Meningioma presenting with spontaneous venous intraparenchymal hemorrhage Journal Article
| Authors: | Giantini-Larsen, A.; Abou-Mrad, Z.; Moss, N. S. |
| Article Title: | Meningioma presenting with spontaneous venous intraparenchymal hemorrhage |
| Abstract: | A 65-year-old woman with a known right-sided, dural-based lesion and metastatic pancreatic neuroendocrine tumor presented with multiple days of progressive lethargy and left-sided weakness culminating with obtundation and dilated pupils. Computed tomography demonstrated an acute right convexity subdural hematoma and a frontotemporal intraparenchymal hemorrhage with 1.3 cm of midline shift, uncal herniation, and an increase in size of now a hemorrhagic dural-based lesion. She underwent emergency hemicraniectomy for evacuation of subdural hematoma and resection of hemorrhagic meningioma with excellent postoperative result including improvement in midline shift and gross total resection of lesion. Pathology was consistent with a World Health Organization grade II meningioma with a chordoid component. She underwent adjuvant stereotactic radiosurgery and cranioplasty and made a full neurologic recovery. Identification of hemorrhagic meningioma as the underlying pathology causing multicompartmental hemorrhage is crucial. We recommend single-stage decompression with extraaxial clot evacuation and resection of the meningioma when feasible. © 2022 Elsevier Inc. |
| Keywords: | clinical article; aged; case report; postoperative period; nuclear magnetic resonance imaging; positron emission tomography; computer assisted tomography; fluorodeoxyglucose f 18; world health organization; weakness; stereotactic radiosurgery; meningioma; lethargy; diffusion weighted imaging; brain hemorrhage; brain hernia; magnetic resonance angiography; pancreas islet cell tumor; pancreas metastasis; subdural hematoma; cranioplasty; human; female; article; glasgow coma scale; magnetic resonance venography; intraparenchymal hemorrhage; hemicraniectomy |
| Journal Title: | World Neurosurgery |
| Volume: | 171 |
| ISSN: | 1878-8750 |
| Publisher: | Elsevier Inc. |
| Date Published: | 2023-03-01 |
| Start Page: | 8 |
| End Page: | 9 |
| Language: | English |
| DOI: | 10.1016/j.wneu.2022.12.007 |
| PUBMED: | 36503122 |
| PROVIDER: | scopus |
| PMCID: | PMC9992010 |
| DOI/URL: | |
| Notes: | Article -- MSK Cancer Center Support Grant (P30 CA008748) acknowledged in PubMed -- MSK corresponding author is Nelson Moss -- Export Date: 1 February 2023 -- Source: Scopus |
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