND<\/jats:title>\n Meningiomas are typically benign, slow-growing tumors, but in rare cases, they can also cause symptomatic compression of cerebral arteries, potentially leading to stroke. Historically, management of such cases often required supplementary revascularization procedures. This report reviews cerebral artery compression secondary to meningiomas and presents a case of a left sphenoid wing meningioma causing compression of the left middle cerebral artery (MCA) with resulting acute neurological deficits, which resolved after emergency tumor resection and blood pressure optimization.<\/jats:p>\n <\/jats:sec>\n \n OBSERVATIONS<\/jats:title>\n A 28-year-old female with a history of migraines presented with acute right hemiplegia, numbness, and dysarthria (National Institutes of Health Stroke Scale score 11). Imaging revealed a 4.5-cm dura-based mass in the left middle cranial fossa, displacing and compressing the left MCA, with early signs of infarction. An angiogram revealed limited treatment options, and she underwent an urgent left frontal craniotomy for tumor resection and neurovascular decompression. Pathological examination confirmed meningioma. Following surgery, she experienced near-complete recovery of motor and language function.<\/jats:p>\n <\/jats:sec>\n \n LESSONS<\/jats:title>\n Meningiomas are a rare cause of symptomatic MCA stenosis. While revascularization strategies have been described, surgical decompression can potentially provide rapid neurological improvement. Urgent tumor resection with medical optimization should be considered as an effective treatment strategy for symptomatic meningioma-induced cerebral artery stenosis.<\/jats:p>\n \n https:\/\/thejns.org\/doi\/10.3171\/CASE2515<\/jats:ext-link>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.3171\/case2515","type":"journal-article","created":{"date-parts":[[2025,3,31]],"date-time":"2025-03-31T23:49:46Z","timestamp":1743464986000},"source":"Crossref","is-referenced-by-count":1,"title":["Resection of sphenoid wing meningioma with blood pressure augmentation reverses acute symptomatic left middle cerebral artery syndrome: illustrative case"],"prefix":"10.3171","volume":"9","author":[{"given":"Christiana O.","family":"Oshotse","sequence":"first","affiliation":[{"name":"Harvard Medical School, Boston, Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Evan","family":"McNeil","sequence":"additional","affiliation":[{"name":"Harvard Medical School, Boston, Massachusetts"},{"name":"Division of Neurosurgery, Beth Israel Deaconess Medical Center, Boston, Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rafael A.","family":"Vega","sequence":"additional","affiliation":[{"name":"Harvard Medical School, Boston, Massachusetts"},{"name":"Division of Neurosurgery, Beth Israel Deaconess Medical Center, Boston, Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"5","key":"bib1","series-title":"Neurol Clin Pract","first-page":"e37","article-title":"Stuttering lacunar infarction captured on serial MRIs","volume":"6","author":"Tahsili-Fahadan","year":"2016","unstructured":"Tahsili-Fahadan PSimpkins ANLeigh RMerino JG.Stuttering lacunar infarction captured on serial MRIs. Neurol Clin Pract. 2016;6(5):e37-e39."},{"issue":"8","key":"bib2","series-title":"J Stroke Cerebrovasc Dis","first-page":"104871","article-title":"Differences in presenting symptoms of acute stroke among young and older adults","volume":"29","author":"Huggins","year":"2020","unstructured":"Huggins HEBrady MEmma JPThaler DELeung LY.Differences in presenting symptoms of acute stroke among young and older adults. J Stroke Cerebrovasc Dis. 2020;29(8):104871."},{"issue":"1","key":"bib3","series-title":"Acta Neurochir","first-page":"305","article-title":"Cranial stair-step incision for minimizing postoperative complications in neuro-oncologic surgery: a propensity score-matched analysis","volume":"166","author":"Park","year":"2024","unstructured":"Park JBFilo JRahmani BCranial stair-step incision for minimizing postoperative complications in neuro-oncologic surgery: a propensity score-matched analysis. Acta Neurochir. 2024;166(1):305."},{"issue":"2","key":"bib4","series-title":"Virchows Arch","first-page":"415","article-title":"Calcifying pseudoneoplasm of neuroaxis (CAPNON): a comprehensive immunohistochemical and morphological characterization of five cases","volume":"480","author":"Soukup","year":"2022","unstructured":"Soukup JKohout AVosmikova HCalcifying pseudoneoplasm of neuroaxis (CAPNON): a comprehensive immunohistochemical and morphological characterization of five cases. Virchows Arch. 2022;480(2):415-423."},{"key":"bib5","series-title":"Front Oncol","first-page":"962702","article-title":"Molecular determinants of outcomes in meningiomas","volume":"12","author":"Lynes","year":"2022","unstructured":"Lynes JFlores-Milan GRubino SMolecular determinants of outcomes in meningiomas. Front Oncol. 2022;12:962702."},{"issue":"7","key":"bib6","series-title":"AJNR Am J Neuroradiol","first-page":"1532","article-title":"Symptomatic stenosis of the cavernous portion of the internal carotid artery due to an irresectable medial sphenoid wing meningioma: treatment by endovascular stent placement","volume":"27","author":"Heye","year":"2006","unstructured":"Heye SMaleux GVan Loon JWilms G.Symptomatic stenosis of the cavernous portion of the internal carotid artery due to an irresectable medial sphenoid wing meningioma: treatment by endovascular stent placement. AJNR Am J Neuroradiol. 2006;27(7):1532-1534."},{"issue":"12","key":"bib7","series-title":"Lancet Neurol","first-page":"1045","article-title":"Histological classification and molecular genetics of meningiomas","volume":"5","author":"Riemenschneider","year":"2006","unstructured":"Riemenschneider MJPerry AReifenberger G.Histological classification and molecular genetics of meningiomas. Lancet Neurol. 2006;5(12):1045-1054."},{"issue":"1","key":"bib8","series-title":"Brain Tumor Pathol","first-page":"13","article-title":"Noda M. Dural invasion of meningioma: a histological and immunohistochemical study","volume":"23","author":"Nagashima","year":"2006","unstructured":"Nagashima GFujimoto TSuzuki RAsai JItokawa HNoda M.Noda M. Dural invasion of meningioma: a histological and immunohistochemical study. Brain Tumor Pathol. 2006;23(1):13-17."},{"issue":"2","key":"bib9","series-title":"Hum Pathol","first-page":"260","article-title":"Differential expression of extracellular matrix-related genes in rare variants of meningioma","volume":"44","author":"Kwon","year":"2013","unstructured":"Kwon MJSung COKang SYDo IGSuh YL.Differential expression of extracellular matrix-related genes in rare variants of meningioma. Hum Pathol. 2013;44(2):260-268."},{"issue":"1","key":"bib10","series-title":"Med Oncol","first-page":"439","article-title":"Overexpression of cyclin D1 in meningioma is associated with malignancy grade and causes abnormalities in apoptosis, invasion and cell cycle progression","volume":"32","author":"Cheng","year":"2015","unstructured":"Cheng GZhang LLv WDong CWang YZhang J.Overexpression of cyclin D1 in meningioma is associated with malignancy grade and causes abnormalities in apoptosis, invasion and cell cycle progression. Med Oncol. 2015;32(1):439."