Virtual assessment of a possible meningioma in a Roman-period cranium

  1. Rodríguez-Iglesias, Daniel
  2. Pantoja-Pérez, Ana
  3. Fernández-Colón, Pilar
  4. Pablos, Adrián
  5. Alcaraz-Castaño, Manuel
  6. Sala, Nohemi
Revista:
Virtual Archaeology Review

ISSN: 1989-9947

Año de publicación: 2023

Volumen: 14

Número: 29

Páginas: 14-25

Tipo: Artículo

DOI: 10.4995/VAR.2023.19680 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Virtual Archaeology Review

Objetivos de desarrollo sostenible

Resumen

Diseases have accompanied human populations since prehistoric times. Knowing the paleopathologies and their consequences derived from them can help us to understand their impact and how have been decisive in our ancestors' ways of life. Taphonomic and paleopathological studies are key to understanding how injuries occurred; they can provide information on causes of death, analyzed populations behaviour, such as the existence of interpersonal conflicts or how they took the care of the sick. Those studies also confirm the existence of certain diseases, mentioned in the archaeological record. This paper explains the analysis of four lesions found in a Roman-era cranium from Sima de Marcenejas, located in Northern Spain. An anthropological analysis of this cranium has revealed that it corresponds to an adult male individual. This work focuses on the differential diagnosis of the lesions, to be able to discern the most likely aetiologies. The following techniques have been implemented: classical morphological analysis, forensic taphonomic analysis and virtual analysis. MicroCT and 3D microscopy have been used as essential tools for the virtual analysis of the cranium and its lesions. The results obtained revealed the existence of a tumour and three exocranial traumas, all of them antemortem. The location of the tumour, as well as its morphology together with other aspects, support the meningioma as the most probable tumour type. This possible ancient meningioma represents the first case for these chronologies on the Iberian Peninsula, where there are few documented cases. The three traumatic lesions reveal the existence of injuries produced by both, blunt and sharp objects, related to events of interpersonal violence. By applying virtual 3D analyses, the researchers have demonstrated that it is viable to identify tumours in those internal cranial regions, where the lesion is not visible, thus providing new comparative data for the paleopathological record of past populations. Highlights: Meningiomas are rare in the archaeological record which complicates tracing themin ancient human populations. The use of computerized microtomography (MicroCT) and virtual 3D models makes it possible to identify tumoursin those internal cranial regions where the lesions are not visible. Paleopathological analysis of a Roman cranium has revealed, in addition to cranial trauma, a new possible case of meningioma.

