Spontaneous or Traumatic Intratumoral Hemorrhage? A Rare Presentation of Parafalcine Meningioma
| Autor: | Luke Mugge, Omar Awan, Danielle D Dang, Mahesh B. Shenai, John V. Dang |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Traumatic brain injury Intracranial hematoma Neurosurgery 030204 cardiovascular system & hematology Trauma meningioma Meningioma 03 medical and health sciences 0302 clinical medicine Hematoma medicine Pathological business.industry traumatic brain injury Mass effect General Engineering intratumoral hemorrhage medicine.disease Oncology Benign Meningioma Radiology business intracranial hemorrhage 030217 neurology & neurosurgery Grade I Meningioma |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| DOI: | 10.7759/cureus.11486 |
| Popis: | While hemorrhage is commonly encountered in various intracranial tumors, it is relatively rare in benign meningiomas. We present an interesting case report of a 75-year-old male who fell during intoxication, sustaining right frontal cranial trauma, coincidentally directly overlying a previously undiagnosed right frontal meningioma. He experienced an acute neurological decline and was found to have an intracranial hematoma, causing significant mass effect and herniation. Based on the radiographic appearance, an underlying neoplasm with significant edema was suspected. Intraoperatively, the hematoma and mass were successfully evacuated, and post-operative pathology confirmed the presence of a World Health Organization Grade I meningioma with a microcystic and angiomatous pattern. We speculate on the mechanism of injury and hemorrhage in this patient through review of the literature and discussion of medical and pathological risk factors. |
| Databáze: | OpenAIRE |
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