},{"issue":"5","key":"bib11","series-title":"Clin Neuropathol","first-page":"352","article-title":"Microvascularization and expression of VEGF and its receptors in recurring meningiomas: pathobiological data in favor of anti-angiogenic therapy approaches","volume":"31","author":"Preusser","year":"2012","unstructured":"Preusser MHassler MBirner PMicrovascularization and expression of VEGF and its receptors in recurring meningiomas: pathobiological data in favor of anti-angiogenic therapy approaches. Clin Neuropathol. 2012;31(5):352-360."},{"issue":"3","key":"bib12","series-title":"Rev Neurol","first-page":"157","article-title":"Presurgical endovascular treatment of symptomatic carotid stenosis caused by a meningioma of the planum sphenoidale","volume":"56","author":"Fernandez-Valverde","year":"2013","unstructured":"Fernandez-Valverde FJimenez-Gomez ERoldan-Romero EBravo-Rodriguez F.Presurgical endovascular treatment of symptomatic carotid stenosis caused by a meningioma of the planum sphenoidale. Article in Spanish. Rev Neurol. 2013;56(3):157-160."},{"issue":"2","key":"bib13","series-title":"J Korean Neurosurg Soc","first-page":"99","article-title":"Sphenoid ridge meningioma presenting as acute cerebral infarction","volume":"55","author":"Ko","year":"2014","unstructured":"Ko JKCha SHChoi CH.Sphenoid ridge meningioma presenting as acute cerebral infarction. J Korean Neurosurg Soc. 2014;55(2):99-102."},{"issue":"1","key":"bib14","series-title":"J Stroke","first-page":"114","article-title":"Petroclival meningioma accompanying posterior cerebral artery infarction","volume":"18","author":"Kim","year":"2016","unstructured":"Kim BJLee DHKang DW.Petroclival meningioma accompanying posterior cerebral artery infarction. J Stroke. 2016;18(1):114-116."},{"issue":"1","key":"bib15","series-title":"J Neurol Neurosurg Psychiatry","first-page":"136","article-title":"Meningioma presenting as stroke: report of two cases and estimation of incidence","volume":"74","author":"Komotar","year":"2003","unstructured":"Komotar RJKeswani SCWityk RJ.Meningioma presenting as stroke: report of two cases and estimation of incidence. J Neurol Neurosurg Psychiatry. 2003;74(1):136-137."},{"issue":"1","key":"bib16","series-title":"Neurosurg Cases Rev","first-page":"140","article-title":"Meningioma presenting as ischemic stroke: case report and review of literature","volume":"6","author":"Gopal Raman","year":"2023","unstructured":"Gopal Raman SPrakash PPrasanna KMeningioma presenting as ischemic stroke: case report and review of literature. Neurosurg Cases Rev. 2023;6(1):140."},{"issue":"7","key":"bib17","series-title":"Neurol Med Chir (Tokyo)","first-page":"585","article-title":"Meningioma manifesting as cerebral infarction","volume":"50","author":"Masuoka","year":"2010","unstructured":"Masuoka JYoshioka FOhgushi HKawashima MMatsushima T.Meningioma manifesting as cerebral infarction. Neurol Med Chir (Tokyo). 2010;50(7):585-587."},{"issue":"6","key":"bib18","series-title":"Neurochirurgie","first-page":"391","article-title":"Limits of preventive extra-intracranial anastomoses. A propos of a meningioma of the clinoid process with stenosis of the internal carotid artery","volume":"28","author":"Fardoun","year":"1982","unstructured":"Fardoun RMercier PGuy G.Limits of preventive extra-intracranial anastomoses. A propos of a meningioma of the clinoid process with stenosis of the internal carotid artery. Article in French. Neurochirurgie. 1982;28(6):391-393."},{"issue":"24","key":"bib19","series-title":"Med (Baltim)","first-page":"e11123","article-title":"Extracranial-intracranial bypass in medial sphenoid ridge meningioma associated with severe stenosis of the intracranial segments of the internal carotid artery: a case report","volume":"97","author":"Huang","year":"2018","unstructured":"Huang YWang ZHan Q.Extracranial-intracranial bypass in medial sphenoid ridge meningioma associated with severe stenosis of the intracranial segments of the internal carotid artery: a case report. Med (Baltim). 