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Referencias bibliográficas

  • Arbizu, J., Domínguez, P. D., Diez-Valle, R., Vigil, C., García-Eulate, R., Zubieta, J. L., & Richter, J. A. (2011). Neuroimagen de los tumores cerebrales. Revista Española de Medicina Nuclear, 30(1), 47–65. https://doi.org/10.1016/j.remn.2010.11.001
  • Berger, T. D., & Trinkaus, E. (1995). Patterns of trauma among the Neandertals. Journal of Archaeological Science, 22, 841–852. https://doi.org/10.1016/0305-4403(95)90013-6.
  • Bourekas, E. C., Cohen, M. L., Kamen, C. S., Tarr, R. W., Lanzieri, C. F., & Lewin, J. S. (1996). Malignant Hemangioendothelioma (Angiosarcoma) of the Skull: Plain Film, CT, and MR Appearance. American Journal of Neuroradiology, 17, 1946–1948.
  • Brothwell, M., & Brothwell, D. (2016). Evidence for ancient meningiomas and a probable case from Medieval Tarbat, Scotland. International Journal of Paleopathology, 13, 65–69. https://doi.org/10.1016/j.ijpp.2016.01.004
  • Brotwell, D. (1965). Digging up bones. The excavation, treatment and study of human skeletal remains. New York: Cornelll University Press.
  • Campillo, D. (1991). The possibility of diagnosing meningiomas in palaeopathology. International Journal of Osteoarchaeology, 1(3–4), 225–230. https://doi.org/10.1002/oa.1390010315
  • Campillo, D. (1993). Paleopatología. Los primeros vestigios de la enfermedad. Barcelona: Fundación Uriach.
  • Casas Parera, I., Báez, A., Banfi, N., Blumenkrantz, Y., Halfon, M. J., Barros, M., … Lozano, C. (2016). Meningiomas en neurooncología. Neurologia Argentina, 8(3), 210–226. https://doi.org/10.1073/pnas.117113108
  • Cook, D. C., & Danforth, M. E. (2022). Meningiomas in ancient human populations. Cancers, 14(4). https://doi.org/10.3390/cancers14041058
  • De Salvo, S., Pavone, V., Coco, S., Dell’agli, E., Blatti, C., & Testa, G. (2022). Benign bone tumors: An overview of what we know today. Journal of Clinical Medicine, 11(3). https://doi.org/10.3390/jcm11030699
  • Del Cura Allende, G., Bermejo Espinosa, N., Loizaga Ingunza, E., Angulo Gorriño, M., Arechaga Vidales, L., & Olabarria Vicente, I. (2018). Lesiones de calota en adultos: Diagnóstico por imagen. 33 Congreso Nacional Sociedad Española de Radiografía Médica (SERAM) (pp. 1-21). Bilbao, España.
  • Erfan, M., El-Sawaf, A., Al-Tohamy Soliman, M., Sarry El-Din, A., Kandeel, W. A., Abd El-Shafy El-Banna, R., & Azab, A. (2009). Cranial trauma in ancient Egyptians from the Bahriyah oasis, Greco-Roman period. Research Journal of Medicine and Medical Sciences, 4(1), 78–84.
  • Fenton, W. T., deJong, L. J., & Haut, C. R. (2003). Punched with a fist: the etiology of a fatal depressed cranial fracture. Journal Forensic Science, 48(2), 1–5.
  • Garvin, H. M., Sholts, S. B., & Mosca, L. A. (2014). Sexual dimorphism in human cranial trait scores: Effects of population, age, and body size. American Journal of Physical Anthropology, 154(2), 259–269. https://doi.org/10.1002/ajpa.22502
  • Gomez, C. K., Schiffman, S. R., & Bhatt, A. A. (2018). Radiological review of skull lesions. Insights into Imaging, 9(5), 857–882. https://doi.org/10.1007/s13244-018-0643-0
  • Gracia-Téllez, A., Arsuaga, J. L., Martínez, I., Martín-Francés, L., Martinón-Torres, M., Bermúdez de Castro, J. M., … Lira, J. (2013). Orofacial pathology in Homo heidelbergensis: The case of Skull 5 from the Sima de los Huesos site (Atapuerca, Spain). Quaternary International, 295, 83–93. https://doi.org/10.1016/j.quaint.2012.02.005
