Spontaneous subdural hematoma associated with microcystic meningioma: first case report in the literature

Nery, Breno; Raf, Costa; Lct, Pereira; Quaggio, Eduardo; Lh, Coronatto; Dpdc, Tirapelli; Cg, Carlotti Júnior

doi:10.1080/02688697.2017.1346172

Cited by 11 publications

(4 citation statements)

References 15 publications

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“… 3 Table 1 summarizes previously reported cases of meningioma in association with CSDH. 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Although several mechanisms to cause subdural hematoma in meningioma have been previously reported, 3 15 19 our case suggested a different mechanism from them. We describe a case of malignant subdural hematoma that rapidly and repeatedly recurred in association with meningioma.…”

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confidence: 55%

Malignant Subdural Hematoma Associated with High-Grade Meningioma

Teramoto

Tsunoda

Kawamura

et al. 2018

Surg J

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A 70-year-old man, who had previously undergone surgical resection of left parasagittal meningioma involving the middle third of the superior sagittal sinus (SSS) two times, presented with recurrence of the tumor. We performed removal of the tumor combined with SSS resection as Simpson grade II. After tumor removal, since a left dominant bilateral chronic subdural hematoma (CSDH) appeared, it was treated by burr hole surgery. However, because the CSDH rapidly and repeatedly recurred and eventually changed to acute subdural hematoma, elimination of the hematoma with craniotomy was accomplished. The patient unfortunately died of worsening of general condition despite aggressive treatment. Histopathology of brain autopsy showed invasion of anaplastic meningioma cells spreading to the whole outer membrane of the subdural hematoma. Subdural hematoma is less commonly associated with meningioma. Our case indicates the possibility that subdural hematoma associated with meningioma is formed by a different mechanism from those reported previously.

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confidence: 55%

Malignant Subdural Hematoma Associated with High-Grade Meningioma

Teramoto

Tsunoda

Kawamura

et al. 2018

Surg J

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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.…”

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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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“…SDH is a rare type of hemorrhage related to meningioma, particularly in cases with benign histology. Table 1 summarizes the 66 reported cases of histologically confirmed benign meningioma (WHO grade I) presenting with SDH, including the present case [ 6 , 7 , 16 – 27 ] . Detailed information is listed in Additional file 1 .…”

Section: Discussionmentioning

confidence: 99%

Benign meningioma manifesting with acute subdural hematoma and cerebral edema: a case report and review of the literature

Nam

Park

et al. 2021

J Med Case Reports

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Background Spontaneous subdural hematoma rarely presents with a hypervascular or malignant tumor but even less frequently in a benign tumor like meningioma. We encountered a patient with acute subdural hematoma associated with benign meningioma. Here, we report this case along with a review of previous reports, especially focusing on their clinical features and possible bleeding mechanisms. Case presentation A 53-year-old Asian woman presented with severe headache and progressive neurologic deterioration due to cerebral edema. The patient was submitted to open surgery for evacuation of the subdural hematoma and concurrent tumor removal on the ipsilateral parietal convexity. A hypervascular, encapsulated mass was identified during surgery and completely removed including the adjacent dura mater (Simpson grade 0). The tumor was histologically confirmed as an angiomatous meningioma (World Health Organization grade I). Her clinical course was uneventful after surgery. Conclusions Although meningiomas are commonly benign according to their histological traits, they can lead to spontaneous bleeding and cause neurologically unstable condition. Therefore, meningiomas need to be considered as a cause of spontaneous subdural hematoma if radiologically suspicious, which should be reflected by proper management for a positive outcome.

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Spontaneous subdural hematoma associated with microcystic meningioma: first case report in the literature

Abstract: Spontaneous subdural hematomas associated with meningiomas are rare, specially related to the microcystic variant of meningioma. Careful pre-operative consideration of specific anatomy and pathophysiological features are paramount to their full treatment.

Cited by 11 publications

References 15 publications

Malignant Subdural Hematoma Associated with High-Grade Meningioma

Malignant Subdural Hematoma Associated with High-Grade Meningioma

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

Benign meningioma manifesting with acute subdural hematoma and cerebral edema: a case report and review of the literature

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