2018;97(24):e11123."},{"issue":"3","key":"bib20","series-title":"Interv Neuroradiol","first-page":"391","article-title":"Endovascular angioplasty before resection of a sphenoidal meningioma with vascular encasement","volume":"17","author":"Chivoret","year":"2011","unstructured":"Chivoret NFontaine DLachaud SChau YSedat J.Endovascular angioplasty before resection of a sphenoidal meningioma with vascular encasement. Interv Neuroradiol. 2011;17(3):391-394."},{"key":"bib21","series-title":"Case Rep Neurol Med","first-page":"652538","article-title":"A rare cause of stroke in young adults: occlusion of the middle cerebral artery by a meningioma postpartum","volume":"2013","author":"Mathis","year":"2013","unstructured":"Mathis SBataille BBoucebci SA rare cause of stroke in young adults: occlusion of the middle cerebral artery by a meningioma postpartum. Case Rep Neurol Med. 2013;2013:652538."},{"issue":"14 suppl","key":"bib22","series-title":"Neurology","first-page":"P1.021","article-title":"A rare case of transient ischemic attacks and acute ischemic stroke from left intracranial arteries encased in meningioma","volume":"P1","author":"Tantikittichaikul","year":"2015","unstructured":"Tantikittichaikul SLaengvejkal PEldokla AKim J.A rare case of transient ischemic attacks and acute ischemic stroke from left intracranial arteries encased in meningioma. (P1.021). Neurology. 2015;84(14 suppl):P1.021."},{"issue":"5","key":"bib1","series-title":"Neurol Clin Pract","first-page":"e37","article-title":"Stuttering lacunar infarction captured on serial MRIs","volume":"6","author":"Tahsili-Fahadan","year":"2016","unstructured":"Tahsili-Fahadan PSimpkins ANLeigh RMerino JG.Stuttering lacunar infarction captured on serial MRIs. Neurol Clin Pract. 2016;6(5):e37-e39."},{"issue":"8","key":"bib2","series-title":"J Stroke Cerebrovasc Dis","first-page":"104871","article-title":"Differences in presenting symptoms of acute stroke among young and older adults","volume":"29","author":"Huggins","year":"2020","unstructured":"Huggins HEBrady MEmma JPThaler DELeung LY.Differences in presenting symptoms of acute stroke among young and older adults. J Stroke Cerebrovasc Dis. 2020;29(8):104871."},{"issue":"1","key":"bib3","series-title":"Acta Neurochir","first-page":"305","article-title":"Cranial stair-step incision for minimizing postoperative complications in neuro-oncologic surgery: a propensity score-matched analysis","volume":"166","author":"Park","year":"2024","unstructured":"Park JBFilo JRahmani BCranial stair-step incision for minimizing postoperative complications in neuro-oncologic surgery: a propensity score-matched analysis. Acta Neurochir. 2024;166(1):305."},{"issue":"2","key":"bib4","series-title":"Virchows Arch","first-page":"415","article-title":"Calcifying pseudoneoplasm of neuroaxis (CAPNON): a comprehensive immunohistochemical and morphological characterization of five cases","volume":"480","author":"Soukup","year":"2022","unstructured":"Soukup JKohout AVosmikova HCalcifying pseudoneoplasm of neuroaxis (CAPNON): a comprehensive immunohistochemical and morphological characterization of five cases. Virchows Arch. 2022;480(2):415-423."},{"key":"bib5","series-title":"Front Oncol","first-page":"962702","article-title":"Molecular determinants of outcomes in meningiomas","volume":"12","author":"Lynes","year":"2022","unstructured":"Lynes JFlores-Milan GRubino SMolecular determinants of outcomes in meningiomas. Front Oncol. 2022;12:962702."