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Doostabadi H, Talimkhani M, Arjipour M. Hemorrhagic meningioma: A dangerous acute presentation of meningioma. Iran J Neurosurg 2024; 10 : 19
URL: http://irjns.org/article-1-427-en.html
URL: http://irjns.org/article-1-427-en.html
1- Departments of Departments of Neurosurgery, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran, Hamadan University of Medical Sciences, Hamadan, Iran
2- School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran
3- Departments of Neurosurgery, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran ,mahdiarjipour@yahoo.com
2- School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran
3- Departments of Neurosurgery, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran ,
Abstract: (194 Views)
Background and Importance:
Meningioma is one of the most common intracranial tumors. Its incidence is 37.6% of all primary brain tumors and 53.3% of benign tumors. Hemorrhagic meningioma is rare and between 1980-2021 only 120 cases were reported in the literature. The most common type of hemorrhagic meningioma is acute subdural hematoma (SDH) and then Intraparenchymal (IPH) (49 cases and 44 cases, respectively: approximately one case per year). The risk of rebleeding in this case is high (74%), therefore prompt surgical treatment is recommended.
Case Presentation:
The presenting case is a very rare hemorrhagic meningioma with an association of SDH and IPH. A 69-year-old woman with a history of hypertension with complaints of severe and sudden headaches and mild confusion. She didn’t have an anticoagulant in her drugs. Brain CT and MRI showed right frontoparietal meningioma with acute SDH and associated IPH with midline shift. The patient was operated and the tumor resected and the hematoma was evacuated and then discharged in good condition.
Conclusion: Each acute SDH and IPH is a rare presentation of meningiomas and association of them like this case is very rare. Due to the high risk of rebleeding in similar reported cases, prompt surgical treatment is recommended. Precise pathogenesis understanding needs more evaluation of these cases.
Meningioma is one of the most common intracranial tumors. Its incidence is 37.6% of all primary brain tumors and 53.3% of benign tumors. Hemorrhagic meningioma is rare and between 1980-2021 only 120 cases were reported in the literature. The most common type of hemorrhagic meningioma is acute subdural hematoma (SDH) and then Intraparenchymal (IPH) (49 cases and 44 cases, respectively: approximately one case per year). The risk of rebleeding in this case is high (74%), therefore prompt surgical treatment is recommended.
Case Presentation:
The presenting case is a very rare hemorrhagic meningioma with an association of SDH and IPH. A 69-year-old woman with a history of hypertension with complaints of severe and sudden headaches and mild confusion. She didn’t have an anticoagulant in her drugs. Brain CT and MRI showed right frontoparietal meningioma with acute SDH and associated IPH with midline shift. The patient was operated and the tumor resected and the hematoma was evacuated and then discharged in good condition.
Conclusion: Each acute SDH and IPH is a rare presentation of meningiomas and association of them like this case is very rare. Due to the high risk of rebleeding in similar reported cases, prompt surgical treatment is recommended. Precise pathogenesis understanding needs more evaluation of these cases.
Article number: 19
Type of Study: Case report |
Subject:
Brain Tumors
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This is an open access article distributed under the terms of the Creative Commons Attribution License (CC-By-NC), which permits use, distribution, and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
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