Systematic Review of Meningiomas Revealed by Spontaneous Intracranial Hemorrhage: Clinicopathological Features, Outcomes, and Rebleeding Rate

Leclerc, Arthur; Gohel, Helene; Malczuk, Joséphine; Anzalone, Louis; Emery, Évelyne; Gaberel, Thomas

doi:10.1016/j.wneu.2023.01.100

Cited by 2 publications

(4 citation statements)

References 88 publications

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“…Patients with hemorrhagic meningiomas have a mortality rate of 20% and a morbidity rate of 21%. Among 19 patients who did not undergo meningioma removal during the follow-up period, 14 experienced rebleeding, with a median time to rebleeding of 120 days [ 1 ]. Studies comparing hemorrhagic meningiomas to all meningiomas have demonstrated that bleeding is associated with younger (<30 years) and older (>70 years) age, the presence of antiplatelet therapy, hypertension, and intraventricular or convexity localization [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

“…The disruption of subdural veins can lead to hemorrhagic changes [ 2 ]. Tumor removal is the recommended treatment for hemorrhagic meningiomas, with reports of rebleeding in four of five cases in which only hematoma removal was performed without tumor removal [ 1 ] and death in all 10 cases in which surgical resection was not performed [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

“…Meningiomas presenting with hemorrhage are rare, and meningiomas with subdural hematomas are even rarer [ 1 ]. Particularly, there are only eight reported cases of interhemispheric acute subdural hematoma in falx meningiomas [ 2 - 9 ], and its pathogenesis and optimal treatment are unclear.…”

Section: Introductionmentioning

confidence: 99%

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Interhemispheric Acute Subdural Hematoma Secondary to Falx Meningioma: A Case Report

Ogasawara,

Ito,

Ichikawa

et al. 2024

Cureus

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This report describes an unusual case of falx meningioma associated with acute subdural hematoma, which is a rare presentation. A 76-year-old woman presented with right-sided hemiparesis and a known falx meningioma that had rapidly increased in volume over the previous year. Computed tomography revealed interhemispheric and left-hemispheric acute subdural hematomas. Preoperative embolization and surgical tumor removal were performed to improve the symptoms, and pathological examination of the tumor revealed transitional meningioma (WHO Grade I). The patient's paresis symptoms improved postoperatively. This report provides valuable insights into the management and outcomes of falx meningioma with acute subdural hematoma, suggesting aggressive surgery to improve postoperative recovery.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Interhemispheric Acute Subdural Hematoma Secondary to Falx Meningioma: A Case Report

Ogasawara,

Ito,

Ichikawa

et al. 2024

Cureus

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“…Early diagnosis of ITH meningiomas is crucial, as definitive surgical resection is associated with the best possible outcome, lowering the mortality rate from 55% to 13% [7,16]. Furthermore, in a case series by Leclerc et al, the re-hemorrhage rate among those who did not undergo surgery was 74%, occurring on average just 120 days after their initial presentation [17]. This high re-hemorrhage rate underscores the importance of surgical resection during the current hospitalization, barring any medical comorbidities that preclude surgery.…”

Section: Management Strategies and Prognosismentioning

confidence: 99%

Spontaneous Intracerebral Hemorrhage Secondary to a Parasagittal Meningioma: A Case Report and Review of the Literature

Reier,

Mao,

Hough

et al. 2023

Cureus

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Meningiomas are the most prevalent tumors within the central nervous system, with most exhibiting benign characteristics. While they are often discovered incidentally, their growth can lead to symptoms such as headaches, visual changes, dizziness, and seizures. Intratumoral hemorrhage (ITH) within meningiomas is a rare occurrence. This phenomenon carries a poor prognosis, as evidenced by significant rates of morbidity and mortality. This case report describes a unique case of a 52-year-old male who experienced a spontaneous right parietal lobe intracerebral hemorrhage adjacent to the superior sagittal sinus. Subsequent investigations revealed this to be an ITH due to an underlying WHO-grade I meningioma. This case emphasizes that while ITH in meningiomas is rare, prompt recognition and surgical intervention ensure optimal patient outcomes.

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Systematic Review of Meningiomas Revealed by Spontaneous Intracranial Hemorrhage: Clinicopathological Features, Outcomes, and Rebleeding Rate

Cited by 2 publications

References 88 publications

Interhemispheric Acute Subdural Hematoma Secondary to Falx Meningioma: A Case Report

Interhemispheric Acute Subdural Hematoma Secondary to Falx Meningioma: A Case Report

Spontaneous Intracerebral Hemorrhage Secondary to a Parasagittal Meningioma: A Case Report and Review of the Literature

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