Intraparenchymal meningioma mimicking cavernous malformation: a case report and review of the literature
| Autor: | Uwe Dietrich, Alexandru C. Stan, Senol Jadik, Alaa Eldin Elsharkawy, Terttu A. Pietilä |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Case Report Ossification Psammomatous Meningioma Meningiomas Intraparenchymal meningiomas Diagnosis Differential Hemangioma Meningioma Seizures otorhinolaryngologic diseases medicine Humans neoplasms Craniotomy Medicine(all) medicine.diagnostic_test Cavernous malformation Brain Neoplasms business.industry Hemosiderin deposits Magnetic resonance imaging General Medicine medicine.disease Cavernous malformations Magnetic Resonance Imaging nervous system diseases Hemangioma Cavernous Treatment Outcome ‘popcorn’ Hemosiderin Radiology Differential diagnosis Tomography X-Ray Computed business |
| Zdroj: | Journal of Medical Case Reports |
| ISSN: | 1752-1947 |
| DOI: | 10.1186/1752-1947-8-467 |
| Popis: | Introduction A primary intraparenchymal meningioma located in the subcortical region of the brain without a dural attachment is extremely rare. To the best of our knowledge, this is the first report showing that meningioma can mimic cavernous malformations. Case presentation We present the case of a 42-year-old German man who presented to our institution with seizure. Both computed tomography and magnetic resonance imaging scans showed characters of an intra-axial subcortical lesion with a ‘popcorn’ appearance and hemosiderin deposits in the right parietal lobe. The initial diagnosis was cavernous malformation. Intraoperatively, the lesion presented as a subcortical mass that had no connection to the dura or the ventricle. The histological diagnosis showed a WHO Grade 1 ‘raddled’ psammomatous meningioma with extensive metaplastic ossification. A literature review of 29 cases of intraparenchymal meningiomas regarding their clinical presentations, location and management was performed. Conclusions Meningiomas can be found in any region of the brain with and without dural attachment. Intraparenchymal meningiomas can have multiple entities mimicking their presentation. Caution must be used regarding the preoperative differential diagnosis. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink