A convexity meningioma presenting with an acute subdural hematoma
Autor: | Satoshi Shitara, Yoshinori Akiyama, Masahiko Itani |
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Rok vydání: | 2020 |
Předmět: |
Nontraumatic acute subdural hematoma
medicine.medical_specialty Pia mater business.industry Dura mater Hemorrhagic manifestation Case Report medicine.disease nervous system diseases body regions Meningioma medicine.anatomical_structure Hematoma medicine Transitional Meningioma Surgery Medical history Neurology (clinical) Radiology business Pathological Acute subdural hematoma |
Zdroj: | Surgical Neurology International |
ISSN: | 2152-7806 |
DOI: | 10.25259/sni_328_2020 |
Popis: | Background: Meningiomas presenting with acute subdural hematomas are extremely rare. To the best of our knowledge, only 45 cases have been reported to date. We report on a case of a meningioma mimicking an acute subdural hematoma as well as a thorough literature review. Case Description: A 67-year-old man with no history of trauma was referred to our hospital with sudden onset of decreased level of consciousness and left hemiplegia. Computed tomography revealed an acute convexity subdural hematoma. Emergency surgery to remove the hematoma was performed. The hematoma was found to exist in the extra-axial space and the attached dura mater and pia mater remained intact. Pathological examination revealed a transitional meningioma, the World Health Organization Grade 1. Detailed medical history taken postoperatively revealed that a convexity meningioma had been diagnosed incidentally at another facility 1 year earlier. Conclusion: Acute subdural hematomas due to meningiomas are rare, and establishing the cause is challenging. Prompt and precise diagnosis of such entities may afford patients a better prognosis. |
Databáze: | OpenAIRE |
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