Acute Subdural Hematoma with Intracranial Meningioma

Background:Classically meningiomas present with a gradual onset of symptoms and their acute presentation with hemorrhagic events seems to be a rare event. A review of the literature shows only 18 cases of meningioma associated with acute subdural hematoma. The possible mechanisms of hemorrhage are not yet fully understood.Case Description:We report a case of sphenoid wing meningioma associated with acute subdural hematoma, without history of trauma. The presence of meningioma was discovered during the surgery. The tumor and hematoma were removed without postoperative complications.Conclusions:The authors have discussed the etiology of an acute subdural hemorrhage and reviewed the pertinent literature.

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“…Only 18 cases of meningioma with acute subdural hematoma have been reported. [ 1 4 5 6 7 9 11 12 13 14 15 16 17 18 19 20 22 ]…”

Section: Introductionmentioning

confidence: 99%

Meningioma associated with acute subdural hematoma: A review of the literature

Hambra¹,

Danilo²,

Ricci³

et al. 2014

Surg Neurol Int

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“…We compare meningiomas with subdural hematoma to those without bleeding ( Table 2 ) [3] , [4] , [5] , [6] , [7] , [8] , [9] , [10] , [11] , 13 , [15] , [16] , [17] , [18] , [19] , [20] , [21] , [22] , [23] , [24] , [25] , [26] , [27] , [28] , [29] , [30] , [31] , [32] , [33] , [34] , [35] , [36] , [37] , [38] , [39] , [40] , [41] , [42] , [43] , [44] , [45] , [46] , [47] , [48] , [49] , [50] , [51] , [52] , [53] , [54] , [55] , [56] , [57] . In cases of meningiomas with subdural hematoma, the median age is 62 (range: 4 m-85 y) years.…”

Section: Discussionmentioning

confidence: 99%

Acute subdural hematoma caused by hemorrhagic falx meningioma: A case report and review of the literature

Gotohda,

Uchino,

Suzuki

et al. 2024

Radiology Case Reports

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“…Several hypotheses have been proposed as the mechanism for the rapid growth of meningiomas accompanied by massive ASDH: (1) disruption of fragile tumor vessels by rapid growth of tumors; this mechanism was most commonly reported,[ 6 , 12 , 14 , 18 ] (2) disruption of bridging veins by rapid tumor growth,[ 2 , 6 , 14 , 16 ] (3) direct invasion of blood vessels by tumor cells,[ 6 , 14 , 16 ] (4) vasoactive substances released by tumor cells,[ 6 , 14 ] (5) disruption of bridging veins by local venous hypertension caused by a secondary condition (e.g., Valsalva maneuver and cough),[ 14 , 17 ] and (6) anticoagulant or antiplatelet medications, blood dyscrasias, or hypertension. [ 6 , 14 , 15 ]…”

Section: Discussionmentioning

confidence: 99%

Acute subdural hematoma associated with disruption of tumor vessels due to rapid growth of falx meningioma: A case report and literature review

Oyamada¹,

Ohbuchi²,

Nishiyama³

et al. 2022

Surgical Neurology International

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Background: Meningiomas associated with acute subdural hematoma (ASDH) are rare. The rapid growth of meningiomas has been shown to be one of the mechanisms underlying bleeding. We report the first case of ASDH during an imaging follow-up for the rapid growth of a falx meningioma. Case Description: A 77-year-old woman was diagnosed with an incidental tumor along the right falx cerebri 3 years before bleeding. The follow-up magnetic resonance imaging (MRI) after 3 years showed that the tumor volume had rapidly increased from 4.31 cm3 to 22.27 cm3. The blood vessels around the tumor were stretched. The patient was scheduled to undergo tumor removal surgery. However, the patient experienced a sudden onset of disturbance of consciousness and was transferred to our hospital. On arrival, her Glasgow Coma Scale (GCS) score was 6 (E1V1M4) and right hemiplegia was observed. The patient had no history of traumatic events. Computed tomography (CT) showed left hemispheric and interhemispheric ASDH. Digital subtraction angiography revealed neither tumor staining nor abnormal vessels. Gross total tumor removal and hematoma evacuation were performed. There were no obvious active intraoperative bleeding points. The pathologic diagnosis was meningioma, the World Health Organization Grade I. Postoperative course revealed a GCS score of 10 (E4V1M5) and she was transferred to a rehabilitation hospital. Conclusion: The disruption of tumor vessels due to the rapid growth of meningiomas may be a cause of bleeding. Incidental falx meningiomas with stretched tumor vessels due to rapid growth could indicate the need for early surgery.

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Acute Subdural Hematoma with Intracranial Meningioma

Cited by 7 publications

References 13 publications

Meningioma associated with acute subdural hematoma: A review of the literature

Meningioma associated with acute subdural hematoma: A review of the literature

Acute subdural hematoma caused by hemorrhagic falx meningioma: A case report and review of the literature

Acute subdural hematoma associated with disruption of tumor vessels due to rapid growth of falx meningioma: A case report and literature review

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