Spontaneous intracranial meningioma bleeding: clinicopathological features and outcome

Bošnjak, Roman; Derham, Chris; Popović, Mara; Ravnik, Janez

doi:10.3171/jns.2005.103.3.0473

Cited by 119 publications

(167 citation statements)

References 67 publications

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“…The previous study included intraventricular types of meningiomas, which showed a higher bleeding tendency, suggesting that an even lower risk of haemorrhage may be associated with the type of tumour described here (4,5). Convexity meningiomas showed the lowest risk for bleeding but generally presented with a subdural haematoma, in contrast to the present case.…”

Section: Discussioncontrasting

confidence: 54%

“…In cases of tumour-associated haemorrhages, the clinical condition and outcome of the patient deteriorate due to the acute effects of the expansive process (4). Intratumoural and intracerebral haemorrhages associated with benign intracerebral tumours such as meningiomas are rare: only 68 cases have been described in the literature (4)(5)(6). No cases of neuroradiologically detected and clinically examined two-stage haemorrhages associated with meningiomas (WHO grade I) have been reported to date.…”

Section: Introductionmentioning

confidence: 99%

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Acute recurrent haemorrhage of an intracranial meningioma

Bellut

Nern

Burkhardt

et al. 2011

Journal of Clinical Neuroscience

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Meningioma-associated haemorrhages are rare. To our knowledge this is the first report of a patient with an acute two-stage haemorrhage of a benign intracranial meningioma (World Health Organization grade I) verified by cranial CT scan and histopathological examination. Early surgery with complete tumour removal led to a good outcome for the patient. Early surgery with complete tumour removal led to a preferable outcome for the patient. Formatiert: Deutsch (Schweiz)Gelöscht:

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Section: Discussioncontrasting

confidence: 54%

Section: Introductionmentioning

confidence: 99%

Acute recurrent haemorrhage of an intracranial meningioma

Bellut

Nern

Burkhardt

et al. 2011

Journal of Clinical Neuroscience

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“…Meningiomas usually manifest as slowly progressive signs of neurological deficit, headache, or focal seizures, whereas apoplexy is rather uncommon. Meningioma associated with intracranial hemorrhage accounts for 1.3-2.4% of all meningiomas, 2) but cerebral infarction is a very rare clinical condition. We report a case of meningioma of the planum sphenoidale associated with cerebral infarction as a result of occlusion of the anterior cerebral artery (ACA) by the tumor.…”

Section: Introductionmentioning

confidence: 99%

Meningioma Manifesting as Cerebral Infarction -Case Report-

Masuoka

Yoshioka

Ohgushi

et al. 2010

Neurol. Med. Chir.(Tokyo)

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A previously healthy 31-year-old man presented with an extremely rare case of small meningioma associated with cerebral infarction preceded by recurrent transient ischemic attacks manifesting as a 3-day history of recurrent and transient weakness of the left lower limb lasting several minutes for each episode. The symptoms became persistent and complete on the following day. Magnetic resonance imaging revealed acute cerebral infarction in the right frontal lobe and a 20 mm diameter tumor in the planum sphenoidale encasing the right anterior cerebral artery. Cerebral angiography demonstrated occlusion of the right A 2 portion. The patient underwent surgery and the tumor was gross totally removed. The histological diagnosis was meningothelial meningioma. Cases of meningioma causing cerebral infarction are very rare, but the possibility should be considered even if the tumor is small.

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“…18) Pathologically, a malignant, angiomatous, and fibrous meningioma has a tendency to bleed. 3,12) In the present case, there were no findings to suggest the definitive source of SAH, but clot was identified on the tumor surface on MR images obtained 12 days after the onset, and fibrin deposit on the specimens obtained from tumor resection 19 days after resection. Review of the clinicopathological features of 145 meningiomas with spontaneous intracranial bleeding found that all 6 tumors arising in the posterior fossa caused SAH, and none of them presented with intratumoral hemorrhage.…”

Section: Sah In a Patient With A Meningioma And An Unruptured Aneurysmmentioning

confidence: 79%

Subarachnoid Hemorrhage in a Patient With a Meningioma and an Unruptured Aneurysm

Kanamori

Tomita

Sasaki

et al. 2013

Neurol. Med. Chir.(Tokyo)

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Subarachnoid hemorrhage (SAH) is usually elicited by cerebrovascular disease and infrequently by brain tumors. A 64-year-old woman presented with SAH with a left petrous meningioma and an unruptured left internal carotid-posterior communicating artery (IC-PcomA) aneurysm. She suffered sudden onset of headache and nausea followed by consciousness disturbance 7 days after onset. Computed tomography (CT) revealed diffuse SAH and a tumor at the petrous portion. Angiography demonstrated a left IC-PcomA aneurysm. Under a diagnosis of a ruptured aneurysm and a coincidental meningioma, we performed neck clipping of the aneurysm. However, intraoperatively we found that the aneurysm was unruptured and we subsequently performed tumor resection. Intraoperatively we could not find the cause of SAH during resection of the meningioma. The histological diagnosis was transitional meningioma with deposition of fibrin on the surface of the tumor. The findings of initial CT and magnetic resonance imaging, and pathological results could not conclude the definitive etiology of SAH in this case.

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Spontaneous intracranial meningioma bleeding: clinicopathological features and outcome

Cited by 119 publications

References 67 publications

Acute recurrent haemorrhage of an intracranial meningioma

Acute recurrent haemorrhage of an intracranial meningioma

Meningioma Manifesting as Cerebral Infarction -Case Report-

Subarachnoid Hemorrhage in a Patient With a Meningioma and an Unruptured Aneurysm

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