Koichiro Sumi1, Takeshi Suma1, Reona Yoshida1, Ryuta Kajimoto1, Masato Kobayashi1, Takamichi Katsuhara1, Koki Hirayama1, Xiaoyan Tang2, Naoki Otani1, Atsuo Yoshino3. 1. Department of Neurological Surgery, Nihon University School of Medicine, 30-1 Oyaguchi-Kamimachi, Itabashi-ku, Tokyo, 173-8610, Japan. 2. Department of Pathology and Microbiology, Nihon University School of Medicine, Tokyo, Japan. 3. Department of Neurological Surgery, Nihon University School of Medicine, 30-1 Oyaguchi-Kamimachi, Itabashi-ku, Tokyo, 173-8610, Japan. yoshino.atsuo@nihon-u.ac.jp.
Abstract
BACKGROUND: Meningiomas are the most common benign intracranial tumors, and commonly comprise high-vascularizing but slow-growing tumors. On the other hand, meningiomas arising from the ventricular system are of rare occurrence, and spontaneous hemorrhage is an infrequent event. CASE PRESENTATION: We describe here the rare clinical manifestations of a 28-year-old female with acute intracranial hemorrhage located in the trigone of the lateral ventricle who was initially thought to have suffered an acute cerebrovascular accident, but was subsequently confirmed to have a benign intraventricular meningioma. To clarify the clinical features of such a rare course of meningioma, we also present a short literature review of acute intracranial hemorrhage caused by intraventricular meningioma. CONCLUSIONS: Ventricular meningioma presenting with hemorrhage such as acute stroke is a rare event, but recognition of such a pathogenesis is important. Although further accumulation of clinical data is needed, we suggest that early surgery should be undertaken in patients with lateral ventricular meningioma, even if it is not so large or asymptomatic.
BACKGROUND:Meningiomas are the most common benign intracranial tumors, and commonly comprise high-vascularizing but slow-growing tumors. On the other hand, meningiomas arising from the ventricular system are of rare occurrence, and spontaneous hemorrhage is an infrequent event. CASE PRESENTATION: We describe here the rare clinical manifestations of a 28-year-old female with acute intracranial hemorrhage located in the trigone of the lateral ventricle who was initially thought to have suffered an acute cerebrovascular accident, but was subsequently confirmed to have a benign intraventricular meningioma. To clarify the clinical features of such a rare course of meningioma, we also present a short literature review of acute intracranial hemorrhage caused by intraventricular meningioma. CONCLUSIONS:Ventricular meningioma presenting with hemorrhage such as acute stroke is a rare event, but recognition of such a pathogenesis is important. Although further accumulation of clinical data is needed, we suggest that early surgery should be undertaken in patients with lateral ventricular meningioma, even if it is not so large or asymptomatic.
Authors: Y Hosaka; S Hatashita; N Koga; J Sugimura; K Abe; Y Ueki; T Sakakibara; S Takagi Journal: Neurol Med Chir (Tokyo) Date: 1985-02 Impact factor: 1.742
Authors: Alexander Bertalanffy; Karl Roessler; Oskar Koperek; Ellen Gelpi; Daniela Prayer; Markus Neuner; Engelbert Knosp Journal: Neurosurg Rev Date: 2005-09-24 Impact factor: 3.042