},{"issue":"7","key":"bib6","series-title":"AJNR Am J Neuroradiol","first-page":"1532","article-title":"Symptomatic stenosis of the cavernous portion of the internal carotid artery due to an irresectable medial sphenoid wing meningioma: treatment by endovascular stent placement","volume":"27","author":"Heye","year":"2006","unstructured":"Heye SMaleux GVan Loon JWilms G.Symptomatic stenosis of the cavernous portion of the internal carotid artery due to an irresectable medial sphenoid wing meningioma: treatment by endovascular stent placement. AJNR Am J Neuroradiol. 2006;27(7):1532-1534."},{"issue":"12","key":"bib7","series-title":"Lancet Neurol","first-page":"1045","article-title":"Histological classification and molecular genetics of meningiomas","volume":"5","author":"Riemenschneider","year":"2006","unstructured":"Riemenschneider MJPerry AReifenberger G.Histological classification and molecular genetics of meningiomas. Lancet Neurol. 2006;5(12):1045-1054."},{"issue":"1","key":"bib8","series-title":"Brain Tumor Pathol","first-page":"13","article-title":"Noda M. Dural invasion of meningioma: a histological and immunohistochemical study","volume":"23","author":"Nagashima","year":"2006","unstructured":"Nagashima GFujimoto TSuzuki RAsai JItokawa HNoda M.Noda M. Dural invasion of meningioma: a histological and immunohistochemical study. Brain Tumor Pathol. 2006;23(1):13-17."},{"issue":"2","key":"bib9","series-title":"Hum Pathol","first-page":"260","article-title":"Differential expression of extracellular matrix-related genes in rare variants of meningioma","volume":"44","author":"Kwon","year":"2013","unstructured":"Kwon MJSung COKang SYDo IGSuh YL.Differential expression of extracellular matrix-related genes in rare variants of meningioma. Hum Pathol. 2013;44(2):260-268."},{"issue":"1","key":"bib10","series-title":"Med Oncol","first-page":"439","article-title":"Overexpression of cyclin D1 in meningioma is associated with malignancy grade and causes abnormalities in apoptosis, invasion and cell cycle progression","volume":"32","author":"Cheng","year":"2015","unstructured":"Cheng GZhang LLv WDong CWang YZhang J.Overexpression of cyclin D1 in meningioma is associated with malignancy grade and causes abnormalities in apoptosis, invasion and cell cycle progression. Med Oncol. 2015;32(1):439."},{"issue":"5","key":"bib11","series-title":"Clin Neuropathol","first-page":"352","article-title":"Microvascularization and expression of VEGF and its receptors in recurring meningiomas: pathobiological data in favor of anti-angiogenic therapy approaches","volume":"31","author":"Preusser","year":"2012","unstructured":"Preusser MHassler MBirner PMicrovascularization and expression of VEGF and its receptors in recurring meningiomas: pathobiological data in favor of anti-angiogenic therapy approaches. Clin Neuropathol. 2012;31(5):352-360."},{"issue":"3","key":"bib12","series-title":"Rev Neurol","first-page":"157","article-title":"Presurgical endovascular treatment of symptomatic carotid stenosis caused by a meningioma of the planum sphenoidale","volume":"56","author":"Fernandez-Valverde","year":"2013","unstructured":"Fernandez-Valverde FJimenez-Gomez ERoldan-Romero EBravo-Rodriguez F.Presurgical endovascular treatment of symptomatic carotid stenosis caused by a meningioma of the planum sphenoidale. Article in Spanish. Rev Neurol. 2013;56(3):157-160."},{"issue":"2","key":"bib13","series-title":"J Korean Neurosurg Soc","first-page":"99","article-title":"Sphenoid ridge meningioma presenting as acute cerebral infarction","volume":"55","author":"Ko","year":"2014","unstructured":"Ko JKCha SHChoi CH.Sphenoid ridge meningioma presenting as acute cerebral infarction. J Korean Neurosurg Soc. 2014;55(2):99-102."},{"issue":"1","key":"bib14","series-title":"J Stroke","first-page":"114","article-title":"Petroclival meningioma accompanying posterior cerebral artery infarction","volume":"18","author":"Kim","year":"2016","unstructured":"Kim BJLee DHKang DW.Petroclival meningioma accompanying posterior cerebral artery infarction. J Stroke. 