Management and Diagnosis Challenges in Cystic Meningioma. A Case Report and Review of Literature

Autor: Moulay Rachid El Maquili, Nizare El Fatemi, Moussa Denou, Mustapha Hemama, Kaoutar Znati, Nourou Dine Adeniran Bankole
Rok vydání: 2020
Předmět:
Zdroj: Open Journal of Modern Neurosurgery. 10:222-229
ISSN: 2163-0585
2163-0569
DOI: 10.4236/ojmn.2020.102023
Popis: Background: Cystic meningioma is a rare variety of meningioma. It represents 4% to 7% of all meningiomas. The authors report a case of intracranial cystic meningioma with a review of literature. Case Report: A 59-year-old female presented with a history of headache followed by left side hemiplegia. CT scan and MRI of the brain showed a right parietal tumor with double solid and cystic components thought to be pilocytic astrocytoma or metastasis preoperatively. At surgery, the extraaxial solid and cystic lesion had a well defined capsule that could be easily separated from the perilesional cortical surface. The tumor was totally removed and the cyst was punctioned. The histological study showed a cystic meningioma WHO Grade I. A follow-up at 10 months after surgery, the patient was going well and recovered from the hemiplegiaa. Conclusion: Cystic meningioma is an uncommon tumor that should be considered in the differential diagnosis of brain tumors with a cystic component. The preoperative diagnosis and management could be in some cases challenging.
Databáze: OpenAIRE