  • Guyomarc’H, P., Campagna-Vaillancourt, M., Kremer, C., & Sauvageau, A. (2010). Discrimination of falls and blows in blunt head trauma: A multi-criteria approach. Journal of Forensic Sciences, 55(2), 423–427. https://doi.org/10.1111/j.1556-4029.2009.01310.x
  • Hernández Varela, A., Basulto Vega, S., Nápoles Domínguez, M., Betancourt Mosquera, G., Roura León, H., Da Conceiçao Almeida, F., & Cardoso Núñez, O. (2006). Metástasis craneales sobre los senos durales de la convexidad. Informe de nueve casos. Revista Mexicana de Neurocirugía, 7(3), 240–245.
  • Ichimura, S., Takahara, K., & Fujii, K. (2019). Fibrous meningioma with skull invasion. Journal of Neurosciences in Rural Practice, 10(4), 707–710. https://doi.org/10.1055/s-0039-3399600
  • Kakkar, A., Nambirajan, A., Suri, V., Sarkar, C., Kale, S. S., Singh, M., & Sharma, M. C. (2016). Primary bone tumors of the skull: Spectrum of 125 cases, with review of literature. Journal of Neurological Surgery, Part B: Skull Base, 77(4), 319–325. https://doi.org/10.1055/s-0035-1570347
  • Kanazawa, R., Yoshida, D., Takahashi, H., Matsumoto, K., & Teramoto, A. (2003). Osteosarcoma arising from the skull-case report. Neurologia Medico Chirug (Tokyo), 43, 88–91. https://doi.org/10.2176/nmc.43.88
  • Kang, S. H., Park, S. W., Kwon, K. Y., & Hong, W. J. (2010). A solitary skull lesion of syphilitic osteomyelitis. Journal of Korean Neurosurgical Society, 48(1), 85–87. https://doi.org/10.3340/jkns.2010.48.1.85
  • Kimmerle, E. H., & Baraybar, J. P. (2008). Skeletal Trauma. Identification of Injuries Resulting from Human Rights Abuse and Armed Conflict. Boca Raton: CRC Press.
  • Leyva-Pérez, I., Guerrero-Avendaño, G., & Ramón Hernández-Paz, J. (2013). Meningiomas: apariencia por tomografía y por resonancia magnética. Localizaciones más frecuentes. Anales de Radiología México, 1, 36–44.
  • Lin, Y. C., Commins, D. L., Fedenko, A. N., & Pinsky, G. S. (2005). A rare case of periosteal osteoblastoma located in the frontal cranial bone. Archives of Pathology & Laboratory Medicine, 129(6), 787–789. https://doi.org/10.5858/2005-129-787-ARCOPO
  • Lovejoy, C. O. (1985). Dental Wear in the Libben Population: Its Functional Pattern and Role in the Determination of Adult Skeletal. Age at Death. American Journal of Physical Anthropology, 68, 47–56. https://doi.org/10.1002/ajpa.1330680105
  • Martin-Francés, L., Martinon-Torres, M., Gracia-Téllez, A., & Bermúdez de Castro, J. M. (2015). Evidence of stress fracture in a Homo antecessor metatarsal from Gran Dolina Site (Atapuerca, Spain). International Journal of Osteoarchaeology, 25(4), 564–573. https://doi.org/10.1002/oa.2310
  • Martín-Francés, L., Martinón-Torres, M., Gracia-Téllez, A., & Bermúdez de Castro, J. M. (2016). Evidence of trauma in a ca. 1-million-year-old patella of Homo antecessor, Gran Dolina-Atapuerca (Spain). Comptes Rendus - Palevol, 15(8), 1011–1016. https://doi.org/10.1016/j.crpv.2016.04.014
  • Meindl, R. S., & Lovejoy, C. O. (1985). Ectocranial Suture Closure: A revised method for the determination of skeletal age at death based on the lateral-anterior sutures. American Journal of Physical Anthropology, 68, 57–66. https://doi.org/10.1002/ajpa.1330680106
  • Mena, H., L. Ribas, J., H. Pezeshkpour, G., N. Cowan, D., & E. Parisi, J. (1991). Hemangiopericytoma of the Central Nervous System: A Review of 94 Cases. Human Pathology, 22(1), 84–91. https://doi.org/10.1016/0046-8177(91)90067-Y
  • Merczi, M., Marcsik, A., Bernert, Z., Józsa, L., Buczkó, K., Lassányi, G., … Molnár, E. (2014). Skeletal metastatic carcinomas from the Roman period (1st to 5th Century AD) in Hungary. Pathobiology, 81(2), 100–111. https://doi.org/10.1159/000357435