2016;18(1):114-116."},{"issue":"1","key":"bib15","series-title":"J Neurol Neurosurg Psychiatry","first-page":"136","article-title":"Meningioma presenting as stroke: report of two cases and estimation of incidence","volume":"74","author":"Komotar","year":"2003","unstructured":"Komotar RJKeswani SCWityk RJ.Meningioma presenting as stroke: report of two cases and estimation of incidence. J Neurol Neurosurg Psychiatry. 2003;74(1):136-137."},{"issue":"1","key":"bib16","series-title":"Neurosurg Cases Rev","first-page":"140","article-title":"Meningioma presenting as ischemic stroke: case report and review of literature","volume":"6","author":"Gopal Raman","year":"2023","unstructured":"Gopal Raman SPrakash PPrasanna KMeningioma presenting as ischemic stroke: case report and review of literature. Neurosurg Cases Rev. 2023;6(1):140."},{"issue":"7","key":"bib17","series-title":"Neurol Med Chir (Tokyo)","first-page":"585","article-title":"Meningioma manifesting as cerebral infarction","volume":"50","author":"Masuoka","year":"2010","unstructured":"Masuoka JYoshioka FOhgushi HKawashima MMatsushima T.Meningioma manifesting as cerebral infarction. Neurol Med Chir (Tokyo). 2010;50(7):585-587."},{"issue":"6","key":"bib18","series-title":"Neurochirurgie","first-page":"391","article-title":"Limits of preventive extra-intracranial anastomoses. A propos of a meningioma of the clinoid process with stenosis of the internal carotid artery","volume":"28","author":"Fardoun","year":"1982","unstructured":"Fardoun RMercier PGuy G.Limits of preventive extra-intracranial anastomoses. A propos of a meningioma of the clinoid process with stenosis of the internal carotid artery. Article in French. Neurochirurgie. 1982;28(6):391-393."},{"issue":"24","key":"bib19","series-title":"Med (Baltim)","first-page":"e11123","article-title":"Extracranial-intracranial bypass in medial sphenoid ridge meningioma associated with severe stenosis of the intracranial segments of the internal carotid artery: a case report","volume":"97","author":"Huang","year":"2018","unstructured":"Huang YWang ZHan Q.Extracranial-intracranial bypass in medial sphenoid ridge meningioma associated with severe stenosis of the intracranial segments of the internal carotid artery: a case report. Med (Baltim). 2018;97(24):e11123."},{"issue":"3","key":"bib20","series-title":"Interv Neuroradiol","first-page":"391","article-title":"Endovascular angioplasty before resection of a sphenoidal meningioma with vascular encasement","volume":"17","author":"Chivoret","year":"2011","unstructured":"Chivoret NFontaine DLachaud SChau YSedat J.Endovascular angioplasty before resection of a sphenoidal meningioma with vascular encasement. Interv Neuroradiol. 2011;17(3):391-394."},{"key":"bib21","series-title":"Case Rep Neurol Med","first-page":"652538","article-title":"A rare cause of stroke in young adults: occlusion of the middle cerebral artery by a meningioma postpartum","volume":"2013","author":"Mathis","year":"2013","unstructured":"Mathis SBataille BBoucebci SA rare cause of stroke in young adults: occlusion of the middle cerebral artery by a meningioma postpartum. Case Rep Neurol Med. 2013;2013:652538."},{"issue":"14 suppl","key":"bib22","series-title":"Neurology","first-page":"P1.021","article-title":"A rare case of transient ischemic attacks and acute ischemic stroke from left intracranial arteries encased in meningioma","volume":"P1","author":"Tantikittichaikul","year":"2015","unstructured":"Tantikittichaikul SLaengvejkal PEldokla AKim J.A rare case of transient ischemic attacks and acute ischemic stroke from left intracranial arteries encased in meningioma. (P1.021). 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