Acute recurrent haemorrhage of an intracranial meningioma

Bellut, David; Nern, Christian; Burkhardt, Jan‐Karl; Könü, Dilek; Bertalanffy, Helmut; Krayenbühl, Niklaus

doi:10.1016/j.jocn.2011.01.007

Cited by 8 publications

(3 citation statements)

References 7 publications

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“…age <30 or >70 years, patient on anticoagulant medications) and tumour-related factors such as tumoural infarction or some pathological tumour subtypes (fibrous, atypical, or anaplastic meningiomas). 11 Female predominance in our study population (19/28 = 67.9%), including the benign group (16/20 = 80%), was noted and expected in meningioma. Nonetheless, male gender was predominant in the atypical / malignant group (5/8 = 62.5%; patients 1 to 8 in the Table), which was statistically significant as determined by Pearson's chi-square test (p < 0.05), and in agreement with previous knowledge that males are predominant in atypical and malignant meningiomas.…”

Section: Discussionsupporting

confidence: 59%

Is Apparent Diffusion Coefficient Value Measured on Picture Archiving and Communication System Workstation Helpful in Prediction of High-grade Meningioma?

Hirunpat¹,

Sanghan²,

Watcharakul³

et al. 2016

Hong Kong J Radiol

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Objective: To determine whether the apparent diffusion coefficient (ADC) value measured on picture archiving and communication system (PACS) workstation is helpful in prediction of high-grade meningioma (World Health Organization grade II and III). Methods: A total of 28 patients (mean age, 58; range, 44-71 years) including 9 men and 19 women with histopathologically confirmed meningioma (20 benign, 7 atypical, and 1 malignant) between August 2010 and June 2014 were included in the study. All patients underwent preoperative standard brain imaging that routinely included diffusion-weighted imaging obtained at B value = 0 and 1000 s/mm 2. Quantitative analysis of the ADC value of the tumour and mean normalised ADC ratio of the tumour compared with the contralateral normal white matter were calculated and analysed. Results: The mean ADC value of atypical and malignant meningiomas (0.698 x 10-3 mm 2 /s ± 0.06 x 10-3 mm 2 /s) was significantly lower (p < 0.05) compared with that of benign meningiomas (0.83 x 10-3 mm 2 /s ± 0.37 x 10-3 mm 2 /s). The mean normalised ADC ratio in the atypical and malignant type (0.895 ± 0.09) was also lower than that in the benign type (1.05 ± 0.05) but was statistically insignificant (p = 0.06). Using a mean ADC value of less than 0.8 x 10-3 mm 2 /s as a predictor of high-grade meningioma gave a sensitivity of 75% (95% confidence interval,

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Section: Discussionsupporting

confidence: 59%

Is Apparent Diffusion Coefficient Value Measured on Picture Archiving and Communication System Workstation Helpful in Prediction of High-grade Meningioma?

Hirunpat¹,

Sanghan²,

Watcharakul³

et al. 2016

Hong Kong J Radiol

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“…When presenting in this manner, the pattern of hemorrhage tended to preserve some visualization of the underlying neoplasm as well as precipitate a less emergent neurological decline thereby allowing for a more definitive oncologic work-up [ 8 , 15 ]. Only two additional case studies demonstrate a nearly complete intratumoral hemorrhage similar to this case report, in which the tumors seemingly transform into a complete intracerebral hemorrhage thus limiting preoperative identification of neoplasm [ 16 ]. In this case report, the mechanism of the hematoma progressed to include the entire tumor volume, which is seemingly unique.…”

Section: Discussionmentioning

confidence: 77%

Spontaneous or Traumatic Intratumoral Hemorrhage? A Rare Presentation of Parafalcine Meningioma

Dang

Mugge

Awan

et al. 2020

Cureus

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“…In contrast to intracranial malignancies such as high-grade gliomas and metastases, an acute intracranial hemorrhage – intracerebral, subdural, or subarachnoid – from a benign intracranial meningioma is considered a rare event. Its main occurrences in the literature are case reports or very small series, 1-19 and its reported relative incidence is 1.3%. 20 Other reported cases presented with either subacute or chronic subdural bleeding.…”

Section: Introductionmentioning

confidence: 99%

Benign Sphenoid Wing Meningioma Presenting with an Acute Intracerebral Hemorrhage – A Case Report

Frič

Hald

Antal

2016

J Cent Nerv Syst Dis

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BACKGROUND AND STUDY OBJECTWe report an unusual case of a benign lateral sphenoid wing meningioma that presented with, and was masked by, an acute intracerebral hemorrhage.CASE REPORTA 68-year-old woman was admitted after sudden onset of coma. Computed tomography (CT) revealed an intracerebral hemorrhage, without any underlying vascular pathology on CT angiography. During the surgery, we found a lateral sphenoid wing meningioma with intratumoral bleeding that extended into the surrounding brain parenchyma.RESULTSWe removed the hematoma and resected the tumor completely in the same session. The histopathological classification of the tumor was a WHO grade I meningothelial meningioma. The patient recovered very well after surgery, without significant neurological sequelae. CONCLUSIONS: Having reviewed the relevant references from the medical literature, we consider this event as an extremely rare presentation of a benign sphenoid wing meningioma in a patient without any predisposing medical factors. The possible mechanisms of bleeding from this tumor type are discussed.

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Acute recurrent haemorrhage of an intracranial meningioma

Cited by 8 publications

References 7 publications

Is Apparent Diffusion Coefficient Value Measured on Picture Archiving and Communication System Workstation Helpful in Prediction of High-grade Meningioma?

Is Apparent Diffusion Coefficient Value Measured on Picture Archiving and Communication System Workstation Helpful in Prediction of High-grade Meningioma?

Spontaneous or Traumatic Intratumoral Hemorrhage? A Rare Presentation of Parafalcine Meningioma

Benign Sphenoid Wing Meningioma Presenting with an Acute Intracerebral Hemorrhage – A Case Report

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