Malignant Meningioma Mimicking Chronic Subdural Hematoma
| Autor: | Hironori Kamano, Kenji Miki, Yoshihiro Natori, Yuka Hiraki, Kazunari Oka, Yasutoshi Kai |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Malignant meningioma business.industry Common disease Atypical meningioma medicine.disease Brain ct Meningioma 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Chronic subdural hematoma 030220 oncology & carcinogenesis Medicine Surgery Neurology (clinical) Radiology Neurosurgery Subdural space business 030217 neurology & neurosurgery |
| Zdroj: | World Neurosurgery. 124:71-74 |
| ISSN: | 1878-8750 |
| DOI: | 10.1016/j.wneu.2018.12.129 |
| Popis: | Background Chronic subdural hematoma (CSDH) is the most common disease encountered in neurosurgery. Diagnoses of CSDH are usually made on the basis of computed tomography (CT) images. In this report, we discuss the case of a patient with meningioma whose findings instead suggested CSDH. Case Description A 91-year-old woman complained of dizziness. Brain CT imaging revealed a low-density subdural space, following which we diagnosed her with CSDH. On the same day, we performed burr hole surgery. However, when opening the burr hole and cutting the dura, a light yellowish tumor was observed under the dura. After the operation, her condition deteriorated and she died 2 days later. After 10 days, pathologic examination of the tumor specimen led to a diagnosis of atypical meningioma. Conclusions In almost all cases, CSDH can be diagnosed using CT images only. However, our patient's true diagnosis was meningioma, rather than CSDH. We rouse attention not to take it for CSDH with a CT image easily. |
| Databáze: | OpenAIRE |
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