A giant invasive parasagittal meningioma with recurrent seizures in a young female: A case report and review of literature

Richard, Seidu A.; Zheng, Songping; Xiong, Xiaoxing; Bowen, Cai; You, Chao

doi:10.1016/j.inat.2018.10.009

Cited by 4 publications

(13 citation statements)

References 74 publications

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“…However, the retrogresses of tumor size occur when estrogen agonist therapy is terminated (1). The interesting one is oral contraceptive and hormone replacement therapy increase the chance of initiating meningioma (1). In this case, the menses of the patient was regular as she had menarche at 12 years old.…”

Section: Discussionmentioning

confidence: 82%

“…The etiology of meningioma is still debated. The tumor may arise from anywhere arachnoid cells are found (1). Meningioma can grow into giant sizes with invading surrounding structures.…”

Section: Discussionmentioning

confidence: 99%

“…Studies indicated that mutation in chromosome 22 and multiple chromosomal copy number alteration might have a role in malignant tumor grades (1). Another study showed that loss of genomic region in 14q, 1p, 6q, and 18q are frequently found in meningioma (6).…”

Section: Discussionmentioning

confidence: 99%

“…Harvey Cushing considered head trauma as one of the risk factors for meningioma (1). Peritumoral edema in meningioma associates with the increase in aquaporins expression (AQP4) (8).…”

Section: Discussionmentioning

confidence: 99%

“…It may be associated with a familial syndrome such as Neurofibromatosis 2 (NF2), Meningioangiomatosis (MA), and Gorlin Syndrome. Several exogenous factors increase the risk of intracranial meningioma development, such as cranial ionizing radiation, hormones, breast cancer, head trauma, cell phone use, family history, occupational factor, diet, and allergy (1). Meningioma is more frequently 2.25 times in females than in males.…”

Section: Introductionmentioning

confidence: 99%

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Giant Parasagittal Meningioma with Complete Visual Loss in Young Female: A Case Report

Sinaga

Irsyad

Dharmajaya

2021

JKB

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<p>Parasagittal meningioma is a benign extra-axial tumor from the arachnoid cap cell that fills the parasagittal angle. This case report presents a case of a 21-years old young female with a history of complete visual loss, left side paresthesia, and progressive blunt headache. Brain MRI and MRV revealed a giant enhancing tumor measuring 9.2 cm x 8.41 cm x 7.5 cm on the right parietooccipital lobe with obstruction of the posterior third of the superior sagittal sinus. Gross total removal was achieved. The pathology reports confirmed a WHO grade I meningioma. The paresthesia and headache were improved, but the loss of visions did not change. Giant parasagittal meningioma may invade the superior sagittal sinus leading to intracranial hypertension. The surgical strategy should target the survival and postoperative quality of life. Occlusion of posterior third superior sagittal sinus affects deficiency venous return resulting in visual loss.</p>

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Section: Discussionmentioning

confidence: 82%

“…The etiology of meningioma is still debated. The tumor may arise from anywhere arachnoid cells are found (1). Meningioma can grow into giant sizes with invading surrounding structures.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Harvey Cushing considered head trauma as one of the risk factors for meningioma (1). Peritumoral edema in meningioma associates with the increase in aquaporins expression (AQP4) (8).…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Giant Parasagittal Meningioma with Complete Visual Loss in Young Female: A Case Report

Sinaga

Irsyad

Dharmajaya

2021

JKB

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Foramen magnum meningioma with excessive calcification and no dura tail sign

Lan

Richard

et al. 2021

Medicine

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Rationale: Foramen magnum meningiomas are very rare lesions. They frequently originate from the arachnoid cells at the dura matter of the craniocervical junction. Foramen magnum meningiomas are challenging for neurosurgeons because of the complex anatomy of foramen magnum. We present a rare case of FMM with excessive calcification and without the dura tail sign which made the lesion mimic a teratoma. Patients concerns: A 63 years old woman presented with progressive numbness and hyperesthesia of the shoulders and upper limbs for 2 and half years. She also experienced occasional headaches and dizziness with no nausea, vomiting or fever. Diagnoses: Computed tomography scan, and magnetic resonance imaging revealed a calcified mass at occipital cistern. The lesion did not show the usual “dura tail sign” which made it mimic a teratoma on magnetic resonance imaging. Histopathology established meningioma. Intervention: The tumor was completely resected via suboccipital approach. Outcomes: Two years follow-up revealed no recurrence of the lesion and no neurological deficits. Lessons: We advocate the use of electromyographic and auditory brainstem responses to monitor the inferior cranial nerves because the tumor often adheres to these nerves.

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Attempted Radical Removal of Parasagittal Meningioma: Risks and Benefits

Nofal

Samir

El-Shazly

et al. 2019

Ain Shams Medical Journal

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Background: Parasagittal meningiomas involving the superior sagittal sinus (SSS) pose formidable obstacles to surgical management. Invasion is often considered a contraindication to surgery because of associated morbidity, such as cerebral venous thrombosis.Aim of the work: was to evaluate the risk/benefit ratio in attempting radical excision of parasagittal meningiomas involving the superior sagittal sinus. Patients and methods:The study consisted of 25 patients who had undergone surgery for parasagittal meningioma. Patients with meningioma involving the anterior third of the sinus underwent radical removal. Patients with meningioma that was involving the middle and posterior third of the sinus had a radical removal if the sinus was completely obliterated, and subtotal removal of tumors that are infiltrating but not obliterating the SSS. Results: 23 patients (92%) had radical tumor resection achieving Simpson GI and 2 patients (8%) had subtotal tumor resection achieving Simpson GIV. There were 3 postoperative transient neurological deterioration (12%) and 2 postoperative deaths (8%).The recurrence rate in the study was 5%, with a follow-up for 24 months. Conclusion:The benefits must be carefully weighed against the risks deciding between more aggressive, radical, or less aggressive subtotal resections. The less aggressive subtotal resections if the sinus ispartially occluded may be a reasonable choice.

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A giant invasive parasagittal meningioma with recurrent seizures in a young female: A case report and review of literature

Cited by 4 publications

References 74 publications

Giant Parasagittal Meningioma with Complete Visual Loss in Young Female: A Case Report

Giant Parasagittal Meningioma with Complete Visual Loss in Young Female: A Case Report

Foramen magnum meningioma with excessive calcification and no dura tail sign

Attempted Radical Removal of Parasagittal Meningioma: Risks and Benefits

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