Abscess within a meningioma: Pathogenesis and rare case report

Krishnan, Shyam Sundar; Panigrahi, Manas; Pattanagare, Satvik G; Varma, Ravi; Rao, Satish

doi:10.4103/0028-3886.132398

Cited by 7 publications

(7 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Only nine cases of intracranial meningioma associated with brain abscess have been reported in literature so far, with intra-and peritumoral location of abscess being rare. [3][4][5] We report yet another case; however, a source of infection could not be identified in our patient.…”

Section: Introductionmentioning

confidence: 57%

“…The vascularity of meningioma, location outside the bloodbrain barrier, and the rich nutritive environment provided by tumor cells make meningiomas susceptible to abscess formation, especially in the presence of foci of infection elsewhere in the body. [5][6][7][8] The vascular pattern of the meningioma is such that the feeding artery supplies the core of the meningioma and the branches supply the periphery facilitating entrapment of pathogen in the center of the tumor. In the presence of additional venous compression by tumor, especially in the parasagittal location, the stagnation of blood and pathogen in the center of the tumor is facilitated.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Meningioma with Intra- and Peritumoral Abscess

Sannareddy

Lath

Padua

et al. 2017

IJNS

View full text Add to dashboard Cite

The association of meningioma with intra- and peritumoral brain abscess is rare. All cases reported in literature had some focus of infection in the body. We report a 56-year-old man with well-controlled diabetes mellitus found to have a space-occupying lesion upon evaluation for headache, vomiting, and clumsiness of right upper limb. Perioperatively, pus was found intra- and perilesionally around a thick, capsulated, dural-based, vascular lesion. Histopathology was suggestive of meningioma, and Escherichia coli was isolated upon culture.

show abstract

Section: Introductionmentioning

confidence: 57%

Section: Discussionmentioning

confidence: 99%

Meningioma with Intra- and Peritumoral Abscess

Sannareddy

Lath

Padua

et al. 2017

IJNS

View full text Add to dashboard Cite

show abstract

“…Despite this, a near‐total resection was achieved, but due to the tumor's invasive nature, complete removal was not possible. Several factors described in 53 may make meningiomas prone to abscess formation. These include their high vascularity and unique blood flow pattern.…”

Section: Discussionmentioning

confidence: 99%

Intracranial intricacies: Comprehensive analysis of rare skull base meningiomas—A single‐center case series

Nadeem,

Khan,

Habib

et al. 2023

Clinical Case Reports

View full text Add to dashboard Cite

Key Clinical MessageThis study paper's main goal is to report rare cases of skull base meningiomas that exemplify the complexities of diagnosis, therapy, and postoperative care. By describing these rare cases, we hope to advance knowledge of the clinical signs, difficulties, and prognoses of skull base meningiomas in a challenging anatomical setting. In the posterior cranial fossa, our investigation reveals a unique example of skull base meningioma that involved numerous cranial nerves and complex vasculature. A variety of visual abnormalities were present in the patient's clinical presentations, highlighting the wide range of symptoms that these tumors might cause depending on their precise positions. These cases highlight the critical importance of preoperative imaging, including high‐resolution MRI and angiography, as well as the diagnostic difficulties these tumors pertain. By reporting these instances, our research adds to the body of knowledge about skull base meningiomas and offers insightful information about the nuances of their therapies. Our findings highlight the importance of individualized treatment plans, interdisciplinary cooperation, and the demand for continued study to better comprehend these convoluted tumors. Such studies are essential for advancing our knowledge of these enigmatic tumors, guiding clinical judgment, and eventually improving patient outcomes. These findings are important because they can fill information gaps, improve treatment plans, and encourage additional research in neuro‐oncology.AbstractThis study presents a series of three rare cases of skull base meningiomas, emphasizing the complexities in diagnosis, treatment, and postoperative care. The patients' clinical presentations and imaging highlighted the diverse symptoms and challenges associated with these tumors, found in intricate anatomical locations. The cases underscore the crucial role of preoperative high‐resolution imaging and angiography in diagnostic accuracy. Surgical intervention, guided by a multidisciplinary approach, is pivotal in managing these demanding cases. Histopathological examinations confirmed atypical meningiomas. The postoperative phases involved meticulous care to ensure optimal recovery and functional outcomes. Our findings contribute to the understanding of skull base meningiomas, emphasizing the need for personalized treatment plans and ongoing research to improve patient outcomes in neuro‐oncology.

show abstract

“…Especially as destruction to the blood brain barrier through open epithelial junctions, gaps between epithelial cells and capillary fenestrations have been demonstrated in meningiomas [ 9 ]. The rich vascular supply of tumours, their vascular branching patterns, compression of nearby venous structures resulting in stasis and the nutrient-rich environment have also been cited as potentially contributory [ 10 ]. Intratumoral cultures showing very similar sensitivities to those cultured peripherally and our case being one of few describing a lesion remote from the frontal sinuses also strengthens the case [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

Meningioma-associated abscess: an unusual case report and review of the literature

Rashed

Vassiliou²,

Ogborne

et al. 2022

Journal of Surgical Case Reports

View full text Add to dashboard Cite

Central nervous system (CNS) infection and neoplasm occur most often independently. Their concomitant presentation has been noted across different CNS tumours but is considered a rare entity. The phenomenon is mostly seen in relation to direct seeding of infection via frontal air sinuses. Here, we present an unusual case of an occipital meningioma associated with intraparenchymal paratumoural abscess formation. It is also the second documented to culture methicillin-susceptible Staphylococcus aureus. We then review and surmise the relevant literature of meningioma-associated abscess. We discuss the clinical presentations, aetiology, suspected pathogenesis, management and outcomes reported.

show abstract

Abscess within a meningioma: Pathogenesis and rare case report

Cited by 7 publications

References 3 publications

Meningioma with Intra- and Peritumoral Abscess

Meningioma with Intra- and Peritumoral Abscess

Intracranial intricacies: Comprehensive analysis of rare skull base meningiomas—A single‐center case series

Meningioma-associated abscess: an unusual case report and review of the literature

Contact Info

Product

Resources

About