  • Miles, A.-E.-W. (1963). Dentition in the estimating of age. Journal of Dental Research, 42, 255–263. https://doi.org/10.1177/00220345630420012701
  • Moreno-Ibáñez, M. Á., Saladié, P., Morales, J. I., Cebrià, A., & Fullola, J. M. (2021). Was it an axe or an adze? A cranial trauma case study from the Late Neolithic – Chalcolithic site of Cova Foradada (Calafell, Spain). International Journal of Paleopathology, 32, 23–30. https://doi.org/10.1016/j.ijpp.2020.11.002
  • Navas-García, M., Pulido-Rivas, P., Pascual-Garvi, J. M., Manzanares-Soler, R., & Sola, R. G. (2011). Quiste óseo aneurismático frontal. Caso clínico y revisión de la bibliografía. Revista de Neurología, 52(6), 349–354.
  • Ortner, D. J., & Putschar, W. G. J. (1981). Identification of Pathological Conditions in Human Skeletal. Washington: Smithsonian Institution Press.
  • Politi, M., Romeike, B., & Reith, W. (2005). Intraosseous hemangioma of the skull with dural tail sign: radiologic features with pathologic correlation. American Journal of Neuroradiology, 26(8), 2049–2052.
  • Rutkowski, M. J., Sughrue, M. E., Kane, A. J., Aranda, D., Mills, S. A., Barani, I. J., & Parsa, A. T. (2010). Predictors of mortality following treatment of intracranial hemangiopericytoma. Journal of Neurosurgery, 113(2), 333–339. https://doi.org/10.3171/2010.3.JNS091882
  • Sala, N., Arsuaga, J. L., Pantoja-Pérez, A., Pablos, A., Martínez, I., Quam, R. M., … Carbonell, E. (2015). Lethal interpersonal violence in the Middle Pleistocene. PLoS ONE, 10(5). https://doi.org/10.1371/journal.pone.0126589
  • Sala, N., Pantoja-Pérez, A., Arsuaga, J. L., Pablos, A., & Martínez, I. (2016). The Sima de los Huesos Crania: Analysis of the cranial breakage patterns. Journal of Archaeological Science, 72, 25–43. https://doi.org/10.1016/j.jas.2016.06.001
  • Spekker, O., Váradi, O. A., Szekeres, A., Jäger, H. Y., Zink, A., Berner, M., … Tihanyi, B. (2022). A rare case of calvarial tuberculosis from the Avar Age (8th century CE) cemetery of Kaba–Bitózug (Hajdú-Bihar County, Hungary) – Pathogenesis and differential diagnostic aspects. Tuberculosis, 135. https://doi.org/10.1016/j.tube.2022.102226
  • Stubenvoll, R. W., & Hunsaker, D. H. (1987). Eosinophilic granuloma of frontal bone. Military Medicine, 152(6), 327–329.
  • Walker, P. L. (2008). Sexing skulls using discriminant function analysis of visually assessed traits. American Journal of Physical Anthropology, 136(1), 39–50. https://doi.org/10.1002/ajpa.20776
  • Walker, P. L., Bathurst, R. R., Richman, R., Gjerdrum, T., & Andrushko, V. A. (2009). The causes of porotic hyperostosis and cribra orbitalia: A reappraisal of the iron-deficiency-anemia hypothesis. American Journal of Physical Anthropology, 139(2), 109–125. https://doi.org/10.1002/ajpa.21031
  • Watts, J., Box, G., Galvin, A., Brotchie, P., Trost, N., & Sutherland, T. (2014). Magnetic resonance imaging of meningiomas: A pictorial review. Insights into Imaging, 5(1), 113–122. https://doi.org/10.1007/s13244-013-0302-4
  • Wu, X. J., Schepartz, L. A., Liu, W., & Trinkaus, E. (2011). Antemortem trauma and survival in the late Middle Pleistocene human cranium from Maba, South China. Proceedings of the National Academy of Sciences of the United States of America, 108(49), 19558–19562. https://doi.org/10.1073/pnas.1117113108
  • Zoubov, A. (1968). Otonlogía. Metódica de las investigaciones antropológicas. Moscú: Nauka.